210808 07/17/2012 *f CITY OF CARMEL, INDIANA VENDOR: 365306 Page 1 of 1
ONE CIVIC SQUARE DAVE&BUSTERS
CARMEL, INDIANA 46032 8350 CASTLETON CORNER CHECK AMOUNT: $175.00
INDIANAPOLIS IN 46250
CHECK NUMBER: 210808
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 20698 175 . 00 FIELD TRIPS
DocuSign Envelope ID:AC9AEA3F-BD69-4665-8402-76E691F9D263 Cannel Clay Parks&Recreation
Dave & Buster's Cannel Clay Parks&Recreation
Jennifer Holder
Special Event Contract Event Date: 07/24/2012 11:00 AM
2481 Manana Drive ® j Booking Control: BD15153FA93024418D
Dallas.TX 75220 Invoice#: 20698
Phone: 214-357-9588 Created Date: 06/08/2012/ 11:50:56 AM
Fax: 214-904-2521 (Central Time)
Page: 2 of 3
SUMMARY OF CHARGES
- - - Subtotal
Amusements -
25 Power Cards(36.4 chips per card)@$5.00 Card $125.00
25 Power Cards Activation Fee(Includes 10 bonus chips per card)@$2.00 Gard;--':",
Area Rental = _— $OQO. -- _ - ---
Purchase ��-�.
Subtotal: $175.00
Description
P.O.# -� (G'�y p a Less Deposits: $0.00
G.L.it �� C Subtotal: 17 .
Budget $ 5 00
Line Descr �e
.rhgg� Date 1 Tax: $0.00
•
nval
Date 1 Z- Gratuity: $0.00
Balance Due: $175.00
DocuSign Envelope ID:AC9AEA3F-BD69-4665-8402-76E691F9D263 Cannel Clay Parks&Recreation
Dave & Buster's Carmel Clay Parks&Recreation
Jennifer Holder
Special Event Contract Event Date: 07/24/2012 11:00 AM
2481 Mariana Drive ® ® Booking Control: BD15153FA93024418D
Dallas,TX 75220 Invoice#: 20698
Phone: 214-357-9588 d Created Date: 06/08/2012/ 11:50:56 AM
Fax:214-904-2521 (Central Time)
Page: I of 3
Account: Carmel Clay Parks&Recreation Sales Person: Lindsey Lewis2
Contact: Jennifer Holder Sales Person 214-904-2277
Telephone:
Address: 1411 E. 116th St. Booking Status: Penciled In
Cannel, IN 46032
Phone: 317-679-9867, 317-698-0816
Fax:
9
Email: jholder @carmelclayparks.com
_3 Event Date Time Event Area Event Setup ATT GTD
Tice, 7/24/2012 11:00 AM- 1:00 PM Retail No Buffet I No Setup 251 1
Setup Notes Menu
—�=' THIS EVENT WILL OCCUR AT D&B LOCATED AT: Notes
_---= —3 8350 Castleton Comer Drive
Castleton Commons
Indianapolis, IN 46250 Event host is aware that a signed contract is required before an
Phone: 317-572-2722 event can take place. The balance is due in its entirety at the
On-Site Contact: conclusion of the event.
Jeni Witte, Special Events
GUEST WILL BE BRINGING IN CHECK FOR THE
ENTIRE AMOUNT THE DAY OF THE EVENT
Entertainment Notes Beverage
No Buffet 11:00 AM - 1:00 PM Retail
25 Power Cards(36.4 chips per card)@$5.00 per Card
25 Power Cards Activation Fee(Includes 10 bonus chips per card)
@$2.00 per Card
The price of Power Cards includes a$2.00 activation fee. Please
note that Power Cards are NON-REFUNDABLE,but are good at
any time and any Dave&Buster's location.
DocuSign Envelope ID:AC9AEA3F-BD69-4665-B402-76E691F9D263 Cannel Clay Parks&Recreation
t Carmel Clay Parks&Recreation
Dave & �ilStel S Jennifer Holder
Special Event Contract 'I^ Event Date: 07/24/2012 11:00 AM
2481 Mariana Drive S� j J Booking Control: BD15153FA93024419D
Dallas,TX 75220 Invoice#: 20698
Phone: 214-357-9588 '. Created Date: 06/08/2012/ 11:50:56 AM
Fax: 214-904-2521 (Central Time)
Page: 3 of 3
Reservation&Deposit
Reservations are tentative and not considered final and tho cfoc truly be cancelled by Dave& Buster's at any time until a signed contract and deposit are received by Dar:&
Buster's. A facsimile signature is sufficient for purposes of a signed contract. A deposit in the amnunt of SS7 50 is due at the tune Tile reservation is made. Deposits a1c
applied to the balance,and them�r�balance is due on the event date. Unpaid balances will bear interest from due date at I°,u per month not to exceed the,high"rate
allowable by law. Host Jul,a
Cancellation Policy t— - -- - ---In the event the[lost cancels this Dave&Buster's Special Event Contract(tire"Agreement")prior to the initial arrival date of the event,Dave&Buster's will nLeessarily incur
damages including,bill 1101 limited to,turning away other group events and the ancillary revenue associated with those events. Not withstanding any other provisions of this
Agreement.the Bost shall have the right to cancel this Agreement,without cause,upon written notification to Dave& Buster's at any time prior to the event and upon
payment of the amount expressed below:
Notice and payment received between signature and 30 days prior to event date: 50%of greater of the revenue subtotal or any required revenue minimum
Notice and payment received between 7 and 29 days prior to event date: 75%of greater of tile revenue subtotal or any required revenue minimum
Notice and payment received between 0 and 6 days prior to event date: 100%of greater of the revenue subtotal or any required revenue minimum
No-show events will be charged at the fill contracted value of the event. The parties agree that the suns are not a penalty,but represent a reasonable effort on behalf of Dave&
Buster's to establish its loss prospectively and represent liquid damages. Such payment shall he made by certified check or credit card and shall accompany notice fro e
I lost 0f the exercise of this cancellation option. Any attempted exercise of this right without the inclusion of payment,asset forth above,shall be invalid. Host Initia l
Restrictions -
Host understands and aerces that it shall not assign this Agreement,nor subcontractor resell the rights and benefits provided hereunder,nor act as a promoter for the event,
including but not limited to selling tickets,charging admission.'eover charges or seeking donations in lieu thereof,and that the event shall be conducted as dzscribed in this
Agreement.
Cancellation on Behalf of Dave& Bus(er's
Dave&Buster's reserves the right to cancel any event at its facility upon a deterntinaiion.in Dave& Buster's sole discretion,that(i)the event violates the Restrictions set forth
in the.foregoine paragraph,(ii)the host misrepresented the event in any way(to Dave&Buster's or any ntha'party)or(iii)the event would be harmful to Dave&Banter's
andlor its guests. in the event ofsuch cancellation,Dave&Buster's will refund all prepaid deposits in full for the event inn question.
House Policies
The Host is advised that Dave&Bustc's has a few fiousc Policies,including certain restrictions regarding minors. These restrictions arc as follows: guests under rile age of 21
(legal drinking age)are not allowed to consume alcohol under any circumstances;guests under the anininaum age as determined by each location must be accompanied by a
parent or guardian,generally(Ictined as a person 25 tears of age or older,who agrees to be responsible for the conduct and safety of the underage guest:Each parent or
gtaardiar can accompany no more that the maximum number of underage guests determined by each location;and underage guests must remain with their paam or guardian at
all times. (Please note that at our Milpitas and Ontario.CA locations,all guests under the age of 2I must b.:accompanied by a parent or guardian who is 30 years of age or
older and must(cave the iiacility no later than 1 I:00pn;and our San Diego,CA;t1'auwatosa,\1'1 and Braintree,MA locations,all guests under the uge of 21 must be
accompanied by a parent or guardian who is 25 years of age or older and must Ieave the facility no later than I0:00pm). VALI D I.D.RE:QUI RED:Dave Fi Buster's is licensed
Us a restaurant and bar,therefore we card all guests under 25 years of age.
Food&Beverage
Bost is herchy x1vised and understands that consuming raw and undnreooked meats,poultry,fish`shellfish or eggs nnny increase the risk of rood borne illness,especially if a
guest has certain medical conditions.Any food or food item(s)remaining at the corclusion of the event arc consider:(I property of the event[lost and may be taken off
premises.Foods lei"behind after the event's pally has Icfl will be dtccarlcd.Plcasc refrigerate all leftovers nv ithin two(2)hours and reheat all leftovers throughout,Additionally,
be advised that reheated spinach has been littmd to font cancer causing compounds when combined with stony:ch acid.l lost,1cknowledges that the handling and sturagc of any
leftover find items are the host's sole responsibility and Host agrees to release and hold Dave& Buster's hannless from any and all claims arising from the preparation and
consunnption of leftover food items.Please note that buffets are portioned per person and quantities arc placed out based on the contracted nannbcr of guests.Buffet potions are
knit:and not teptewishahlc. Additional charges will apply ifnnore food is requested by the event Host,and extra servings liar subiect to availability.Dave&Buster's does not
allow outside food of any kind to be brought into the facility without prior written approval.As a responsible server in accordance with state and local beverage regulations,we
re.serve the riJtt to monitor and li1»it Consumption of beverage alcohol. 1 S",u gratuity will be added to a l l food and b verage Charges.Pricing is subject to change.
,Number oS Cuests Attending Event
'fhe final guest count must be received 110 later than five(5)business days(tt'looday-hriday)prior to the event. In the eyeml we alts not receive your final count by this dale,we
will prepare for the oririnul con(nicled amount and shame the master account.accur(linely. lf,011 the dory of the event,t r^,au'cndancr varies from the final count,the I lost will
be charged based on Ilse gteatcr muminr of guests. Therc will be a ntinimunt count required for each event. 1'lost InitiaAl5CK
Pa)mcnls l�
Upon execution of*('i's contract,if c0nsi(Icge rp'.is offered f lKinial(naymenrownrds an eventlisfP)OCC'sed via credit credit
•n unable too ref n for any charges d tile credits card at associated later dat�etnnd
cvcut,including ca ncellariou. Onca chmgc for fill I payment
accept ail✓rnat�pa.•,nznt.DLcB ftev:urns OualifYimg Purchases 511,1111101 include Special p.vt:nts,including Party Rental,Room Charge,Mystery Dinner Show Ice and deposits.
prepaid deposits,accounts receivable andlor promotional events.(sec U&K Rcv,1rds official rules at tl:n'candbusters.conn) Dave&Buster's does not accept gift cards for
payment of amounts(file under,this Agreement,nor does Dave&Buster's accept personal checks.
Limitation of Liability
':either party shall be Iiable to the other for any indirect.special,ilicidcntal,punitive or consequential damages ur lost prolit arising out of or relating t0 this agreao(:nt.
unhcr,in no event shall Dnvc&Buster's aggregate liability arising out of or relating to this Agreement exceed the amounts paid by I lost hereunder.
tgrecment
tl tint's si ed Host lit agent ins( rcby agree lt,the(erns and conditions set lunlh herein. If I am an agent 01'111c I lost.t hereby str�.ttpthat 1:inn able to enter into this
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Carmel ® Cl,
ay
Parks&Recreation CHECK REQUEST
Date: 6/28/12
Check payable to:
Name: Dave N' Busters
Address: 8350 Castleton Corner Dr.
City, State, Zip Indianapolis, IN 46250
Mail check to payee X Return check to requestor
Check Amount: $ 175.00 Date Required: 7/24/12
Check needed for: Dave N' Busters for Chillville Summer Camp on 7/24/12
To be paid from:
PO#(if applicable) E0002674
Budget account-GL# 1082-9 4343007
Budget Line Description Field Trip
Invoice(s) and Purchase Order(if required) MUST be attached.
Requested by(print): Jennifer Holder
Requested by(signature): a'19'71'51�-1-7 /Y�
Approved by(signature of Division Manager):
I
on this date
3
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
365306 Dave & Busters Terms
2481 Manana Drive
Dallas, TX 75220
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/24/12 20698 Field trip Chillville 7/24/12 $ 175.00
Total--F$ 175.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
365306 Dave & Busters Allowed 20
2481 Manana Drive
Dallas, TX 75220
In Sum of$
$ 175.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-9 20698 4343007 $ 175.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
12-Jul 2012
Signature
$ 175.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund