HomeMy WebLinkAbout210831 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1
ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT,INC
CHECK AMOUNT: $150.00
?� CARMEL, INDIANA 46032 8485 W WASHINGTON STREET SUITE#9
INDIANAPOLIS IN 46231 CHECK NUMBER: 210831
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 407OG 150 . 00 ADULT CONTRACTORS
FamilyTime Entertainment, Inc. FED: I D # 35-2135781
t 4. 8485 W Washington Street 317-635-7770 Main
_ Suite #9 317-850-1511 Cell
FA&i myTi x-I j' IndianapolisjN 46231.1 3p17-955-3938 Fax
1 L V 1 K'I •. 1 V M i 'I
-AALL151MV"-'IL_A INVOICE INVOICE DATE
3/9/12
FOR CONTRACT
Purchase 1 � # 4070 G
Description lJ - PURCHASE ORDER
Carmel Clay Parks 8L RecreatiorP.o. ._�
POI
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Cyndi Canada G.L.
4242 East 126th Street Budget c►�
Carmel IN 46033
Line Des --
Purchas _�G�,c�1 Date
Approval Date : f
DESCRIPTION Location: Carmel Parks Camp Contract Amt. $150.00
°'°-°"
1 Day 8/3/12 – 8/3/12 Paul Odenwelder/WATER SHOW Deposit Amt:__---
Pmt.
Make check to FamilyTime Entertainment ... zqmx�
Mail $150 to FamilyTime by Day of Show ... Ck
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Carmel Clay
Parks&Recreation CHECK REQUEST
Date:�� 1
Check payable to:
Name: T fV �(1 r pct t1+ Q�1"
Address: 5L-1�Sc�
City, State, Zip
Mail check to payee Return check to requestor
Check Amount: $ ('� Date Required: �;Sl t
Check needed for:
C-)CA �C ,p
To be paid from:
PO#(if applicable) IL C> a 1 (�
Budget account- GL#
Budget Line Description �C�X�d�'6� — ���� Cn
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Supporting documentation or receipt(s) MUST be attached.
Requested by (print): CUCIa ` .f1 �. )' �_ � Z.
Requested by (signature):
Approved by(signature of Division Manager):
on this date
Form revised 1-21-08
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.
00353387 Family Time Entertainment, Inc. Terms
8485 W Washington Street, Ste # 9
Indianapolis, IN 46231
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/9/12 407OG Water Show 8/3/12 $ 150.00
Total $ 150.00
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.
00353387 Family Time Entertainment, Inc. Allowed 20
8485 W Washington Street, Ste#9
Indianapolis, IN 46231
In Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-2 407OG 4340800 $ 150.00 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
j C'hf �UM
Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund