210988 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 364132 Page 1 of 1
js ONE CIVIC SQUARE OVER INFLATED, LLC
CARMEL, INDIANA 46032 9715 KINCAID DRIVE SUITE 800 CHECK AMOUNT: $935.35
FISHERS IN 46037 CHECK NUMBER: 210988
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 6/13 935 . 35 FIELD TRIPS
INVOICE 6/13/2012
BILL TO: SHIP TO:
Clay Vacation Station sent via email: mstorms @carmelclayparks.com
c/o Meagan Storms Meagan Storms
DESCRIPTION AMOUNT
138 bouncers @ $6.50 per bouncer $ 897.00
13 pairs of socks @ $2.95 per pair $ 38.35
Purchase \n`
Description — P or
P.O.# TOTAL BILLED $ 935.35
G.L.#
Bud et C��
L;,le�escr �e.= —�'"'– Tax Exempt 0
�r� Date_ �
Purchaser- !_=— Date_a
Approva OTHER
TOTAL DUE $ 935.35
Due upon receipt or per terms of purchase order
REMIT TO:
OVER INFLATED, LLC
9715 KINCAID DRIVE, SUITE 800
FISHERS, IN 46037
TELEPHONE: 317-578-7529
0
EMAIL: fishers.in @bounceu.com
�7. �1D
JUN 2 7 2012
BY:-
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.
364132 Over Inflated, LLC Terms
9715 Kincaid Drive, Suite 800
Fishers, IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/13/12 6/13 Field trip 30817 $ 935.35
Total $ 935.35
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.
364132 Over Inflated, LLC Allowed 20
9715 Kincaid Drive, Suite 800
Fishers, IN 46037
In Sum of$
$ 935.35
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-1 6/13 4343007 $ 935.35 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
fi/0AvL/W(-/
Signature
$ 935.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund