HomeMy WebLinkAbout211021 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366395 Page 1 of 1
ONE CIVIC SQUARE RASCALS FUN ZONE
CARMEL, INDIANA 46032 629 US 31 N CHECK AMOUNT: $2,646.00
WHITELAND IN 46184 CHECK NUMBER: 211021
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 8/1/12 2, 646 . 00 FIELD TRIPS
Apr 17 12 04:06p Rastals Fun Zone 317-535-8125 p.2
i
Rascal's Fun Zone
c J�
629 U.S. 31 N
Whi#eland, IN 46184
(317) 535-7600
CARMEL CLAY PARKS AND RECREATION
AUGUST 1 , 2012
Quantity Description Price Ea Total
168 3 HOUR ADULT WRISTBANDS $15.75 $2,646.00
AMOUND DUE $ 21646.00
Thank You
Purchase
Description
P.O.# t� �P
G.L.# L?�.G�
Budget 4a.
Line Descr �
Purchaser 0 tvin .Date
C
Carmel ® Clay
Parks&Recreation CHECK REQUEST
Date:
Check payable to:
'
Name: 'L vo .Z'�S C��S � G(1 Q_
Address: (_D Z.9 U .S - S I �
City, State, Zip
Mail check to payee V Return check to requestor
Check Amount: $ Date Required: U` 1
Check needed for: D 'S JMT{lIe C
e__
Supporting Supporting documentation or receipt(s) MUST be attached.
To be paid from: f
Fund K�-i Budget Line#
Budget Line Description
Requested by (print): V G.
Requested by (signature):
i
Approved by (signature of Division Manager):
on this date 1'p-I�_
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.
Rascal's Fun Zone Terms
629 U.S. 31 N
Whiteland, IN 46184
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/1/12 8/1/12 Field trip 8/1/12 30491 $ 2,646.00
Total Fs 2,646.00
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.
Rascal's Fun Zone Allowed 20
629 U.S. 31 N
Whiteland, IN 46184
In Sum of$
$ 2,646.00
ON ACCOUNT OF APPROPRIATION FOR
108- ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-1 8/1/12 4343007 $ 2,646.00 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
$ 2,646.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund