211053 07/17/2012 F CITY OF CARMEL, INDIANA VENDOR: 365405 Page 1 of 1
ONE CIVIC SQUARE STAHLHUT AMUSEMENT
CARMEL, INDIANA 46032 698 EAST COUNTY ROAD 450N CHECK AMOUNT: $350.00
DANVILLE IN 46122 CHECK NUMBER: 211053
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 8/3/12 350 . 00 ADULT CONTRACTORS
688 East County Road 450 North
Danville, IN 46122
OUT OF THIS W
Invoice
Customer Information
Carmel Clay Parks and Recreation Event Dates/Times
3495 W. 126" St. 3-Aug-12 -
Carmel, IN 46032 3-Aug-12
01:OOPM - 03:OOPM
Del. Date: 3-Aug-12 PU Date: 3-Aug-12
Del. Time: 12:OOPM to 01:OOPM PU Time: 03:OOPM to 04:OOPM
Unit Name Price Sup Fee Qty Line Total
$350.00 $0.00 1 $350.00
Trackless Train
Equipment Fees: $350.00
Delive Fees: $0.00
Supply Fees: $0.00
Additional Fees: $0.00
Purchase Waiver Fee:
ptio 0 D D p D
J--i--°��'((JJ� Discount: $0.00
P.O.P_o.# _Sub-Total: $350.00
G.L.#1 Tax: $0.00
Padget Total: $350.00
Line Descr_.-. � ��—
�,,�` Date Deposit Re uired: $0.00
Purchaser-. 9- ----- Date���- Pa ments:
Approval--_--_----- ------ Balance Due: $350.00
Cannel e Opp
Parks&Recreation CHECK REQUEST
Date: 4 - t-Y ' I c-C
Check payable to: \_ i
Name:
Address: ; E C" Go,6 �Ct C� 11
City, State, Zip
Mail check to payee Return check to requestor
Check Amount: $ 0 Date Required: �J�� so , Qo�a
Check needed for: 06,CC �•Gr C
To be paid from:
PO#(if applicable)
Cy D Q A
L �, c;c tt
Budget account-GL# SA C l o ��C)— I ^ 1
Budget Line Description L')C\
Invoice(s) and Purchase Order(if required) MUST be attached.
Requested by (print):
Requested by (signature): ,
Approved by (signature of Division Manager):
on this date
Form revised 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.
365405 Stahlhut Amusements Terms
698 East County Road 450 N
Danville, IN 46122
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/3/12 8/3/12 Field trip 30494 $ 350.00
Total $ 350.00
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.
365405 Stahlhut Amusements Allowed 20
698 East County Road 450 N
Danville, IN 46122
In Sum of$
$ 350.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-1 8/3/12 4340800 $ 350.00 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
$ 350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund