211060 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 365501 Page 1 of 1
ONE CIVIC SQUARE SUGAR VALLEY CHECK AMOUNT: $150.00
' CARMEL, INDIANA 46032 1467 EAST SR 67
MARSHALL IN 47859 CHECK NUMBER: 211060
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 6/21 150 . 00 FIELD TRIPS
SUGAR VALLEY CANOE TRIPS,LTD 1-800-422-6638 RENTAL AGREEMENT �+
DATE: i
V_ TURKEY HOL Y N DEPARTURE TIME:
Canoes @ RUN 3 MILE
_ Kayaks @ $ Dock at Cox Ford.Limit 3 hours(or 6pm for 3pm&after departures)
Tubes @ 6 $ JACKSON 6 MILE
Extra Persons $ ,j� Dock @ Jackson Bridge. Pick-up times: SEE
��/L/ JACKSON 10 MILE
2:45 -4:15 - MAP
TOTAL RENTAL. S � Dock @ Jackson Bridge. Pick-up times: & INFO
(Du Pd ), 2:45 -4:15 - ON BACK
PLUS DEPOSIT $ UPPER SHADES 12 MILE
�f� Dock at Narrows Creekside(by 4 pm) Equipment
(`J / SHADES 15 MILE Returned:
I and all persons in my group agree to the following: Dock at Cox Ford(by 6 pm)
1. I agree that canoeing/kayaking/tubing is at my own risk.
2. I will be held liable for damage or loss of equipment. EQUIPMENT RETURN POLICY-
(Canoe/Kayak$500, Tube $40, Paddle $20, life vest$10) 1. Dock at designated bridge within time limit.
3. All persons in my group will dock at proper pickup bridge 2. Empty paddles, preservers & misc. out of boat/tube.
within the time limit stated. Failure to do so will result in - 3. C ALL equipment.to to of steps at pick-up bridge
loss of deposit (min. $20) plus expenses incurred by SV in P P P _ P _. .
recovering abadoned or lost equipment and/or canoers and 4. Present this to SV staff for initial.
we agree to check in equipment per return policy. 5. Carry preservers to storage area.
4.All persons are physically able to participate. 6. Present this initiated form at office for deposit return.
5. If my party is taking alcohol, everyone is of legal age and has signed and agrees to alcohol policy. Failure to disclose
alcohol will r ult in min' um fine of$50 plus other applicable fines.
SIGNED: ¢�
Printed Nart roup (if 'y)
ADDRES .�
PHONE: - #Vehicles in lot: __t Make & Color: i
Su ar Valte►
14E.7ESR4
Marshall, IN 47559
Purchase
Description 1 p ),AWL V��
W JUN 2 8 2012
P.O.# P4
G.L.# --__
Budget
-
Line Descr W& 4)�t e
Purchaser Date
Approval Date
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.
365501 Sugar Valley Terms
1467 East SR 47
Marshall, IN 47859
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6121112 6/21 Field trip $ 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.
365501 Sugar Valley Allowed 20
1467 East SR 47
Marshall, IN 47859
In Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-9 6/21 4343007 $ 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
Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund