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213020 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 361421 Page 1 of 1 ONE CIVIC SQUARE GREATIMES FAMILY FUN PARK CARMEL, INDIANA 46032 5341 ELMWOOD AV CHECK AMOUNT: $275.00 INDPLS IN 46203 CHECK NUMBER: 213020 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343007 7/26 275 . 00 FIELD TRIPS Lull EP 10 2012 Greatimes Family Fun Park Invoice No. 5341 Elmwood Ave. Indianapolis, IN 46203 (317)780-0300 Fax(317)781-6374 INVOICE Customer Misc ` Name Carmel Clay Parks& Recreation Date 7/26/2012 Address Order No. City State ZIP_ Rep Leader Jennifer Holder FOB Qty Description Unit Price TOTAL 25 Thursday Special $11.00 $ 275.00 Purchase t \ll� Y Description v P.O.# p G.L.# Budget 7 ine Descx �� � Ourchas �` p Ch�Z Approv 1 2- SubTotal $ 275.00 Shipping Payment Credit Tax Rate(s) Comments TOTAL $ 275.00 Name CC# Office Use Only Expires If you have any questions about your invoice, please contact: Caitlin O'Brien or Jimmy Clapper at(317)780-0300 Payment is due 30 days after invoice date. Thank you for your patronage! 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. 361421 Greatimes Family Fun Park Terms 5341 Elmwood Ave. Indianapolis, IN 46203 Invoice Invoice Description Amount Date Number or note attached invoice(s)or bill(s)) 10# 7/26/12 7/26 Field trip Chillville 7/26/12 31010 $ 275.00 Total $ 275.00 I 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. 361421 Greatimes Family Fun Park Allowed 20 5341 Elmwood Ave. Indianapolis, IN 46203 In Sum of$ $ 275.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1082-9 7/26 4343007 $ 275.00 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 20-Sep 2012 ZdLh�MIV Signature $ 275.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund