HomeMy WebLinkAbout213645 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 362001 Page 1 of 1
ONE CIVIC SQUARE RUSSELL FARMS CHECK AMOUNT: $1,200.00
CARMEL, INDIANA 46032 12290 E 191ST ST
a<< NOBLESVILLE IN 46060 CHECK NUMBER: 213645
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 102 1, 200 . 00 FIELD TRIPS
Russell Farms Pumpkin Patch, LLC Invoice No. 102
12290 E. 191 st Street
Noblesville, IN 46060
INVO CE
Customer
Name Carmel Clay Parks& Recreation Date 9/26/2012
Address Attn: James Dowell
City Carmel State IN ZIP
Phone idowellODcarmelclavparks.com
Qty Description Unit Price TOTAL
i
200 Admissions for field trip on October 22, 2012 56.00 $1,200.00
11:00 am to 2:00 pm
Purchase
Description
P.O.# Z O 8 P oi?)
G.L.# I QI r 3
Budget i
Line Desor �t
Payment due upon arrival 10-22-12 Purchaser Dat (0,
Approval`� Dat 1�, )• 1�.
Thank You !!
SubTotal $1,200.00
Payment Details
-7 p Taxes $0.00
O
Q TOTAL $1,200.00
Russell Fanns open each Saturday& Sunday 10am to 6pm in October
Carmel Clay
Parks&Recreation CHECK REQUEST
Date:� 1 a--
Check payable to: -�
Name: � y ��C 1FG?rM5 PyM ►J ��.jt� Inc+r_ -
Address:
City, State, Zip o K7 125 y 1 2 N l �� C)
Mail check to payee V--"Return check to requestor
o�
Check Amount: $ Date Required: ` D j�-
Check needed for: CL O O 1'?�; �� v� �`} TCn
To be paid from:
PO#(if applicable)
Budget account- GL# �'� l)0 In � C CC
Budget Line Description 6- I e
Supporting documentation or receipt(s) MUST be attached.
Requested by (print).
Requested by (signature):
Approved by (signature of Division Manager):
on this date lO J.-f Z-
Form revised 1-21-08
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.
362001 Russell Farms Pumpkin Patch, LLC Terms
12290 E 191st Street
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/26/12 102 Field trip 10/22/12 29046 $ 1,200.00
Total $ 1,200.00
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
R
t
Voucher No. Warrant No.
362001 Russell Farms Pumpkin Patch, LLC Allowed 20
12290 E 191st Street
Noblesville, IN 46060
In Sum of$
$ 1,200.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I� Board Members
Dept#
1081-99 102 4343007 $ 1,200.00 1 !ereby certify that the attached invoice(s), or
bl(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
4-Oct 2012
AlleZ�10
Signature
$ 1,200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund