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215021 12/04/2012 *f CITY OF CARMEL, INDIANA VENDOR: 363572 Page 1 of 1 ONE CIVIC SQUARE FUN WITH FRANNIE k CARMEL, INDIANA 46032 CHECK AMOUNT: $150.00 9805 LAKEWOOD DRIVE EAST INDIANAPOLIS IN 46280 CHECK NUMBER: 215021 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 11/9 150 . 00 ADULT CONTRACTORS --- --- -- ------------ - ---- Purchase Descrfptlon � 0� P.O.# 10-LO I Bud � Line Fun with Frannie � Purchaser ° - -Date Z Family Entertainment Approval _.._ aate� 12 9805 Lakewood Drive East Indianapolis, IN 46280 (317) 696-5757 funwithfrannie@yahoo.com w thfrannie@yahoo.com Invoice & Service A ree g meat Date: November 9, 2012 RWED Client: C NOV Carmel Clay Parks and Recreation 15 2012 Contact: Deneyse 5olazzo (317) 698-7950 i Event: Parent's Night Out Event Date: Friday, December 14, 2012 Event Location: Towne Meadow Elementary, 10850 Towne Road, Carmel, Indiana, 46032 Service To Be Provided: Airbrush Temporary Tattoos (tattoo ink) from 6:00 p.m. to 8:00 p.m. Fee: $150.00 75.00 e ($ per hour per artist x 1 artist) Total Amount Due: 1 $ 50.00 Please make checks payable to: Fun with Frannie Fun with Frannie to provide all supplies associated with airbrush temporary tattoos and Client to provide one standard electrical outlet. Carmel • Clay Parks&Recreation CHECK REQUEST Date: November 9, 2012 NOV 2012 1 Check payable to: Name: Fun with Frannie Address: 9805 Lakewood Dr. East City, State, Zip Indianapolis, IN 46280 Mail check to payee _x_Return check to requestor Check Amount: $ 150 Date Required: December 4, 2012 Check needed for: Parent's Night Out(Towne Meadow)Contractor To be paid from: PO#(if applicable) oc> any Budget account-GL# 4340800 Budget Line Description Contractor Invoice(s)and Purchase Order(if required)MUST be attached. Requested by(print): Deneyse Solazzo Requested by(signature): Approved by(signature of Division Manager): on this date ' I Form revised 7-7-08 Shared/Forms/Business Services/Check Request Form/Check Request(rev 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. 363572 Fun with Frannie Terms 9805 Lakewood Drive East Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 11/6/12 11/9 Parent's Night Out 12/14/12 TM $ 150.00 Total $ 150.00 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. 363572 Fun with Frannie Allowed 20 9805 Lakewood Drive East Indianapolis, IN 46280 In Sum of$ $ 150.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-9 11/9 4340800 $ 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 29-Nov 2012 Y9J#1MV"A1 Signature $ 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund