216752 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE MUSEUM CHECK AMOUNT: $1,808.75
CARMEL, INDIANA 46032 650 W WASHINGTON ST
INDIANAPOLIS IN 46204 CHECK NUMBER: 216752
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 155644 1, 808 . 75 FIELD TRIPS
INDIANA STATE MUSEUM e r
GUEST SERVICES f
C �7—R 650 W. Washington Street
Indianapolis, N 46204 DescrIP1110n Tie
JAN 1 1 2013 —P
I (317) 232-1637 P.O.�
LBY:—
Budget j
Line escx 1 Date 12 Z'
Purchser — 8 �
INVOICE Aparovd-,i
CUSTOMER INVOICE NUMBER: ARRIVAL DATE&TIME:
CARMEL CLAY PARKS AND RECREATION 155644 01/03/2013 12:30 PM
LUNCH
AMY BALDAUF
1235 CENTRAL PARK DR E AGENT'S NAME
CARMEL, IN 46032 KELSEY, GROUP SALES
317.234.1728
SHIP TO
760 3RD AVE SW STE 100
CARMEL, IN 46032
US
QTY DESCRIPTION PRICE EXTENTION
33 TOTHEARCTC CB GRPA2 14.50 478.50
TO THE ARCTIC 01/03/2013 1:55 PM
179 TOTHEARCTC CB GRPC2 9.00 1,611.00
TO CTIC 01/03/2013 1:55 PM
GIFT CT -172.00
CHARGE 172.00
GIFT CT 1 -108.75
CHARGE 108.75
CHARGE -2,089.50
TOTAL 2,089.50
PAYMENT -280.75
BALANCE DUE 1,808.75
1
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.
353648 Indiana State Museum Terms
650 W Washington Street
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/3/13 155644 Field trip 1/3/13 29193/29192 $ 1,808.75
Total $ 1,808.75
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.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of$
$ 1,808.75
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 155644 4343007 $ 1,808.75 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
24-Jan 2013
AAA&MMA"
Signature
Is 1,808.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1