217620 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1
ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT,INC CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 8485 W WASHINGTON STREET SUITE#9
INDIANAPOLIS IN 46231 CHECK NUMBER: 217620
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 3152013 250 . 00 ADULT CONTRACTORS
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8485 West Washington Street/ Suite#9 /Indianapolis, IN 46231
Office Phone: 317-635-7770/Mike )King Emergency Cell: 317-850-1511
Carmel Clay Parks & Recreation Contract / Invoice
with FamilyTime Entertainment, In - C1,W ED
Contract Date: February l 0`h, 2013 FEB 18 2013
Contract#: 03152013
Invoice#: 03152013 I =-_ ----
This Agreement is entered into on this date by and between
FamilyTime Entertainment, Inc. and Carmel Clay Parks & Recreation
1. Services Provided: Comedy-Magiciao Barry Rice Show
2. Client or Purchaser: Carmel Clay Parks & Recreation
3. Booked by: Tiffany Buckingham
4. Event Location: Cherry Tree/ 13989 Hazeldell Pkwy / Carmel, IN 46033
5. Event Dates & Times: March 15"', 2013 @ 5:30 pm
6. Contract Fee: A 1lotal of 5250.00
7. Payable Terms of the Contract: Make checks to FamilyTime Entertainment
Give 5250.00 fee to Performer @ Event or Mail fee check to JFainilyTime
8. Event Contact and Phone Number Information:
FamilyTime Office: 317-635-7770
Mike King Cell (Manager of FamilyTime Entertainment): 317-850-1511
Barry Rice (performer): 573-275-7275
@ Event Contact: Tiffany Buckingham 317-698-6579
9. Contract is subject to the following terms and conditions:
Future engagements of above named artists for this client must be made solely through FamilyTime
Entertainment fora per-iod of 18 months.. This Contract ispay'orplay and noncancellable. Inclement
weather does not alter the terms of this contract The above talent is an independent contractor and
assumes all responsibility for withholding tax,social security,and all other taxes. Balance payments
that are received late are assessed a 10%late fee. Contracts not paid in full within 30 days of due date
will be assessed an additional 10.%late fee
10.Special Notes: NONE
11. This document serves as Contract &Invoice for the Event
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For FamilyTime Entertainment, Inc. ca4dday Parks & Recreation
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Carmel c Clay
Forks&Recreate®n CHECK REQUEST
Date: 2/11/13 RE' CETIVE' D
FEB 18 2013
Check payable to:
BY: _
Name: Family Time Entertainment
Address: 8485 W Washington St. Suite#9
City, State, Zip Indianapolis, IN 46231
Mail check to payee X Return check to requestor
Check Amount: $ 250.00 Date Required: 3/15/2013
Check needed for: Cherry Tree Site Celebration
To be paid from:
PO#(if applicable) ��l J :� I t—
Budget account-GL# 1081-2-4340800
Budget Line Description Program Contractor
Invoice(s)and Purchase Order(if required) MUST be attached.
Requested by(print): Tiffany Buckingham
Requested by(signature):
Approved by(signature of Division Manage
on this date ( �
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.
00353387 Family Time Entertainment, Inc.
Terms
8485 W Washington Street, Ste # 9
Indianapolis, IN 46231
Invoice Invoice Description Amount
or note attached invoice(s) or bill(s)) PO#
Date Number ( 29438 $ 250.00
2/10/13 3152013 Barry Rice Show CT 3/15/13
Total $ 250.00
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.
00353387 Family Time Entertainment, Inc. Allowed 20
8485 W Washington Street, Ste# 9
Indianapolis, IN 46231
In Sum of$
$ 250.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-2 3152013 4340800 $ 250.00 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
21-Feb 2013
Q �-
Signature
$ 250.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund