218501 03/25/2013 "MF CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE MUSEUM
CARMEL, INDIANA 46032 650 W WASHINGTON ST CHECK AMOUNT: $1,103.00
INDIANAPOLIS IN 46204 CHECK NUMBER: 218501
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 159043 1, 103 . 00 FIELD TRIPS
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w �111111111111 INDIANA STATE
®®®
MUSEUM
1®®®'1 AND F-0I5rOPIC SPITES
GUEST SERVICES
650 W Washington Street Purchase
Indianapolis, IN 46204 Description
(317) 232-1637 P D L LOO 3 3S P F
G.L.a
Bud
Line
®® Purchaser - \eS�C Date S-N_\
I V ®ICE App�al Date �'IS-i3
CUSTOMER INVOICE NUMBER: ARRIVAL DATE&TIME:
CARMEL CLAY PARKS AND RECREATION 159043 04/04/2013 10:45 AM
TRINA FLOYD-MESSER LUNCH
LUNCH ROOM, 11:00
101 4T"AVE. AGENT'S NAME
CARMEL, IN 46032 KELSEY, GROUP SALES
SHIP TO
C T
1o14 T"AVE. MAR 19 2013
CARMEL, IN 46032
US
QTY DESCRIPTION PRICE 'EXTENTION
114 LUNCH ROOM 0.00 0.00
SCHOOL LUNCH ROOM 04/04/2013 11:00 AM
100 GROUP CHILD COMBO- PENDING IMAX 9.00 900.00
14 GROUP ADULT COMBO- PENDING IMAX 14.50 203.00
TOTAL 1103.00
PAYMENT 0.00
BALANCE DUE 1103.00
1
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: 3/18/2013 C P f
I92 013 Check payable to:
CMAR
i
Name: Indiana Sate Museum
Address: 650 W. Washington Street
City, State, Zip Indianapolis, IN 46204
Mail check to payee x Return check to requestor
Check Amount: $ 1103. Date Required:4/4/2013
Check needed for: IMAX movie and Museum tour fee
To be paid from:
PO#(if applicable)
Budget account-GL 434007 ( t
Budget Line Description Spring Break Field trip (z)
Invoice(s) and Purchase Order(if required)MUST be attached.
Requested by(print): r/ j
Requested by(sign
Approved by(signature of Division Manager):
on this date - c
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/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.
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
4/4/13 159043 Field trip 4/4/13 29558 $ 1,103.00
Total $ 1,103.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of$
$ 1,103.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1081-99 159043 4343007 $ 1,103.00 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-Mar 2013
Signature
$ 1,103.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund