219502 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 353746 Page 1 of 1
ONE CIVIC SQUARE SWANK MOTION PICTURES INC
L CHECK AMOUNT: $421.00
CARMEL, INDIANA 46032 2844 PAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 219502
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 RG1796422 421 . 00 GENERAL PROGRAM SUPPL
S Tracy Pettigrew OD MOTION PICTURES, INC.o
B Events Supervisor Tim Swank, Chairman
Monon Community Center
P Carmel Clay Parks & Recreation
1235 Central Park Drive East
o Carmel, IN 46032 INVOICE IS DUE UPON RECEIPT
INVOICE NO. INVOICE DATE YOUR CUSTOMER NO. BILLING INQUIRIES (800) 876-5445
RG 1796422 04/05/13 0193192001 SALES INQUIRIES (800) 876-5577
=R1 i 7T OR FAX (314) 966-3472' 2013
UPS
SHIP DATE FOR USE ON CODE B Y:
04/05/13 PARK IN —
FEDERAL TAX I.D. 43-1382264 A LATE PAYMENT CHARGE OF 1 1/2%PER MONTH WILL BE
ADDEDTO BALANCE LINPAIDTHIRTY DAYS AFTER INVOICE.
ORDER NO. NO. FILM TITLE PRICE
1042841-0001 0031084 WS DVD CRAZY STUPID LOVE 400. 00
Planned Usage From: 04/12/13 to 04/12/13
vs 50/50 +
Purchase
DescriptionL �
P.O.# r F
G.L.# -kD -
Budoet S
Line b
Purchaser
Approval Date
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In accepting the listed motions picture(s)for MARKET SALESPERSON
exhibition,the customer(licensee)hereby agrees COL Britney Stiles
not to or permit others to broadcast any film/movie SHIPPING AND
or any part thereof over radio,cable,television or internet;sell,lease or rent film/movie to others; HANDLING ' 21.00
cut or edit the film/movie in any way nor copy or duplicate all or any part of the film/movie;delete
or permit deletion of the copyright in any motion picture;or otherwise use the film/movie in any PAY THIS 421. 00
manner or for any purpose not expressly licensed. TOTAL
When admission is charged,the customer hereby agrees to report gross admission receipts to Swank Motion Pictures,Inc.within 24 hours of the last play date.
ALL FILMS,DVD'S AND DEVICES MUST BE RETURNED ON THE DATE SHOWN ON YOUR PACKING SLIP TO AVOID LATE PENALTIES.
WE ACCEPT ALL MAJOR CREDIT CARDS:VISA,MASTERCARD,AMERICAN EXPRESS AND DISCOVER
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021VN $ 000.4
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MOTION PICTURES, INC.
Tim Swank,Chairman
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10795 Watson Road
St.Louis,MO 63127 Accounts Payable
Carmel Clay Parks & Recreation
1411 East 116th Street
RETURN SERVICE Carmel, IN 46032
REQUESTED
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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.
353746 Swank Motion Pictures, Inc. Terms
2844 Paysphere Circle Date Due
Chicago, IL 60674
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/5113 RG1796422. "Crazy, Stupid, Love" Movies in the Park 29248 $ 421.00
Total $ 421.00
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.
353746 Swank Motion Pictures, Inc. Allowed 20
2844 Paysphere Circle
Chicago, IL 60674
In Sum of$
$ 421.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1096-60 RG1796422 4239039 $ 421.00
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
18-Apr 2013
Signature
$ 421.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund