220357 05/21/2013 a�M. CITY OF CARMEL, INDIANA VENDOR: 365405 Page 1 of 1
ONE CIVIC SQUARE STAHLHUT AMUSEMENT
CARMEL, INDIANA 46032 698 EAST COUNTY ROAD 450N CHECK AMOUNT: $700.00
DANVILLE IN 46122 CHECK NUMBER: 220357
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 5/30/13 700 . 00 ADULT CONTRACTORS
i
�! f 688 East County Road 450 North
Danville, IN 46122
- OUT OF TN15, —" "''
Invoice MAY 0 0 2913
Customer Information --- y���-----
Carmel Clay Parks and Recreation Event Dates/Times
1235 Central Park Drive East 30-May-13 -
Carmel, IN 46032 30-May-13
02:30PM - 05:30PM
Del. Date: 30-May-13 PU Date: 30-May-13
Del.Time: 08:OOAM to 09:OOAM PU Time: 01:OOPM to 02:OOPM
Unit Name Price Sup Fee Qty Line Total
Equipment Fees: /T)) �`'i $0.00
Delive Fees:( $0.00
Su I Fees: $0.00
Purchase Additional Fees: $0.00
Description Waiver Fee:
P.O.# C"Q �3`� P o Discount: $0.00
O.L.# Ib8�- 3 I C - 4 3�f�Rl� Sub-Total: $0.00
Budgeta Tax: $0.00
LinegDescr Total: $0.00
Purchase %t-r�, I tj._p o�-(p�l� De ositRe uired: $0.00
Approval._ Date �7'!> Payments-
Balance Due'./
oO �-=
Carmel (D Clay
Parks&Recreation CHECK REQUEST
Date: May 1, 2013
[2FC - NTED
MAY 0 8 2013
Check payable to: BY:
Name:
Address: 6s% G �C'
City, State, Zip
PJlad check to payee x Return check to requestor
Check Amount: $ Date Required: Y �(
,nn
Q'� a a of 3
Check needed for: S 1C-4 aQ� r -c r " G,rT
w Qc' eWQo Wes C
To be paid from:
PO fl if applicable)
Budget account-GL
Budget Line Description 1f QndO
Invoice(s) and Purchase Order(if required) MUST be attached.
Requested by(print): Jennifer Hammons
Requested by (signature):
Approved by(signature of Division.Manager):
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.
365405 Stahlhut Amusements Terms
698 East County Road 450 N
Danville, IN 46122
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/30/13 5/30/13 Last day vendor party 29741 $ 500.00
5/30/13 5/30/13 Last day vendor party 29741 $ 200.00
Total $ 700.00
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.
365405 Stahlhut Amusements Allowed 20
698 East County Road 450 N
Danville, IN 46122
In Sum of$
$ 700.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-3 5/30/13 4340800 $ 500.00 1 hereby certify that the attached invoice(s), or
1081-10 5/30/13 4340800 $ 200.00 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
16-May 2013
Signature
$ 700.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund