220966 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 362248 Page 1 of 1
ONE CIVIC SQUARE BOUNCE PLANET
e CHECK AMOUNT: $500.00
i�tio CARMEL, INDIANA 46032 1710 E PLEASANT STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 220966
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/3 500 . 00 FIELD TRIPS
�oN�ce eka
1710 E. Pleasant Street
Noblesville, IN
Carmel Clay Middle School
Event: 7/3/13 (12:15pm-2:45pm)
Cost: $5 per child (100kids) Purchase ' II
Descdptlon
Amount Paid: $0.00 P.O.
G.L.a a- I -Ll 3 v�7
Budget \C, I (-r
Amount Due: $500.00 Li" escr
Purchaser S. Date► /�j
APP ov
JUN 04 2013
Carme( Clay
Parks&Recreation CHECK REQUEST
Date: -_.'"I T
JUN 0 4 2013
Check payable to:
Name: L4 La- Ra-L4t ----
Address: 1-71v C \ (icI&�-)+, ��-
City, State, Zip I V c7b (0 V, 7 N
Mail check to payee V Return check to requestor
Check Amount: $ 15� Date Required: f 3
Check needed for: F�e
To be paid from: (�
PO#(if applicable) oc�
Budget account - GL# �lJ 2 LI Q(�
Budget Line Description ( f;f(�
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): �M S
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1-21-08
Y s
"t-
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.
362248 Bounce Planet Terms
1710 East Pleasant Street
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/3/13 7/3 Field trip 7/3/13 29874 $ 500.00
Total $ 500.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and 1 have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
'o. Warrant No.
Bounce Planet Allowed 20
1710 East Pleasant Street
Noblesville, IN 46060
In Sum of$
z` $ 500.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
r i1
I
I
PO#or Board Members
n' r De t# INVOICE NO. ACCT#/TITL AMOUNT
P
' 1082-11 7/3 4343007 $ 500.00 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
A which charge is made were ordered and
�m °a
received except
13-Jun 2013
Signature
$ 500.00 Accounts Payable Coordinator
i
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund