HomeMy WebLinkAbout221042 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367215 Page 1 of 1
ONE CIVIC SQUARE FORT HARRISON STATE PARK
CARMEL, INDIANA 46032 5753 GLENN ROAD CHECK AMOUNT: $108.00
INDIANAPOLIS IN 46216 CHECK NUMBER: 221042
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/2 108 . 00 FIELD TRIPS
Departmento ources. INVOICE
Fort Harrison State Park
5753 Glenn Road
Indianapolis, IN 46216
SOLD TO: I JUN 0 5 2013 i
Name Carmel Clay Parks and Recreation (James Dowell)
Address 1411 E 116th Street Purchase
City, State, ZII Carmel, IN 46032 Descriptlon
PO p 34 a PorF
G.L.A t
SHIPPED TO: Budget �\ 1A - �
Same Line
Purchaser
Approval_ --
Sales Tax Rate: 0.00%
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
54 Park Entrance 2.00 $108.00
Trip on 7/2/13
i
SUBTOTAL 108.00
TAX 0.00
FREIGHT
$108.00
PAY THIS
AMOUNT
THANK YOU FOR YOUR BUSINESS!
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: June 4, 2013 FR r1
TT;"
j
JUN 0 a 2013
Check payable to:
Name: Fort Harrison State Park
Address: 5753 Glenn Road
City, State, Zip Indianapolis, IN 46216
Mail check to payee x Return check to requestor
Check Amount: $ 108 Date Required: July 2, 2013
Check needed for: Lead the Way Field Trip
To be paid from:
PO#(if applicable)
Budget account- GL# 4343007 1082-12
Budget Line Description Field Trip
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by (print): James Dowell
Requested by(signature):
Approved by (signature of Division Manager):
on this date (V-�-(- 1
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.
Fort Harrison State Park Terms
5753 Glenn Road
Indianapolis, IN 46216
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/2/13 7/2 Field trip on 7/2/13 $ 108.00
Total $ 108.00
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.
Fort Harrison State Park Allowed 20
5753 Glenn Road
Indianapolis, IN 46216
In Sum of$
$ 108.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1082-13 7/2 4343007 $ 108.00 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
13-Jun 2013
Signature
$ 108.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund