HomeMy WebLinkAbout222065 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 355022 Page 1 of 1
ONE CIVIC SQUARE LASER FLASH INC
CARMEL, INDIANA 46032 617 THIRD AVE SW CHECK AMOUNT: $1,450.00
2� CARMEL IN 46032
CHECK NUMBER: 222065
CHECK DATE: 7117/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 133 1, 450 . 00 FIELD TRIPS
,aset (flask Rzc. Invoice
617 Third Avenue Sw
Carmel, IN 46032 Date Invoice#
04/22/2013 133
Bill TO Purchase A- 1
Description
Carmel Clay Parks
P.O.# GAO 33.�5_Poi
1235 Central Park East G.L.# B Y�--(�k ��I 3���
Carmel, Indiana 46032
Bud
Line escr
Purchaser
-Z7 0 -rc
-
Approval Date �"l
I
Terms Due Date
day of event 07/26/2013
Description Qty Rate Amount
3 and half hour exclusive for approximately 1,450.00 1,450.00
150 campers
includes single session of laser tag, 1 ,000
arcade tokens, and soft drinks
F T VEIL
M Y 0 2013
BY
Sales Tax (1.0%) $0.00
Total $1,450.00
Payments/Credits $0.00
Balance Due $1,450.00
Phone# Fax# E-mail Web Site
317.571.1677 317.571.1668 info @laser-flash.com www.laser-flash.com
Carmel ® Clay
Parks&Recreation CHECK REQUEST
Date: April 22, 2013 7MAY fv-ED
8 201 3 Check payable to:
Name: Laser Flash Inc.
Address- 617 3rd Avenue SW
City, State, Zip Carmel, IN 46032
Mail check to payee x Return check to requestor
Check Amount: $ 1,450.00 Date Required: July 26, 2013
Check needed for: The Summer Experience field trip
To be paid from:
PO#(if applicable) C� o00 -5 3 3
Budget account-GL# 4343007 1082-1
Budget Line Description Field Trip
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by (print): a se olazzo/C ndi Canada
Requested by (signature):
Approved by(signature of Division Manager):
on this date
Shared/Forms/Business Services/Check Request Form/Check Request(rev 7-7-08)
Form revised 7-7-08
3
q g •1..
c
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.
355022 Laser Flash, Inc. Terms
617 Third Avenue SW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
4/22/13 133 Field trip 7/26/13 29734 $ 1,450.00
Total $ 1,450.00
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.
355022 Laser Flash, Inc. Allowed 20
617 Third Avenue SW
Carmel, IN 46032
In Sum of$
$ 1,450.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-12 133 4343007 $ 1,450.00 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
10-Jul 2013
w�
Signature
$ 1,450.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund