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222159 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00353265 Page 1 of 1 ONE CIVIC SQUARE SKATELAND CARMEL, INDIANA 46032 3902 NORTH GLEN ARM ROAD CHECK AMOUNT: $250.00 INDIANAPOLIS IN 46254 CHECK NUMBER: 222159 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343007 336460 250 . 00 FIELD TRIPS Page 1 of l / Skateland 71:1V g.,r �� INV®ICE Roller and In-Line Skating 1 2013 Skateland Date: 3902 North Glen Arm Rd. 6/20/2013 Indianapolis, IN 46254 Phone:(317) 291-6795 Fax: (317) 291-8010 INVOICE# 003 -36460 drichardson @skatelandindy.com Bill To: For: Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel_ IN 46032 848-7275 Ben Johnson ,ten Hamrnonds Purchae0 Description P.O.# 353 PorF Q.L.# TERMS: Net 10 Days Ilud et cx - Purchaser Approval Date U Description Amount 50 guest @ $5 per person _ $250.00 Thank you for using our facility for your skating event. PRINT NAME SIGNATURE PURCHASE ORDER NUMBER THANK YOU FOR YOUR BUSINESS Date Printed:6/20/2013 I http://unitedskates.net/InvoicePrint.asp?lnvoicelD=')6460 6/20/2013 I 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. 00353265 Skateland 3902 North Glen Arm Rd Date Due Indianapolis, IN 46254 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/20/13 336460 Field trip 6/20/13 29970 $ 250.00 Total $ 250.00 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. Allowed 20 00353265 Skateland 3902 North Glen Arm Rd Indianapolis, IN 46254 In Sum of$ $ 250.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1082-13 336460 4343007 $ 250.00 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 Signature $ 250.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund