222587 07/30/2013r
CITY OF CARMEL, INDIANA VENDOR: 365501 Page 1 of 1
f ` ONE CIVIC SQUARE SUGAR VALLEY
` CARMEL, INDIANA 46032 1467 EAST SR 67 CHECK AMOUNT: $252.00
MARSHALL IN 47859 CHECK NUMBER: 222587
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/11 252 . 00 FIELD TRIPS
JUL 16 2013
SUGAR VALLEY CANOE TRIPS,LTD 1-800-422-6638 RENTAL AGREEMENT
DATE: 7 " 1 _ Q ALCOHOL Y ND DEPARTURE TIME: /i : So
Canoes @ $ TURKEY RUN 3 MILE
Kayaks @ $ Dock at Cox Ford.Limit 3 hours(or 6pm for 3pm&after departures.)
y a Tubes @ 4',1, $ -91V aSa JACKSON 6 MILE SEE
Extra Persons $ Dock @ Jackson Bridge. Pick-up times: 2:45
JACKSON 10 MILE &4:15 MAP
TOTAL RENTAL $ ash Dock @ Jackson Bridge. Pick-up times: 2:45 & INFO
(Due Pd ) UPPER SHADES 12 MILE &4:15 ON BACK
PLUS DEPOSI> 1i L' C S� Dock at Narrows Creekside(by 4 pm Equipment
(Due/Pd ) ADES 15 MILE Returned:
I and all persons in my group agree to the following: Do at Cox Ford (by 6 pm)
1. I agree that canoeing/kayaking/tubing is at my own risk.
2. I will be held liable for damage or loss of equipment. EQU NT RETURN P LICY:
(Canoe/Kayak $500, Tube $4b, Paddle $20, life ve�"t $10) 1. Dock a esignated bridge w hin time limit.
3. All persons in my group will dock at proper pickup 2. Empty paes, preservers misc. out of boat/tube.
within the time limit stated. Failure to do so will res It in 3. Carry ALL equi ent to op of steps at pick-up bridge.
loss of deposit plus expenses incurred by SV in reco rin
abandoned or lost equipment and/or canoers. (min $5 4. Present this to SV sta for initial.
& we agree to check in equipment per return policy. 5. Carry preservers to storage area.
4.All persons are physically able to participate. 6. Present this initialed form at office for deposit return.
5. If my party is taking alcohol, everyone is of legal age and a signed and agrees to alcohol policy. Failure to disclose
alcohol will r It in loss s of deposit and other applicable fines.
SIGNED: LJ
Printed N roup (if y) 0; l �Clv P osY S- &bCs Aitc,u
ADDRESS: C. ,.4. b� ('G1 vrwt — til t-I (Ed3
PHONE:_ ML.e'7 #Vehicles in lot: Make & Color:
0
Purchase C �� 17-11-13
L'r;scription
P.O.-1 P oQ
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. — f f v Su a r Valley Ln,Descr 1467.E SR 4
Purchaser Date Marshall, IN 47859
Approval Date
a5a C,�
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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.
Terms
365501 Sugar Valley
1467 East SR 47
Marshall, IN 47859
Invoice Invoice Description # Amount
note attached invoice(s) or bill(s))
Date Number (or no 30000 02 $ 252.00
7/11/13 7/11 Chillville field trip 7/11/13
Total $ 252.00
I 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.
365501 Sugar Valley Allowed 20
1467 East SR 47
Marshall, IN 47859
In Sum of$
$ 252.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-9 7/11 4343007 $ 252.00 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
25-Jul 2013
Signature
$ 252.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund