223052 08/13/2013 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: $420.00
,*oN_LO CARMEL IN 46032 CHECK NUMBER: 223052
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 136 420 . 00 FIELD TRIPS
Abet�lae�h, "AC. _ Invoice
Purchase
617 Third Avenue Sw P.O.#pt(on �j
P.O.#
Carmel, IN 46032 �,�� D Date Invoice #
G.L.# .��
Budget 7/16/2013 136
Line Descr \e
Purchaser Dater)—n r 1
Bill To Approve —_ Da 6:2 t�_ I
Paula Schlemmer
Carmel Clay Parks
1411 E. 116th Street ,^
Carmel, Indiana 46032 t
� c)(Y-o
JUI 1 9 'N13 Terms Due Date
Net 15 07/31/2013
Description Qty Rate Amount
Laser tag sessions 40 14.00 560.00
discount for campers 35 -2.00 -70.00
discount for counselors 5 -14.00 -70.00
Sales Tax (1.0%) $0.00
Total $420.00
Payments/Credits $0.00
Balance Due $420.00
Phone # Fax # E-mail Web Site
317.571 .1677 317.571 .1668 info @laser-flash.com www.laser-flash.com
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
7/16/13 136 Field trip 30003 $ 420.00
I
Total $ 420.00
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.
355022 Laser Flash, Inc. Allowed 20
617 Third Avenue SW
Carmel, IN 46032
In Sum of$
$ 420.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept#
1082-9 136 4343007 $ 420.00 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
8-Aug 2013
Signature
$ 420.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund