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224309 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 365405 Page 1 of 1 ONE CIVIC SQUARE STAHLHUT AMUSEMENT CHECK AMOUNT: $150.00 s _ CARMEL, INDIANA 46032 698 EAST COUNTY ROAD 45ON ,y roN`o DANVILLE IN 46122 CHECK NUMBER: 224309 CHECK DATE: 9/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 5/30/13 150 . 00 ADULT CONTRACTORS 688 East County Road 450 North Danville, IN 46122 OUT OF"fN1S WOnw` Invoice Customer Information Carmel Clay Parks and Recreation Event Dates/Times 1235 Central Park Drive East 30-May-13 - Carmel, IN 46032 30-May-13 03:30PM - 06:30PM Del. Date: 30-May-13 PU Date: 30-May-13 Del. Time: 03:30PM to 03:30PM PU Time: 06:30PM to 06:30PM Unit Name ��Price Sup Fee Qty Line Total —77 $0.00 1 $150.00 Baloon Artist Equipment Fees: $150.00 Deliver Fees: $0.00 SupplV Fees: $0.00 Additional Fees: $0.00 � Waiver Fee: 2EH Discount: $0.00 Sub-Total: $150.00 Tax: $0.00 Tota I: $150.00 Deposit Required. $0.00 Pa ments: Balance Due: $150.00 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. 365405 Stahlhut Amusements Terms 698 East County Road 450 N Danville, IN 46122 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 5/30/13 5/30/13 Balloon making 5/30/13 $ 150.00 Total $ 150.00 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. 365405 Stahlhut Amusements Allowed 20 698 East County Road 450 N Danville, IN 46122 In Sum of$ $ 150.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1081-10 5/30/13 4340800 $ 150.00 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 19-Sep 2013 Signature $ 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund