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226471 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1 ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CHECK AMOUNT: $2,000.00 CARMEL, INDIANA 46032 JUNGLE JOHN y,roN i� 12106 SOUTHEASTERN AVE CHECK NUMBER: 226471 INDIANAPOLIS IN 46259 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 15429 2, 000 . 00 FESTIVAL/COMMUNITY EV Silly Safari Shows, Inc. 12106 Southeastern Avenue Indianapolis, IN 46259 317.862.9003 FAX 862.9008 www.sillysafaris.com , CONTACT INFORMATION:, . The leader in conservation education City of Carmel LIVE ANIMAL SHOWS One Civic Square Carmel, IN 46032 DATE INVOICE# OFFICIAL USE ONLY: - - 11/13/2013 15429 PHONE 317-571-2787 Program Confirmation Additional Comments PROGRAM,DATE TIME AUDIENCE Special Repeat Visit! Carmel Arts District 12/14/2013 3:00 - 6:OOPM Family Holiday Celebration Stephanie's cell) 496-9116 e REFERRED BY City of Carmel -mailed W-9 & Cert of Ins PROGRAM DESCRIPTION QTY RATE AMOUNT Reindeer Show Silly Safaris' Reindeer Reserve starring SANTA's ELVES with two LIVE 1 1500.00 1,500.00 REINDEER from the North Pole! Meet-N-Greet Interactions in the Arts&Design District 3:00-5:OOPM Reindeer Show Additional Hour Same Day...5:00-6:OOPM 1 750.00 750.00 Discount We're giving you a discount! THANKS FOR HAVING US BACK! - -250.00 -250.00 NOTE FOR CANCELLATION OR WEATHER RELATED ISSUES CALL DIRECT: Amazon John's cell phone) 317-281-6064 DIRECTIONS TO YOU: 1) Please return this form AND include directions,to your location above..'. 2) Silly Safaris reserves the right to reassign performers as necessary. 3) Please circle.your choice`' PAYMENT INCLUDED WILL PAYLATER Signature Date Total: $2,000.00 Please make Payable To SILLY SAFARIS VOUCHER NO. WARRANT NO. ALLOWED 20 Silly Safari Shows, Inc. i IN SUM OF $ 12104 Southeastern Avenue Indianapolis, IN 46259 $2,000.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 I 15429 I 43-590.03 I $2,000.00 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 Monday, November 18, 2013 Director, Co , unity Relations/Economic Development Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/13/13 15429 $2,000.00 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