226811 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 367217 Page 1 of 1
ONE CIVIC SQUARE SKY ZONE INDOOR TRAMPOLINE PARICHECK AMOUNT: $1,869.16
CARMEL, INDIANA 46032 10080 E 121ST
FISHERS IN 46037 CHECK NUMBER: 226811
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 13684 1, 869 . 16 FIELD TRIPS
Sky Zone Indoor Trampoline Park
t 10080 E. 121 st St
f 'E7 ;M Fishers. IN 46037 SKY ZaNE P: (317) 572-2999
"UV
Invoice #13,684 . 9 2013
Group: . I Carmel Park and rec Bill To: Russell; Tia
Event ame: Carmel Park and rec
Event Date: Friday, January 3, 2014 Indianapolis, IN 46230
Event Time: 9:00 am - 11:00 am --
Items Purchased
Description Quantity Price Amount
Events
90 Min. Facility Rental 130 $0.00 $0.00
90 Min. Facility Rntl -Closed 1 $2.000.00 $1.869.16
$1,869.16
Notes:
Date Description Amount AUthNurnber
Subtotal: $1,869.16
Sales Tax: — - -- - $0.00-- -
Invoice Total: $1,869.16
Deposits Paid: $0.00
Balance Due $1,869.16
Printed:11/18/2013 5:02:31 PM We Wish You Fun Times& Great Memories Page 1 of 1
Carmel e Clay
Parks&Recreation CHECK REQUEST
Date: November 18, 2013 FNNOV 9101'
Check payable to: ;
Name: SkyZone Indoor Trampoline Park
Address: 10080 E. 121St St
City, State, Zip Fishers, IN 46037
Mail check to payee X Return check to requestor
Check Amount:$ 1,869.16 Date Required: January 3,2013
Check needed for: Rental of Facility for 90 minutes of iumpinq
To be paid from: f
PO#(if applicable) 36388
Budget account-GL# 1081-99
Budget Line Description PT and TM Winter Break Week Two School's Out Camp—Field Trip
Invoice(s)and Purchase Order(if required) MUST be attached.
Requested by(print): Tia Russell
Requested by(signature):
Approved by(signature of Division Manager):
on this date
Form revised 7-7-08 Shared/Administrative/Forms I Staff forms/Check Request(rev 7-7-08)
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.
367217 Sky Zone Indoor Trampoline Park Terms
10080 E 121st St
Fishers, IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/3/14 13684 Winter Break camp field trip 1/3/14 36388 $ 1,869.16
Total $ 1,869.16
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
, 20
Clerk-Treasurer
Voucher No. Warrant No.
367217 Sky Zone Indoor Trampoline Park Allowed 20
10080 E 121st St
Fishers, IN 46037
In Sum of$
$ 1,869.16
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-99 13684 4343007 $ 1,869.16 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
27-Nov 2013
Signature
$ 1,869.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund