HomeMy WebLinkAbout233216 06/04/14 u *R CITY OF CARMEL, INDIANA VENDOR: 00350802
ONE CIVIC SQUARE D.A.R.E. INDIANA, INC CHECK AMOUNT: $ ....'500.00"
CARMEL, INDIANA 46032 10293 N MERIDIAN ST SUITE 175 CHECK NUMBER: 233216
°M,�roN dor INDIANAPOLIS IN 46290 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 31984 500.00 GOLF OUTING
D.A.R.E. Indiana, Inc.
r. r
E
'® ® 10293 N Meridian Street, Suite 175 Invoice
L. Indianapolis, IN 46290 DATE INVOICE NO.
el PR, "O'® �one Telephone 3 )
17 816,1615
Fax
Fax (317)816.1633 5/27/2014 1002
BILL TO
Carmel Police Department
Attention: James Barlow
3 Civic Square
Carmel, IN 46032
TERMS
Due Upon Receipt
DESCRIPTION QUANTITY RATE AMOUNT
D.A.R.E. Indiana Golf Tournament 1 500.00 500.00
June 2, 2014 -Prairie View Golf Course
Foursome-Law Enforcement Flight
Federal Tax ID#35-1969486
Purchase Order#31964
Total $500.00
INDIANA RETAIL TAX EXEMPT PAGE
City
K ®f C armee CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5P20`I4
DARE Indlatna, Inc. Carmel Polico Department
VENDOR olf Tournament SHIP 3 CIVIC squm
10293 North Mwidlan Stme$, Suite M TO Cool, IN MW
Indianapolis, IN 466 (399)571=
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-%2.0
9 Each golf outing $500.00 $500.00
Sub Total: $500.00
7
I Send Invoice To:
Cannel Poly Dopaltmon4
Attn: Pat Young
3 CIVIC squam
CarmGl, IN 4 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT L PROJECT ACCOUNT AMOUNT
Carmel Police Dep$, VI) 5 .00
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS
• I HEREBY CERTIFY TF1IkVHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THISAPPROP,IAT N� FFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY . r
SHIPPING LABELS. �bl�of Police
Polite
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. F
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 9 8 4 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER VVARRANTND`____
ALLOWED 20___
|NTHE SUM 0F$
.
�
{}NACCOUNT{}FAPPROPRIATION FOR
.
. `
Board Members
PO#or INVOICE NO. ACCT#MTLE AMOUNT
| hereby certify that the attached invoice(s), or
biU/o\ is (are) true and correct and that the
materials or services itemized thereon for
which charge iamade were ordered and
received except
-
'
`
` � ^
2v__�_
__............--_'...............-_ ...... ............. .................. -....... ....-... .......... ` '
Signature
`
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))
05/27/14 2014 golf tournament $500.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
DARE Indiana, Inc.
Golf Tournament IN SUM OF $
10293 North Meridian Street, Suite 175
Indianapolis, IN 46290
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31984 I I -852.00 I $500.00 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
Tuesda May 27, 20
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund