HomeMy WebLinkAbout235428 07/30/14 +u1.C�y�
CITY OF CARMEL, INDIANA VENDOR: 361540
t� ONE CIVIC SQUARE JAKE LAIRD GOLF OUTING CHECK AMOUNT: $*******500.00*
?� CARMEL, INDIANA 46032 20491 COUNTRY PINE COURT CHECK NUMBER: 235428
y�TON�° NOBLESVILLE IN 46062 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 32093 500.00 GOLF OUTING
INVOICE
July 22, 2014
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Golf Outing $500.00
TOTAL AMOUNT DUE: $500.00
Please make check payable to:
Jake Laird Memorial Fund
20491 Country Pine Court
Noblesville, IN 46062
INDIANA RETAIL TAX EXEMPT PAGE
Ci ty of' Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT C3
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
7110/2014
Jak@ LaIM Dolt Outing Carmol Police Department
VENDOR SHIP 3 Civic Square
2U91 Country Piga Court TO Carfnei, IN 46032
Noblosyilio, IN 45062 (317)571d�
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION
UNIT PRICE EXTENSION
O
Account 00.852.00
1 Each golf outing $500.00 $500.00
Sub Total: $500.00
3 f � 3 f t�✓d d �^"
All
!.l u•R�3* ` 1 t 7E rt}i�•n �.a.^^,`
�. t
�
n �
� 7 f
\ 1 f
'ice�, "�, •`�m -- �-`'f r�'�r���).
Send Invoice To:
Carmel Police Department
Attn: Pat Youno
3 Chic Square
Cannel, IN 40032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmel Police Dept. tau.uu
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPS�rq�SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF�HP,T9TI'ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP IATION S, FFICIENT TO PAY'FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL e
SHIPPING LABELS. loo of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND.SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32093 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
t- _
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
I
20
Signature
Title
Cost distribution ledger classification if
.claim paid.motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jake Laird Memorial Fund
IN SUM OF $
20491 Country Pine Court
Noblesville, IN 46062
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32093 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
Tuesday, July 22, 2014
ZZChief of Police
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))
07/22/14 golf outing $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