HomeMy WebLinkAbout237617 09/30/14 r C.1q
%" "� CITY OF CARMEL, INDIANA VENDOR: 366613
ONE CIVIC SQUARE CHERISH CENTER CHECK AMOUNT: $*****5,000.00*
?� CARMEL, INDIANA 46032 493 WESTFIELD ROAD SUITE C CHECK NUMBER: 237617
+,;,�TON.�.`0 NOBLESVILLE IN 46060 CHECK DATE: 09/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4359003 31418 92014 5,000.00 SUPPORT
Advocates for Children and Families Inc.
The Cherish Center Child Advocacy Center
493 Westfield Road, Suite C DATE: September 2, 2014
Noblesville, IN 4660 INVOICE# 92014
Phone 317-773-3275 FOR: CAC Support
Bill To: The
Chief Tim Green
Carmel Police Department C h e r i s h
3 Civic Square
Carmel, Indiana 4632
Phone
DESCRIPTION . AMOUNT
CAC Investigative Support $5,000.00
TOTAL $ 5,000.00
Thank you for your tax deductible contribution to support
our partnership and services to the community. Our tax exempt number is
27-1328579.
THANK YOU 1
INDIANA RETAIL TAX EXEMPT PAGE
City Qf
Carmel
CERTIFICATE NO.003120155 002 0� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1418
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
'2fflM13
Cherish Center Carmel Police Department
VENDOR SHIP S Civic Squae
493 Westfield Road, Suite C TO Carmel, IN 4
Noblesville, IN 45WO (317)571 2554
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.590.03
4 Each CAC investigaihie support $5,000.00 $5,000.00
Sub Total: $5,000.00
C09lie-
..>>
Lt� 1 t,�.11 (,psi� • � , , � �)
Send Invoice To: U _�
Carmel Police Department
Attn Pat Young
3 Civic Square
Camel, IN 46032. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $5,000.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATFHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION' UFFICIENT TO PAY-FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / �
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 1,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE `I of of Pollce
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 4 1 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
i
i
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
20
_ Signature —_ --_
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cherish Center
IN SUM OF$
493 Westfield Road, Suite C
Noblesville, IN 46060
$5,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#rrITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31418 92014 43-590.03 $5,000.00
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
Thursday,/September 25, 2014
Chief 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))
09/02/14 92014 CAC Investigative Support $5,000.00
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
' 20
Clerk-Treasurer