HomeMy WebLinkAbout241473 01/27/15 y pt_CAq�
`/ �• CITY OF CARMEL, INDIANA VENDOR: 366613
J ® 4\' ONE CIVIC SQUARE CHERISH CENTER CHECK AMOUNT: $****10,000.00*
r. =4; CARMEL, INDIANA 46032 493 WESTFIELD ROAD SUITE C CHECK NUMBER: 241473
9�j,�tON„�, NOBLESVILLE IN 46060 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4359003 32287 92015 10,000.00 CAC INVESTIGATIVE SUP
Advocates for Children and Families Inc.
The Cherish Center Child Advocacy Center
493 Westfield Road, Suite C DATE: January 9, 2015
Noblesville, IN 4660 INVOICE# 92015
Phone 317-773-3275 FOR: CAC Support
Bill To: e;
Chief Tim Green The
Carmel Police Department C h e r i s h
3 Civic Square
Carmel, Indiana 4632
Phone
DESCRIPTION AMOUNT
CAC Investigative Support $10,000.00
TOTAL $ 10,000.00
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
C i AL Of 'Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Y
FEDERAL EXCISE TAX EXEMPT 32287
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
1115120`15 _F_ F
els@ooh C@nt@F Camel Police Department
VENDOR SHIP 3 Civic. square
493 lR od ield Road, Suite C TO Camel, IN 44032
Noblesvlll@, IN 46WO (317)571 0j59
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-590.03
1 Each CAC investigative support $10,000.00 $10,000.00
Sub Total: $1$10,00Q.aO
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Send Invoice To: �✓ f "�
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 4602- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carlen Police Dept. o� jP1U,UUU.UU
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER TIFS'THATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO.P.AY FOR THE'ABOVE"ORDER. j
•SHIP REPAID. i (/� �s�
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �� /� ` /- ���
•PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY '-'/-i"/3� �V �"�� �
SHIPPING LABELS. Chief of Police /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3�� ® � CLERK-TREASURER
DOCUMENT CONTROL No- 32287 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
a ALLOWED 20
IN THE SUM OF$
+i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEEPT.# INVOICE NO. ACCT#/TITLE AMOUNT
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
fSignature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Cherish Center ALLOWED 20
l IN SUM OF$
1
493 Westfield Road, Suite C ,
Noblesville, IN 46060
$10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
-job
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32287 I 92015 I 43-590.03 I $10,000.00 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
Wednesday, Ja uary 21, 2015
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))
01/09/15 92015 CAC investigative support $10,000.00
I 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