HomeMy WebLinkAbout252057 12/02/15 v,
CITY OF CARMEL, INDIANA VENDOR: 370096
ONE CIVIC SQUARE METHODIST HEALTH FOUNDATION CHECK AMOUNT: S'"+"'*"200.00`
_ a CARMEL, INDIANA 46032 1030 W MICHIGAN ST CHECK NUMBER: 252057
INDIANAPOLIS IN 46202 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359033 00118205 200.00 MAYOR'S YOUTH COUNCIL
0
Methodist Health Foundation
INVOICE �
INVOICE#: 0011182015
Date: 11/18/2015
City of Carmel
Mayors Youth Council
Jane Reiman
Carmel City Hall
One Civic Square
Carmel, IN 46032
jreiman@carmel.in.gov
AMOUNT DUE: $200
PURPOSE: Mayor's Youth Council donation
DATE DUE: 30 Days
Please remit payment to:
IU Health Simon Cancer Center and
IU Health University Hospital
Attn: Katherine Squadroni
Office:317.948.6467
ksquadroni@iuhealth.org
Methodist Health Foundation is the approved IRS charity that holds funds for IU Health. For tax purposes,this
letter is acknowledgement that no goods or services were provided in exchange for this gift. Tax ID#35-
6043086
Methodist Health Foundation is a non-profit 501c3—tax id 35-6043086
Thank you for your support!
Reiman, Jane
From: Neil Shah <nshah1998@hotmail.com>
Sent: Saturday, November 07, 2015 12:57 PM
To: Reiman,Jane
Subject: 30 Soccer Tournament - IU Health
Hello,
The Carmel Mayor's Youth Council would like a check of$200 to be made to W Health Melvin & Bren Simon
Cancer Center. They were a charity picked by one of the two finalist teams in the 30 Soccer Tournament.
Here are the details of the charity:
Name - IU Health Melvin & Bren Simon Cancer Center
Phone Number- (888) 600-4822
Address- 1030 W. Michigan Street, Indianapolis, IN 46202
Thanks,
Neil Shah
President, Carmel Mayor's Youth Council
(317) 999-5999
V�
Yr V
I
l�
0111
i
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))
11/18/15 0011182015 $200.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Methodist Health Foundation
IN SUM OF$
1030 W. Michigan Street
Indianapolis, IN 46202
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 0011182015 y Council $200.00
Ma oes Youth Cil 1 hereby certify that the attached invoice(s), or
II
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
Monday, November 30, 2015
Director, Community elations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund