HomeMy WebLinkAbout257529 04/12/16 �.E_•q,, CITY OF CARMEL, INDIANA VENDOR: 369280
`/ CHECK AMOUNT: $*****2,500.00*
® ra ONE CIVIC SQUARE T045 WT 46 H ST SUITE
INC CHECK NUMBER: 257529
9� ,?, CARMEL, INDIANA 46032
M,�TON�. CARMEL IN 46032 CHECK DATE: 04/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 040516 2,500.00 SPECIAL PROJECTS
VOUCHER NO. WARRANT NO.
TRINITY FREE CLINIC INC ALLOWED 20
1045 W 146TH ST SUITE B IN SUM OF$
CARMEL, IN 46032
$2,500.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Membei
I INVOICE I 43-590.00 I $2,500.00 1 hereby certify that the attached invoice(s), or
1203 101
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, April 6, 2016
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/05/16 INVOICE $2,500.00
1203 101
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
b
Trinity Free Clinic, Inc. INV®ICE
Mo1045 W. 146th St, Suite B
��
Trinif� Carmel, IN 46032
zVi 1 e'R'CIIIIIC (317) 819-0772
www.TrinityFreeClinic.org
To: Attn:Sharon Kibbe 4/5!2016
City of Carmel
One Civic Square
Carmel, IN 46032
QTY Description' Unit Price Line Total
1 Silver Sponsorship for the Trinity Free Clinic Healing $2,500.00 $2,500.00
Hands Gala
Subtotal $2,500.00
Sales Tax Total
Total $2,500.00
Thank you for your support!
Trinity Free Clinic
1045 W 146th Street
Carmel, IN 46032