HomeMy WebLinkAbout257951 04/26/16 ��pM CITY OF CARMEL, INDIANA VENDOR: 361540
`� °1. CHECK AMOUNT: $*******500.00*
��� � ONE CIVIC SQUARE JAKE LAIRD GOLF OUTING
:`• CARMEL, INDIANA 46032 20491 COUNTRY PINE COURT CHECK NUMBER: 257951
9y...._.,,,..o? NOBLESVILLE IN 46062
„ ,:oN� CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 33778 041516 500.00 GOLF OUTING
VOUCHER NO. WARRANT NO.
ALLOWED 20
JAKE LAIRD GOLF OUTING
20491 COUNTRY PINE COURT IN SUM OF$
NOBLESVILLE, IN 46062
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
P /Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
(-33778 ' o so-2ssso $500.00 1 hereby certify that the attached invoice(s), or
'1'1"10
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 13, 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))
04/13/16 0 golf outing $500.00
1110 852
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
20Clerk-Treasurer
INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f CarmeI CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33778
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
3/28/2016 361540
JAKE LAIRD GOLF OUTING Carmel Police
VENDOR 20491 COUNTRY PINE COURT SHIP 3 Civic Square
TO Carmel, IN 46032-
NOBLESVILLE, IN 46062-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
3575
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account: 50-239.90 Fund: 852 Gift Fund
1 Each Golf Outing $500.00 $500.00
Sub Total $500.00
Send Invoice To: "� �.: ;•
Carmel Police +r
— 1
IN
3 Civic Square
Carmel, IN 46032- VI ;, a Jv
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $500.00
SHIPPING INSTRUCTIONS' '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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICI T TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33778 CLERK-TREASURER
INVOICE
April 12, 2016,
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