HomeMy WebLinkAbout258951 05/31/16 / CITY OF CARMEL, INDIANA VENDOR: 370633
® ONE CIVIC SQUARE CARMEL YOUTH ASSISTANCE, INC. CHECK AMOUNT: S'"'50,000.00"
CARMEL, INDIANA 46032 515 E.MAIN STREET CHECK NUMBER: 258951
SUITE 127 CHECK DATE: 05/31/16
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359300 20 50,000.00 ECONOMIC DEVELOPMENT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
CARMEL YOUTH ASSISTANCE, INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
515 E. MAIN STREET IN SUM OF$ CITY OF CARMEL
SUITE 127 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$50,000.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
20 43-593.00 $50,000.00 1 hereby certify that the attached invoice(s),or 5/5/16 20 $50,000.00
1203 101 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, May 18,2016
i
v
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CARMEfl
LCannel Youth Assistance, Inc. Invoice
oat515 E Main Street, Ste 127
PROGRAM
nce
PAM Carmel,IN 46032 Date Invoice#
PROGRAM
5/5/2016 20
Bill To Ship To
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel,IN 46032 Carmel,IN 46032
P.O.Number Terms Rep Ship Via F.O.B. Project
5/5/2016
Quantity Item Code Description Price Each Amount
1 Other Donation to pay for a portion of the 20I6 salary of the early 50,000.00 50,000.00
intervention advocate(CYAP Federal ID#81-0717306)
PA YI � C �e�O
Total $50,000.00