HomeMy WebLinkAbout259588 06/14/16 ,4+;t t`qF CITY OF CARMEL, INDIANA VENDOR: 365257
�b r ONE CIVIC SQUARE INDIANA BLACK EXPO, INC CHECK AMOUNT: $*******700.00*
CARMEL, INDIANA 46032 3145 N MERIDIAN STREET CHECK NUMBER: 259588
9�'��i6N�°� INDIANAPOLIS IN 46208 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4346000 33966 060716 700.00 JOB FAIR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
INDIANA BLACK EXPO, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
3145 N MERIDIAN STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46208 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$700.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
==33966 - 0 43-460.00 $700.00 6/7/16 0 Job fair $700.00
I hereby certify that the attached invoice(s),or
1110 101 1110 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,June 08,2016
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
INDIANA RETAIL TAX EXEMPT Page 1 of 1
City
®� Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33966
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ONINVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/7/2016 365257
INDIANA BLACK EXPO, INC Police Department
VENDOR 3145 N MERIDIAN STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46208-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
5406
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account: 43-460.00 Fund: 101 General Fund
1 Each Job fair $700.00 $700.00
Sub Total $700.00
t it '6Y
Send Invoice To: a: �;,?_
Police Department itY�
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $700.00
SHIPPING INSTRUCTIONS 'AIP 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 UNOBUGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1941
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Tim Green
TITLE Chief of Police
CONTROL No. 33966 CLERK-TREASURER
INDIANA BLACK EXPO, INC.
Q IBE USE ONLY:
Date Received:
CELEBRATION Booth#
-�' 2016 EXHIBITOR PACK
(.CPONSUME.R'EXHIBITOR APPLICATION
GENERAL INFORMATION
Company Name: CtxyYv�,P.l 96-vn_r Contact Person:
Booth Name: C&.,- Pbk� Address: $ C C
City: CC-,(1\,\e1 State: IM Zip: ,U1o6'Z2-PhoneCS 12
Email:T (MANDATORY) Website:
Description of product or service:
EXHIBITOR OPTIONS
EARLY BIRD RATES 50% STANDARD RATE FU
QUANTITY OF EXHIBITSPAYMENT DUE BY 3/18/16 QUANTITY OF EXHIBITS PAYMENT DUE,BY 5/3
11
SMALL BUSINESS $500 $700
NON-PROFIT ORGANIZATION $500 $700
GOVERNMENT $700
EDUCATION $700
CORPORATE
;411 Boofh Spaces are a 10
ARDD ITLO NAL S
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