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HomeMy WebLinkAbout322391 02/27/18 CITY OF CARMEL, INDIANA VENDOR: 369280 !; ONE CIVIC SQUARE TRINITY FREE CLINIC INC CHECK AMOUNT: $****10,000.00* CARMEL, INDIANA 46032 1045 W 146TH ST SUITE B CHECK NUMBER: 322391 'NITON�o? CARMEL IN 46032 CHECK DATE: 02/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359000 02092018 10,000.00 SPECIAL PROJECTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 369280 TRINITY FREE CLINIC INC IN SUM OF$ CITY OF CARMEL 1045 W 146TH ST SUITE B An invoice or bill to be properly itemized must show:kind ofservice,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CARMEL, IN 46032. Payee $10,000.00 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 02092018 43-590.00 $10,000.00 1 hereby certify that the attached invoice(s),or 2/9/18 02092018 $10,000.00 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 Tuesday, February 20,2018 Heck, Nancy Director 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 Trinity Free Clinic, Inc. PAO( 1045 W. 146`'St, Suite B Vis; Carmel, IN 46032 Thinity` . rpeclmic INVOICE #02092018 To: D 47TE�:2l9/2018 Sharon Kibbe Office of the Mayor,City of Carmel 1 Civic Square Carmel, Indiana 46032 QTY Description Unit Price: Line Total 1 Taste Sip Savor Sponsorship $ 10,000.00 $ 10,000.00 Subtotal $10,000.00 Sales Tax Total Total $10,000.00 Thank you for your support! Please mail checks to: Trinity Free Clinic 1045 W 146th Street Carmel, IN 46032