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