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323105 03/21/18 [qq CITY OF CARMEL, INDIANA VENDOR: 370633, .: ONE CIVIC SQUARE CARMEL YOUTH ASSISTANCE, INC. CHECK AMOUNT: $'****6,000.00* x ?� CARMEL, INDIANA 46032 515 E.MAIN STREET CHECK NUMBER: 323105 vM__ SUITE 127, CHECK DATE: 03/21/18 4 troN�O CARMEL IN 46032 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359300 C00030918 6,000.00 ECONOMIC DEVELOPMENT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 370633 CARMEL YOUTH ASSISTANCE, INC. IN SUM OF$ CITY OF CARMEL 515 E. MAIN STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service SUITE 127 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CARMEL, IN 46032 Payee $6,000.00 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 C00030918 43-593.00 $6,000.00 1 hereby certify that the attached invoice(s),or 3/9/18 C00030918 $6,000.00 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 Thursday, March 15,2018 Heck, Nancy Director 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 CARMEL ou AM,t. n � 1 PROGRAM Invoice Date: 3/9/18 Invoice #C00030918 Invoice to: Payable to: City of Carmel Carmel Youth Assistance Inc ATTN: Melanie Lentz 515 E Main St, Suite 127 One Civic Square Carmel, IN 46032 Carmel, IN 46032 317-501-1739 317-571-2495 mlentz@carmel.in.gov Details: The Carmel Gala, April 28, 2018 at Ritz Charles 2018.Level of Sponsorship: Naming Opportunity CYAP Tax ID #: 81-0717306 Carmel Youth Assistance Inc is a 501(c)(3) charitable organization Amount Due: $6,000 _ q 3 5-L 3 � Payment due upon receipt 515 E Main St, Suite 127 Carmel, IN 46032 317-501-1739