323254 03/21/18 ��'i� F� - CITY OF CARMEL, INDIANA VENDOR: 369280 .... t ,,,
:_
ONE CIVIC SQUARE TRINITY FREE CLINIC INC CHECK AMOUNT: S 950.00
CARMEL, INDIANA 46032 1045 W 146TH ST SUITE B CHECK NUMBER: 323254
gM1ruN � CARMEL IN 46032 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355100 TASTESIPSAVO 950.00 PROMOTIONAL FUNDS
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 of service,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
$950.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Clerk Treasurer
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
TasteSipSavor 43-551.00 $950.00 1 hereby certify that the attached invoice(s),or 3/15/18 TasteSipSavor SPONSORSHIP PLEDGE BRONZE LEVEL $950.00
1701 101 1701 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
Quinn, Jacob
Deputy Clerk of City Business
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
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It may come as:a surprise, but even:in the most affluent county.in the state.of Indiana;there are°pockets of poverty. An
Hamilton County, one in five families* struggle to make.ends meet. The access to;regular medical and:dental caie:that
most of.us take-for granted is out of reach for. many of these families. Our patients include people who work in food
service, cleaning; landscaping, and construction*trades. .Many working poor in our county'do not,have access to regular
medical,arid dental services. That means that they go to work with a toothache or suffer from untreated injuries or
illnesses. The Trinity Free Clinic is the medical and dental safety net for these families in our county..
ast y� alone,we had the privilege:6f prouiclhng o err 6„ODU;dentaI and-medical Visits,to more than 3$000 to income
mnsured�or underinsured patients. Trinity;Free CJVOI provided a market value of offer $1 2,millionr Vin,m ducal an.
ental serdces,to the low-income families of'Hai-mMan,,County, last year at no cost to=tihemYor thecomrr+lrnitly�.
How.do we make that happen? Through the,support of 400 volunteers including doctors, nurses, dentists, and other
administrative personnel and through the'assistance of community partners like you during our.annual fundraising event. .. :..
M1. ou to loin,us,in providrmg;medcall an-41 dental care for Hamon Cou
iltnty's m
ost:uulneablefamil'e
y sponsoring Taste rp Sauor'. TasteSip Savor.is a casual night oftastings from thefinest restaurants,wineries,breweries,
and=distilleries in Central.Indiana.
Event.Promotion:
'• The event will be promoted to.Trinity Free;Clinic supporters via formal invitation.
• Digital invitations sent to all Bridgewater Club members; approximately 1400, and inclusion in -the Bridgewater
Country Club calendar of events.
• Other_marketing for the event will occur through community invitations via Social Media, posters at Hamilton_County
businesses;local press, banners'in downtown Carmel, and radio.
We hope.you will find our clinic worthy.of your sponsorship,as well as a great way to promote your organization to the.
_community. Our invitation and donor list is extensive and we:predict an event attendance:of 300-400::Pleasereview the
attached sponsorship package. For more information about the Trinity Free Clinic;visit www.trinityfreeclinic.org..
Sincerely,
:Dina Ferchmin,:=_
Executive Director,Trinity Free Clinic United Way of.Central Indiana's 2014 ALICE Report :.
q.
Trinity Free Clinic �e.41045 W. 146th St., Suite B, Carmel, IN 46032 ',�zl (317)81970772 TrinityFreeClinic.org
- - - TasteSipSavor@TrinityFreeClinic.org :Z'b Find us on Facebook
Federal Tax ID#35-2920420 Trinity Free Clinic is a 501(c)(3)nonprofit organization
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SPONSORSHIP PLE®G FORM
Company Name:. . Oey b le- 6+L�
Please print name exactly as:you would prefer it to be:listed in printed ma erials: ::
Contact Name: .. ... . ...
Company Address: CL
Daytime Phone �� rJ7:0:,� E-mail address: OIAJ� �' b'1 U
Level:of Sponsorship(check:one*):
0 Title Sponsor: $10,000- 0 Gold-Sponsor :$5,000: - L , Bronze Sponsor: $1,WT
0 Platinum Sponsor: $7,500 .- - -D Silver Sponsor: $2,500 ao
: ❑ Other: $' (indicate amount of donation here)
0 In-Kind Donation`*-Total Market Value-:$
Description:
*Sponsorship available in excess of indicated amount with additional bene fits_available. _Please contact TasteSipSavor@TrinityFreeClini c.org for more
information.. . .
**In-kind donations can be sent directly to the Clinic or an event volunteer can pick it up-at your convenience.
Payment Method (check one): ❑Invoice me 4ch
eck enclosed DVI-8A/MC OAMEX ODiscover
Credit Card Number: Authorizing Party Signature:
- Exp. . : - _ ...
Contributions by credit card can also be made at www.TrinityFreeClinic.org/sponsorship:
. ... . ..
Please fill outand return by mail or fax to OR:email us at: -
Trinity Free Clinic TasteSiPSavoKaD-TrinityFreeClinic.orq
ATTN: Taste Sip Savor
1045 West 146th Street,.Suite.B
Carmel, IN 46032 -
Fax: (31.7):819-0773.
Thank you for your generosity!
Trinity;Free Clinic Z*6 1045 W. 146th:St., Suite B, Carmel, IN 46032 : (317):8.19-0.772 TrinityFreeClinic.org:�F,4:
TasteSipSavor@TrinityFreeClinic.org. ;3h Find.us on Facebook
Federal Tax'ID#35-2120420 Trinity Free Clinic is a 501(c)(3)nonprofit organization