183360 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 362657 Page 1 of 1
0 ONE CIVIC SQUARE KOMEN INDPLS RACE FOR THE CURE
CARMEL, INDIANA 46032 1099 N MERIDIAN STREET SUITE 111 CHECK AMOUNT: $100.00
INDIANAPOLIS IN 46204 CHECK NUMBER: 183360
CHECK DATE: 3116/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355100 100.00 DONATION
Komen Indianapolis Affiliate Donate Page 1 of 1.
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Looking for the perfect gift for the person that has everything?
Do you ever ask the question "What do I give those difficult to shop for people in my life? What is an appropriate gift for co- workers,
boss, employees or clients The Indianapolis Affiliate has your answer! You can...
Make a contribution to the Indianapolis Affiliate in honor of that person. Make a donation of any amount. Every gift is tax
deductible.
Purchase a ticket to the Komen Indianapolis Pink Tie Ball® which will be held at the Scottish Rite Cathedral on February 27,
2010. This gala evening comes complete with an auction, dinner and dancing. Tickets are $150.
Purchase an entry to the Komen Indianapolis Race for the Cure. The Komen Indianapolis Race for the Cure is an event in which
people of all ages and fitness levels can join to support the fight against breast cancer in the largest 5K run /fitness walk series in
the world. The Komen Indianapolis Race for the Cure will be held Saturday, April 17th, 2010. Entries are $25.
I For every gift you order, Komen will promptly send a personalized card to present to that special person for your thoughtful donation.
Please make your check payable to the Indianapolis Affiliate of the Susan G. Komen for the Cure and send your check to:
Indianapolis Affiliate of Susan G. Komen for the Cure
Attn: Perfect Gift Campaign
1099 N. Meridian Street, Suite 111
Indianapolis, IN 46206 -6069
Make a Contribution to Kornen Indianapolis
We accept donations online, via mail and by phone:
Click here to make a donation to the Race for the Cure in support of your favorite participant or team!
Click here to make a gift in memory of a loved one or a general donation to the affiliate online!
Or, your can send a check. Please make your check payable to the Indianapolis Affiliate of the Susan G. Komen for the Cure and send
it to:
Indianapolis Affiliate of Susan G. Komen for the Cure
1099 N. Meridian Street, Suite 111
Indianapolis, IN 46204-6069
Or, you can call 317- 638 -2873 to make a donation over the phone with your credit card. We accept cash, check, stock and Visa,
MasterCard or American Express. Please make checks out to: Susan G. Komen for the Cure.
The Indianapolis Affiliate of Susan G. Komen for the Cure is a public charity exempt from federal income tax under Section 501(c)(3) of
the Interna Revenue Code-
1099 N. Meridian St.Suite 111 1 Indianapolis, IN 46204 -1075 I Phone: 317/638 -CURE (2873) 1 Fax: 317/634 -4980
For more information, call Komen Foundation's National Toll -Free Helpline 1,800,I'M AWARE® or visit www.komen.org I site map
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
Clerk- Treasurer
VOUCH R NO. WARRANT. NO.
i
ALLOWED 20
vV 7J/U„'/ IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
S f 0v. DD 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
Y'
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund