184904 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1
ONE CIVIC SQUARE PRIMELIFE ENRICHMENT INC
CHECK AMOUNT: $1,000.00
CARMEL, INDIANP,,46032 ATfN:LIFE'SAJOURNEY
ty,.� u �,.o.. 1078 THIRD AVE SW CHECK NUMBER: 184904
CARMEL IN 46032
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 1,000.00 FESTIVAL /COMMUNITY EV
5 Life's a Journey 2010 "Diamonds Denim Western Wingding"
April 1.7, 2010 Special Event Sponsorship Commitment Form
Please indicate the level at which you will be supporting PrimeLife Enrichment's mission of providing
programs and services that promote independence, optimal wellness and socialization for individuals
aged 50 and beyond.
Rio Grande Presenting Sponsor $5,000
Gusher! Sponsor $3,500
Black Gold Spon $2,000
diTlac _Ranch- Corpor- ate -Tab le= $-1_,000
Individual Ticket $75 Number of Tickets
I /We cannot attend. Please accept our contribution of
I would like to be included in the Life's a .Tourney... Program Booklet.
Back Cover $350 (offered on a, first come /first confirmation basis)
Inside Front Cover 5350 (offered on a first come #first confrtnalion basis)
Full Page Color Ad $250 ❑Full Page B W Ad $150
1/2 Page Black White Ad $100 `A Page Black White Page /Business Card Ad $75
Our Ad is included in Sponsorship Pkg.
Contact Person (for ad art work/electronic file proof)
MA check in the amount of 1 ono is enclosed.
Please ma c hecks payable to PrimeLife Enric I nc. 5 01(c) 3 Tax ID# 35- 141
(Mail to: Attn: Life's a. Journe Prime Enric>ament,_Inc.,_1 Ave. S W% Carmel;_IN 46 03- 2
Please send an invoice to the address below.
Please bill my credit card (Visa, MasterCard, Discover, American Express)
Account Number Expiration date
Name as it Appears on Card
Authorized Signature 3 digit code
Name (for formal recognition /tax purposes) 14—y p c_la rn�i
Contact Person (for coordination /table assignments) a, i
Address -it-a-re q
Telephone �J 5 1 Email V�-rc-
r n �V
Please list the items to be donated that PrimeLife Enrichment will be able to auction at the 201 r Life's a Journey Event.�se
the "Help" checkbox to indicate if you would like us to make arrangements to pick up this item.
Item Value Help
Item Value Help
Thank you for f s upportin g empowerment and independence for older adults!
0 -Vo a t-o tvj 1 35 db 3 -Q 4
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A d
Life's a Joumey 201
"Diamonds 1:Denim Western Wingding"
Op el eon
Rio Grande $5,000 Presenting Sponsor
Corporate listing on media /event materials a Up to 3 priority tables of eight
Full page color ad in event program a Prominent Event Signage
Three months Newsletter Recognition a One Year Linkage to event sponsor website
Media Acknowledgement a Materials on -site at PLE for three months
Gusher! $3,500 Sponsor
Corporate listing on all media/event materials a Up to 2 priority tables of eight
Full page color ad in program a Prominent Event Signage a Newsletter Recognition
Logo identification on website a Media Acknowledgement
Black Gold $2,000 Sponsor
Corporate listing on media /event materials a Priority table of eight a Full page B W ad
Prominent Event Signage a Media Acknowledgement
C
illac Ranch Corporate Table for Eight $1,000
Table -top signage a Program Listing a /image B W even� ad
Program Book Advertising
Back Cover $350 of on a first come /first confirmation basis
Inside Cover $350 of on a first come /first confirmation basis
Full Page Color Ad $250 color
Full Page B W Ad $150 black white
1/2 Page Ad $100 black white
Quarter Page /Business Card Ad $75 black white
Combined donation based ads are welcomed from PLE Members and program participants.
The deadline for submission of camera -ready art to be included in the program booklet is 3115110.
Additional Nays to Support PLE
H Donate Merchandise for the Silent Auction
0 Make a Tax- Deductible Cash Donation to PrimeLife
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
y 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.
,t Payee
k'I trees fry A ou"L -N l o 6- L i re &p w_j4 Purchase Order No.
�7� �h►2D �/d S Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
SP .4-L l G 7 j ,/8 LC
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
VOUCHER NO WARRANT NO.
ALLOWED 20
Li�� �J�u- +za1�Yy, (�l�MzrL cr1m�,�; IN SUM OF
10 Z
C A 2-wl 6 L- i J N C (6 d Z—
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0
ON ACCOUNT OF APPROPRIATION FOR
U
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Iii 0 t gpQ3 oz o 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
20
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund