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187268 07/07/2010
CITY OF CARMEL, INDIANA VENDOR: 00350802 Page 1 of 1 ONE CIVIC SQUARE D.A.R.E. INDIANA, INC CHECK AMOUNT: $500.00 CARMEL, INDIANA 46032 10293 N MERIDIAN ST SUITE 175 INDIANAPOLIS IN 46290 CHECK NUMBER: 187268 CHECK DATE: 717/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 26930 741 500.00 GOLF OUTING D.A.R.E. Indiana, Inc. Invoice 10293 N Meridian Street, Suite 175 Indianapolis, IN 46290 DATE INVOICE NO. l Telephone 317 816.1615 �1/ 1NQ pN Fax (317) 816.1633 6/16/2010 741 BILL TO Carmel P.D. 3 Civic Square Carmel, IN 46032 Attn: Jim Barlow L_ TERMS Due Upon Receipt DESCRIPTION QUANTITY RATE AMOUNT 2010 D.A.R.E. Golf Outing Foursome 1 500.00 500.00 Law Enforcement Flight June 21, 2010 Prairie View Golf Course I I I i Total $500.00 Q,i CERTIFICATE N© 0031 0155 02 0 PAGE INDIANA RETAIL TAX EXEMPT ILJi l PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 =CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FO TM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION June 9 2010 golf outing VENDOR DARE Indiana, Inc. Golf Tournament 2010 SHIP City of Camel Police Department 10293 N. Meridian Street TO 3 8ivic Square Indianapolis, IN 46290 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION payment for golf tournament 500.00 i Y L r' S end Cit of Carmel Poli�ce�De sx ent S in vo ice To: y ATTN: Teresa Anderson 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT P JECT PROJECT ACCOUNT AMOUNT 852 852 police gift 6dnd PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 6 9 3 O A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE �PUCHER NO._ WARRANT NO._ ALLOWED 20 IN THE SUM OF ON ACCOUNT OF, APPROPRIATION FOR Board Members PO# or INVOICE N0. ACCT #ITITL� AMOUNT DEPT. I hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Y.__.— Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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. -i Payee DARE Indiana, Inc. Purchase Order No. 26930F 10293 N. Meridian Street, Suite 175 Terms Indianapolis, IN 462901 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/16/ 741 Raymen 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 VOU HER NO,., WARRANT NO. ALLOWED 20 D ARE Indiana, Inc. IN SUM OF 10293 N. Meridian Street, Suite 175 Indianapolis, IN 46290 500.00 ON ACCOUNT OF APPROPRIATION FOR p olice gift fund Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 26930F 741 852 500.00 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 June 22 20 10 i Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund