187759 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 356378 Page 1 of 1
ONE CIVIC SQUARE CRIME STOPPERS ON CENTRAL IND IN &ECK AMOUNT: $300.00
CARMEL, INDIANA 46032 901 N POST ROAD RM 242
INDIANAPOLIS IN 46219 CHECK NUMBER: 187759
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 26932 300.00 GOLF OUTING
UKIME S
CENTRAL iNOIAIVA
7549 W. Morris Street
L
Indianapolis, IN 46231
�NWUHCTR
DATE: July 1, 2010
Office 317 481 -5155 Fax 317 481 -5153
Citv of Carmel
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 Police Golf Team for 2010 Fundraiser $300 #300
The Valle Vista Country Club, Greenwood, IN
SUBTOTAL $300
TOTAL DUE $1
Not For Profit 501 (c)3 Tax I.D. 31- 1125710
Make all checks payable to: Crime Stoppers of Central Indiana
If you have any questions concerning this invoice, call: 481 -5155
THANK YOU FOR HELPING KEEP CENTRAL INDIANA A SAFE COMMUNITY!
INDIANA RETAIL TAX EXEMPT PAGE
City of C arme l CERTIFICATE NO. 003120155 002 0 o
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 26932
3= CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. tVENDOR NO. DESCRIPTION
June 1 2010 golf o uting
VENDOR Crime Stoppers of Central Indiana SHIP City of Carmel Police Department.
7549 W. Morris Street TO 3 Civic Sgaare
Indianapolis, IN 46231 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
J
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
14th Annual Golf Outing 300°00
r J� per tl
_FL,
il n r
Send Invoice To: Cityoof Carmel Police/D partm t_
ATTN o Teresa Anders,' t
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT_ PROJECT ACCOUNT AMOUNT
852 852 police gift fun 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 AP ROPRIATION SUFFICIENT TO 'PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS BE ACCEPTED. ORDERED BY 'f" f'`) r 1 •1�
PURCHASE ORDER NUMBER MUST APPEAR ON ALL S
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ehief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 9 3 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ 'WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #iTITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
-Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No, 201 (Rev, 1995)
CITY OF CARMEL
i
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
Crime Stoppers Purchase Order No 26932F
7549 W. Morris Street Terms
Indianapolis, IN 46231 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/1/10 a ent for golf outing 300.00
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
Crime Stoppers IN SUM OF
75+9 West Morris Street
Indianaplis, IN 46231
300.00
ON ACCOUNT OF APPROPRIATION FOR
police gift f
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
26932F 852 300.00 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
July 13 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund