HomeMy WebLinkAbout195100 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 362657 Page 1 of 1
ONE CIVIC SQUARE KOMEN INDPLS RACE FOR THE CURE CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 1099 N MERIDIAN STREET SUITE 111
INDIANAPOLIS IN 46204 CHECK NUMBER: 195100
CHECK DATE: 3!2!2011
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355100 100.00 PROMOTIONAL FUNDS
Donate Now Central Indiana Affiliate of Susan I Komen for the Cure Page I of I
Go shopping I Make a gift in Donate in the Become a
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Monthly Donors You can make a difference right now in the lives of Central Indiana women with a donation to the Central
Are you currently a Komen hero? Our monthly gift Indiana Affiliate of Susan G, Komen for the Cure®, In 2010, Komen Central Indiana granted,S1.6,million to
program is a special program for supporters like 21 non profit_ organizations in its 21- county service area. Your donation today helps bring us one step
you to support Komen each and every month with closer to finding a cure!
an ongoing gift, automatically from a credit card. Make a s_e_turo, onlin donation today with Visa, Mastercard or American Express.
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Much of it stays right here in Indiana! proceeds benefit our affiliate!
Of the net proceeds from Komen Central Indiana Donate The Old- Fashioned Way, Too!
efforts, 75% will stay in Central Indiana to provide Looking to donate, but don't want to do it online? We gladly accept donations via check or credit card
breast health education, breast cancer screening by phone. Remember, every gift is tax- deductible.
and detection services, and survivor support for
underserved women in our 21 county service area. Please make your check payable to the Central Indiana Affiliate of Susan G. Komen for the Cure@and send
Check out our 2010 grant recipients. to:
The remaining 25% helps fund scientific and clinical
research that is seeking improved diagnostic and Central Indiana Affiliate
treatment methods and ultimately the cures for Susan G. Komen for the Cure®
breast cancer. Organizations interested in providing 3500 CePauw Boulevard
or currently providing breast health services in Suite 2070
Indiana are encouraged to call 317.638.CURE for Indianapolis, IN 46268
grant application information.
If your gift is in the name of someone, please include their name and address. For every gift you make In
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The Central Indiana Affiliate of Susan G. Komen for the Cure® is a public charity exempt from federal income
tax under Section 501(c)(3) of the Internal Revenue Code.
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littp: /www.komenindy.org /donate 2/18/2011
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
I Purchase Order No.
V1/1-C XA Terms
Date Due
Invoice Invoice escription Amount
Date Number (or note attached invoice(s) or bill(s))
0z}
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
IN
SUM OF
o i)e f'c P-%'/j k7t)
j� l Q 4b)a
DL' <,v
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE 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