HomeMy WebLinkAbout195856 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 362841 Page 1 of 1
0 ONE CIVIC SQUARE CARMEL REPERTORY THEATRE, INC
CARMEL, INDIANA 46032 484 E CARMEL DRIVE #162 CHECK AMOUNT: $69,000.00
CARMEL IN 46032
CHECK NUMBER: 195855
CHECK DATE: 3/29/2011
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
504 4355101 69,000.00 SUPPORT FOR THE ARTS
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ARTS GRANT PROGRAM
AGREEMENT
It is agreed, between the parties, as follows:
I That on behalf of the Carmel Repertory Theatre, Inc. "Grantee I am applying for a
City of Carmel "Grantor Arts Grant.
2. Grantee hereby represents and warrants that it is a not -for- profit entity with a
determination letter from the Internal Revenue Service declaring that it is exempt
from Federal income tax.
3. Grantee has attached the following information which it represents and warrants to be
true and accurate:
a. Certified copies of incorporation as a not for profit corporation under state law;
b. A not for -profit application or determination letter from the U.S. Internal Revenue
Service identifying that it is a not for -profit corporation that is exempt from
Federal income tax;
c. A description of the proposed use of the grant funds;
d. A budget for the calendar or fiscal year for which the grant is requested;
e. Any audits, reviews or compilations available describing the financial condition
of the Grantee;
f. A list of the Grantee's board of directors and officers listed.
4. Grantee agrees to make available at any reasonable time their books and records for
the purpose of an audit by the City of Carmel, the State of Indiana, or their designees.
5. Grantee agrees to provide the City of Carmel a year -end report describing how the
grant was used and the impact of the dollars received.
6. Grantee agrees to credit the City of Carmel in printed materials associated with a
funded program or project. The City of Carmel will supply Grantee with the
graphics /logos necessary for compliance.
7. The Grantor agrees to provide Grantee a City of Carmel Arts Grant in the amount of
$69,000
CARM P RTORY HEATRE, INC. "Grantee
y:
Printed N e of fficer: L,9\1 Wi A) Title:
Date: 3 lb �r
CITY OF CARMEL "Grantor
B/Jam
Brainard, ayor
Date: G!i -2c
If you have any question concerning the City of Carmel's 2011 Arts Grant Program, grant
writing, guidelines or application materials, contact:
Sharon Kibbe, City of Carmel, One Civic Square, Carmel, IN 46032, Phone: 317- 571 -2483,
skibbe(?carmel in..gov
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Repertory Theatre IN SUM OF
484 E. Carmel Drive
BOX 162
Carmel, IN 46032
$69.000.00
ON ACCOUNT OF APPROPRIATION FOR
Fund #504 Support for the
Arts
3 0# I Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
504 5 0 4 $69,000 1 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
r
Mayor
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.
Payee
Carmel Repertory Theatre Purchase Order No.
484 E. Carmel Drive
Box 162 Terms
arme
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/2 2/11 Suppo rt for the Arts $69,000
CC- 03- 21 -11 -03
BPW- 04- 06 -11 -01
hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
Vith IC 5- 11- 10 -1.6
20
Clerk- Treasurer