HomeMy WebLinkAbout195858 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 00350189 Page 1 of 1
ONE CIVIC SQUARE CARMEL SYMPHONY ORCHESTRA CHECK AMOUNT: $184,000.00
„ro CARMEL, INDIANA 46032 PO BOX 761
11 FIRST AVE NE CHECK NUMBER: 195858
CARMEL IN 46082 -0761
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
504 4355101 184,000.00 SUPPORT FOR THE ARTS
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ARTS GRANT PROGRAM
AGREEMENT
It is agreed, between the parties, as follows:
1. That on behalf of the Carmel Symphony Orchestra "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
$184,000
CARMEL SYMPHONY ORCHESTRA "Grantee
By:
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Printed Name of Officer: A'" V Title: e f g'
Date:
CITY OF CARMEL "Grantor
By:
James Brai ard, Mayor
Date:
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,
skibb e2carmel. in.go v
VOUCHER NO. WARRANT N
ALLOWED 20
Carmel Symphony Orchestra IN SUM OF
P. O. Box 761
Carmel, IN 46082 -0761
$184,000.00
ON ACCOUNT OF APPROPRIATION FOR
Fund #504 Support for the
Arts
3 0# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT
Board Members
504 5 0 4 $18 4, 0 0 0. 0 Cl hereby certify that the attached invoice(s), or
1 bill(s) is (are) true and correct and that the
Z
b materials or services itemized thereon for
which charge is made were ordered and
received except
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 Symphony Orchestra Purchase Order No.
P. O. Box 761
Carmel, IN 46082 -0761 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/22/11 Support for the Arts $184,000
CC- 03- 21 -11 -03
BPW- 04- 06 -11 -02
hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
Nith IC 5- 11- 10 -1.6
20
Clerk- Treasurer