161328 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 00350802 Page 1 of 1
`4 ONE CIVIC SQUARE D.A.R.E. INDIANA, INC
CHECK AMOUNT: $500.00
.L_
CARMEL, INDIANA 46032 10293 N MERIDIAN ST SUITE 175
y oN a INDIANAPOLIS IN 46290 CHECK NUMBER: 161328
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 16684 583 500.00 GOLF TOURNAMENT
e `s 45 at`
T�
&T� T7_ Inc. Invoice
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l02932���uodiau8�nct,Sudol75
Indianapolis, IN46290 DATE INVOICE NO.
To]opb000 (317) 816.1615
Fax (317)816.1633 5/14/2008 5
___-------_---J
BILL To
Carmel P.D./Carmel FOP Lodge 185
3 Civic Square
Carmel, INI 46032
Attn: Jim Barlow
TERMS
Due Upon Receipt
DESCRIPTION QUANTITY RATE AMOUNT
2008 Annual Golf Tournament Foursome 1 500.00 500.00
June 23, 2008 Prairie View Golf Club
Total $500.00
Ci INDIANA RETAIL TAX EXEMPT PAGE
ty, C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER` NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 16684
ONE-CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED t____ RE2L1ISIT1ON NO. VENDOR NO. DESCRIPTION
A p-11 -30 2nop
VENDOR DoAoRoEo Indiana, Inc SHIP City of Carmel Police Department
Golf Tournament 2008 TO 3 Civic Square
10293 Na Meridian Street, Suite 175 Carmel, IN 46032
Indianapolis, IN 46290
CONFIRMATION BVUN11T CONTRACT PAYMENTTERMS FREIGHT
QUANTITY OF MEASU RE DESCRIPTION UNIT PRICE EXTENSION
foursome 500000
i
il
.end Invoice To:
City of Carmel Poli
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
852 852 golide gift. fund PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
,.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
'URCHASE ORDER NUMBER MUST APPEAR ON ALL I
'HIPPING LABELS. 1
HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
ND E1GTS At�1ENDA�OFI �?EPEOF AND SUPPLEMENT THERETO.
CLERK TREASURER
7CUMENT CONTROL NO .V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
'Z
ALLOWED 2
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Memb rs
or INVOICE NO. c ALT E AMO
DEPT Ihemb certify mg the attached invoice(s), or
b\%G(am) true and corerdand that the
materials or services itemized melon for
which charge is made were ordered an d 7
received exc pt
y%m
yr
�Z
2 2
snae���
Title
�a�mb &mldger classification
claim paid motor vehicle high_yed
�a
Prescribed by Slate 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
DARE Indiana, Inc. Purchase Order No. 16684F
10293 N. Meridian Street, Suite 175 Terms
Indianapolis, IN 46290 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/14/08 583 payment for golf outing 500.00
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
D ARE Indiana, Inc. IN SUM OF
10293 N. Meridian Street, Suite 175
Indianaplis, IN 46290
500.00
ON ACCOUNT OF APPROPRIATION FOR
police gift fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16684F 583 582 500.00 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
July 2 20 08
Signature
Chief of Pol T
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund