HomeMy WebLinkAbout198474 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 356378 Page 1 of 1
ONE CIVIC SQUARE CRIME STOPPERS ON CENTRAL IND INC CH
CARMEL, INDIANA 46032 901 N POST ROAD RM 242 ECK AMOUNT: $300.00
INDIANAPOLIS IN 46219 CHECK NUMBER: 198474
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 300.00 OTHER EXPENSES
INVOICE
June 17, 2011
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
1 Police Team Sponsor $300.00
TOTAL AMOUNT DUE: $300.00
Please make check payable to:
Crime Stoppers of Central Indiana, Inc.
7549 W. Morris Street
Indianapolis, IN 46231
INDIANA RETAIL TAX EXEMPT PAGE
City ®f C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25771
35- 60000972
ONE 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
69 i
Como Stoppom of Contral Indiana, Inc. Carmel Pollco Dspatrtmant
VENDOR
SHIP 3 Civic Square
7U9 W Motes 3troot TO Camel, IN 4 2
Indianapolis, IN 4629 (W) 571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
�gg�yUNIITT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
00-362.00 Account 362.00 m4
9 Each golf outing $300.00 $300.00
Sub Total: $300.00
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Send Invoice To:
,C r
Canal Police Department ne
Attn: Teresa Anderson
3 Civic Squaro
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
����...•111 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 APPROPRIATION SU F -IENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
6I0Y Palled
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 5 7 7 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO._._......_ WARRANT NO..______--
ALLOWED 20
IN THE SUM OF
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
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/17/11 payment for golf outing $300.00
1 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 of Central Indiana, Inc.
IN SUM OF
7549 W. Morris Street
Indianapolis, IN 46231
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
25771 852.00 $300.00 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
Friday, June 17, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund