HomeMy WebLinkAbout198478 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 00350802 Page 1 of 1
s ONE CIVIC SQUARE D.A.R.E. INDIANA, INC CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 10293 N MERIDIAN ST SUITE 175
INDIANAPOLIS IN 46290 CHECK NUMBER: 198478
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 25765 800 250.00 GOLF OUTING
D.A.R.E. Indiana, Inc.
Invoice 10293 N Meridian Street, Suite 175
R.E Indianapolis, IN 46290
DATE INVOICE NO.
j Telephone (317) 816.1615
®`OO Fax (317) 816.1633 6/1/2011 800
BILL TO
Carmel P.D.
3 Civic Square
Carmel, IN 46032
Attn: Greg Dewald
TERMS
Due Upon Receipt
DESCRIPTION QUANTITY RATE AMOUNT
2011 D.A.R.E. Golf Outing Foursome 1 500.00 500.00
Law Enforcement Flight
June 20, 2011 Prairie View Golf Course
Total $500.00
20- 7043 -2740 1 4 4 0 L,
CARMEL FOP 185
3 CIVIC SQUARE
CARMEL, IN 46032 -2584
2ra
INDIANA RETAIL TAX EXEMPT PAGE
C W C sane l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25765
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
5 Mil _F
DARE Indiana, Inc. Carmel Police Department
Golf Toummmont 2090 SHIP 3 Civic Squaw
VENDOR
10M North Meridian Street, Suite WS TO Camel, IN 4I
Indianapolis, IN 4= 579
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00462.00
I Each golf outing $250.00 $250.00
Sub Total: $250.00
0 01
Send Invoice To: w
Carmel Police Dopartment
Attn: Toms@ Andaman
3 Civic 6quam
Carmel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOU
Carmel Police Dept. 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 RE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO F ICIENT TO PAY, FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL �y
SHIPPING LABELS. C1#? of Poilce
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-25765 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #ITITLE 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))
06/01/11 800 payment for golf outing $250.00
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 N WARRANT NO.
ALLOWED 20
DARE Indiana, Inc.
Golf Tournament 2010
IN SUM OF
10293 North Meridian Street, Suite 175
Indianapolis, IN 46290
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
25765 800 852.00 $250.00 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