HomeMy WebLinkAbout199993 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 361540 Page 1 of 1
ONE CIVIC SQUARE JAKE LAIRD GOLF OUTING CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 20491 COUNTRY PINE COURT
NOBLESVILLE IN 46062 CHECK NUMBER: 199993
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 27882 400.00 GOLF OUTING
INVOICE
July 28, 2011
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Golf Outing $400.00
TOTAL AMOUNT DUE: $400.00
Please make check payable to:
Jake Laird Golf Outing
20491 Country Pine Court
Noblesville, IN 46062
INDIANA RETAIL TAX EXEMPT PAGE
Cit of e.I CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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Jmisa LmIrd Golf Wing Curnol Police Dopartenan4
VENDOR SHIP 'S CIVIC squMm
TO
20491 Country mina Court Cann Gl, IN
Noblosvill% IN 4= (397) 671
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0 -02.00
9 Each golf aiding $400.00 $400.00
Sub Total: $400.00
Ld
Send Invoice To:
Cam of Police Department
Attn: Terns@ Andoas
3 Cleric squm
Corral, IN 48 2= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Cuinel Police Dept. PAYMENT 50.00
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
SHIP REPAID.
THIS APPROPRIATIO (CCIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE hio? of pollea
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT T HERETO.
CLERK-TREASURER
S IGN
DOCUMENT CONTROL NO. 27 8 82 AN
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
Hoard 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
Cast distribution ledger classification if,
claim paid motor vehicle highway fund'
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jake Laird Golf Outing
IN SUM OF
20491 Country Pine Court
Noblesville, IN 46062
$400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27882 852.00 $400.00
I hereby certify that the attached invoice(s), or
I
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
Thursday, July 28, 2011
Chief of Police
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))
07/28/11 payment for golf outing $400.00
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