157635 03/19/2008 f CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1
�t 0 ONE CIVIC SQUARE PRIMELIFE ENRICHMENT, INC
CARMEL, INDIANA 46032 1076 THIRD AVE SW CHECK AMOUNT: $1,000.00
CARMEL IN 46032
CHECK NUMBER: 157635
CHECK DATE: 3/19/2008
DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 1,000.00 FESTIVAL /COMMUNITY EV
r
v
PrimeLife
0
i
Enrichment, Inc.
Enjoyment and Independence a
for Age 50 and Beyond
Life's a Journey... Enjoy the Ride!
2008 Special Event/Sponsorship Commitment Form
Please indicate the level at which you will be supporting the mission of PrimeLife Enrichment
Inc. and local efforts to provide supportive programs and services for older adults engaged in the
pursuit of an empowered independent lifestyle.
❑'Titanium Presenting Sponsor(s) $7,500
Platinum Sponsor $5,000
Gold Sponsor $39500 Y3s X 063
Silver Sponsor $29500 �UM,�m
Bronze Partner $1
X Corporate Table $1
Host Couple $250 P. Number of 'Pickets
Individual 'Ticket $100 ..........Number of 'Pickets
I /We cannot attend the banquet. Please accept our contribution of
Please indicate how PrimeLife Enrichment Inc. should invoice your commitment.
A check in the amount of is enclosed.
Please make checks payable to PrimeLife Enrichment, Inc. 501(c)3 Tax ID#
Mail to: Attn: Life's a Journey, PrimeLife Enrichment, Inc., 1078 Third Ave. SW/ Carmel, IN 46032
Please send an invoice to the address below.
Please bill my,credit card (Visa, MasterCard, Discover, American Express)
Account Number Expiration date
Name as it appears on card
Authorized Signature 3 digit code
Name (for formal recognition/tax purposes) L4 2 D� 0� L
contact Person (for coordination/table assignments)
1 Address l� y�F j l _�4 a- 4 F—
Telephone Email
Please list (firm or speculated) the items to be donated that PrimeLife Enrichment will be able to auction at the 2008
Life's a Journey... Recognition Banquet. Use the "Help" checkbox to indicate if you would like us to make
arrangements to pick up this item.
Description/Est. Value Help
Description/Est. Value Help
Description/Est. Value Help
Description/Est. Value Help
r
r
9
a
SPONSORSHIP PARTICIPATION
Please join us at the 2008 "Side by Side" Recognition Banquet, a benefit for PrimeLife Enrichment,
Inc. a non profit agency that fosters an empowered independent lifestyle for those 50 and beyond.
Held Saturday, April 26 th at the Irsay Pavilion, Carmel, Indiana; this special event will honor
distinguished leaders committed to the health and wellness of older adults.
Our Distinguished Honorees:
Michael Chittenden, President St. Vincent Carmel Hospital
Drs. Patrick and Diane W. Healey Co- Medical director(s) of the St. Vincent Hospital Institute
on Aging /Center for Healthy Aging Specializing in Geriatrics Geriatric Internal Medicine
On Saturday, April 26 th 2008 please join us as we honor local pioneers who have dedicated their
careers to making a difference in the lives of people. We are pleased to recognize the long legacy of
service that has fostered health and wellness for older adults, in addition to providing optimal wellness
and empowered independent living for the many individuals we collectively serve.
2008 Sponsorship Levels
$7,500 Titanium Presenting Sponsor $3,500 Gold Sponsor
Corporate listing on all media/event materials 12 individual dinner /auction tickets
4 seats VIP Preferred Seating Half -Page ad in program
2 priority tables of 8 Dinner /Auction Event Group Sponsor Signage
Premier full page ad in program Logo Identification on website
Prominent Event Signage 1 time Newsletter Recognition
1 Qtr. (3 issues) Newsletter Recognition Media Acknowledgement
1 Year Linkage to event sponsor website
Media Acknowledgement
Materials on -site at PLE (1 Qtr.)
$5,000 Plantinum Sponsor $2,500 Silver Sponsor
2 seats VIP Preferred Seating 1 table of 8 dinner /auction tickets
2 priority tables of 8 Dinner /Auction Quarter -Page ad in program
Full page ad in program Event Group Sponsor Signage
Event Table -Top Signage Entry /Exit Event Signage
1 time Newsletter Ad Recognition
Logo Identification on Website $1,500 Bronze Partner
Media Acknowledgement 1 table of 8 dinner /auction tickets
Business Card Ad in Program
$1,000 Corporate Table
1 table of 8 dinner /auction tickets
sProgram Acknowledgement
Auction Donations
Donations are needed for both the live and silent auctions at the recognition banquet. PrimeLife
Enrichment, Inc. would not be a success without your help; auction contributions that support our
efforts to enhance the independence of those we serve are greatly appreciated.
Monetary Contributions Tickets to Sporting Events Golf Packages Trips
Vacation /Condo weekends Sports memorabilia Private Flying Lessons Air Fare
Spa Packages Restaurant Certificates Wine Packages
Private Cooking Lessons Jewelry Concert Tickets
i
PrescrOzd by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
PrimeLife Enrichment, Inc. 501 (c)3 Tax ID Purchase Order No.
Life's a Journey
Terms
Prtmetife Enrichment,
1078 Third Avenue SW
Date Due
Carmel 1N 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/2008 Letter 2008 Special Event/Sponsorship PrimeLife Enrichment $1,000.00
Inc. Corporate table for 8 Event April 26, 2008
The Irsay Charity Pavilion in Carmel IN
Total $1,000.00
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
.PrimeLife Enrichment, Inc. 501(c)3 Tax ID#
TA f I G n .Tnurnpy IN SUM OF
PrimeLife Enrichment, Inc.
1078 Third Avenue SW
CnrmPl TN 46n19
1,000.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor's 4359003
Festival /Community Events
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
L etter —.4359003 1000.00 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
20
Si
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund