HomeMy WebLinkAbout176900 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 359262 Page 1 of 1
ONE CIVIC SQUARE PREVAIL, INC OF HAMILTON COUNTY CHECK AMOUNT: $1,000.00
CARMEL, INDIANA 46032 C/O SUE HACKER NELSON
o 1100 S 9TH STREET SUITE 100 CHECK NUMBER: 176900
NOBLESVILLE IN 46060
CHECK DATE: 912/2009
DEPARTM ACCOU PO NU MBER INVOICE NUM AMOUNT DESCRIPTION
1160 4359003 1,000.00 FESTIVAL /COMMUNITY EV
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PROCEEDS FROM TICKET SALES, AUCTION ITEMS, AND
NAME OFBUS lNFSS DONATIONS WILL SUPPORT PREVAICS'LOCAL PROGRAMS
AND SERVICES.
STREET 3
AD DRESS
CITY ST ZIP J
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TO PROVIDE ADVOCACY AWARENESS, AND SUPPORT
SERVICES TO VICTIMS OF CRIME AND INDIVIDUALS-AND
CONTACT PERSON PH
i FAMILIES IN CRISIS. ti X
EMAIL
FAX
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I 1 PREVAIL, INC. IS A COMMUNITY- BASED, NOT FOR PROFIT
ORGANIZATION SERVING THE NEEDS OF VICTIMS OF
CRIME AND ABUSE AND THEIR FAMILIES IN HAMILTON
H ECK (PAYABLE TO VREVAI L) INVOICEME h
COUNTY AND SURROUNDING AREAS THROUGH
'y
SUPPORT, ADVOCACY, EDUCATION AND AWARENESS.
0 MASTERCARD 0 VISA
CARD NUMBER
m 24 -HOUR CRISIS INTERVENTION
EXR IMMEDIATE EMOTIONAL SUPPORT FOLLOWING A i i
PRESENTED RIVERVIEW HOSPITAL AND
I i
CRIME. 1
NAME ON CARD RIVERVIEW HOSPITAL MEDICAL STAFF
INSTRUCTION ON ALL PHASES OF THE CRIMINAL
JUSTICE SYSTEM
r N ADVOCACY
SIGNATURE E'ACCESS TO EMERGENCY SHE
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■ASSISTANCE WITH FILING OF A PROTECTIVE ORDERe
COMMUNITY RESOURCE REFERRALSt 'F
D ONATE ME
SUPPORT GROUPS :FOR DOMESTIC VIOLENCEAND_'
TED PLEASE SEND COMPLE
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A'M ON
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NOBLESVILLE. IN 46060
OR EMAI TO: T
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REDS, WHITES &.BLUES
t ,sf�. r BENEFITTING CHA
12156-NORTH MERIDIAN Sl CARMEL
PREVAIL. INC. OF HAMILTON COUNTY
100 S 9TH STREET, SUITE 100
NOBLESVILLE, IN 46060
PHONE: 317.773.6942 6
FAX: 317.776.3448 i
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Prescribed by State'Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
8/30/09 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
Prevail, Inc. of Hamilton County Purchase Order No.
4ffi�: .S, c. 11c,clte IVaj o,_�
1100 S. 9th St., Ste 100 Terms
Noblesville IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/27/0 Stmt Table spbnsorship sponsorship for Reds Whites Blues event $1,000.00
8/30/09
Total 1
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.
8/31/09
ALLOWED 20
Prevail, Inc. of Hamilton County IN SUM OF
1100 S. 9th Street, Ste 100
Noblesville, IN 46060
1,000.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4359003
Festival Community Events
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Stmt 4359003 $1, 000.00 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
7 200
Sign re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund