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173284 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00350802 Page 1 of 1 ONE CIVIC SQUARE D.A.R.E. INDIANA, INC CHECK AMOUNT: $500.00 CARMEL, INDIANA 46032 10293 N MERIDIAN ST SUITE 175 INDIANAPOLIS IN 46290 CHECK NUMBER: 173284 CHECK DATE: 6110/2:009 DEPA RTMEN T ACCOUNT PO NUMB INV OICE NUMBER AMOUNT DESCRIPTION 852 5023990 500.00 OTHER EXPENSES INVOICE Date: June 5, 2009 Sold to: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 D.A.R.E. Indiana 10` Annual Golf Tournament 5500.00 Please make check payable to: D.A.R.E. Indiana, Inc. Golf Tournament 2009 10293 North Meridian, Suite 175 Indianapolis, IN 46290 Prescribed 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 D .A.R.E. Indiana, Inc. Golf Tournament 2009 Purchase Order No. 1 0293 N. Meridian, Suite 175 Terms Indianapolis, IN 46290 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/5/09 a ent for golf outing 500.00 Total 1 hereby certify that the attached invoice(s), or bili(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 D .K.R.E. Indiana, Inc. GOlf Tournament 2009 IN SUM OF 10293 North Meridian, SUite 175 Indianapolis, IN 46290 500.00 ON ACCOUNT OF APPROPRIATION FOR p olice gift fund Board Members INVOICE NO. ACCT #/TITLE AMOUNT DEPT. It I hereby certify that the attached invoice(s), or 852 852 500.00 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 June 5 2009 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund