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Home My WebLink About208429 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1 ONE CIVIC SQUARE PRIMELIFE ENRICHMENT, INC CHECK AMOUNT: $1,000.00 CARMEL, INDIANA 46032 1078 THIRD AVE SW o� CARMEL IN 46032 CHECK NUMBER: 208429 CHECK DATE: 4/2512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 1,000.00 CORP SPONSOR PrimeLife Enrichment, Inc. 1078 Third Avenue SW Carmel, IN 46032 (317) 815 -7000 INV ®ICE April 20, 2012 To: City of Carmel Attention: Sharon Kibbe 1 Civic Square Carmel, IN 46032 For: 2012 "Life's A Journey "Fabulous 50's Bash" Banquet Fundraiser "Hep Cat" Corporate Table Sponsor $1,000.00 Total Due $1,000.00 Please make checks payable to PrimeLife Enrichment, Inc. Thank you for your support! L.: F Don be a Drag Make tke J' cene for a east from tke Past Saturday, Ap n 28tk Fabulous FAi a L UCa$ F St&tC.- 1 143 West 1 1 6t6 5t., Carmel +6032 Meet 5 o66y Plum, t sharpshooter who sank the 1954 shot that won the state 6asket6all championship for tiny Milan, and inspired the movie "Hoosiers." Dine in the Ggmnasium av- T ourt h e Cel ebrated Mansion S h op the Silent Auction Support Vital Services for 5eniorsl 6:0o PM C ocktails S ilent Auction 7:00 PM Fa b ulous Fifties east —F ntertainment 9:00 PM Live Auction 9:30 PM 5ilent Auction Check Out r= �l Fifties T11reacls F be Tkere Or E) 59uare DaJJc 9 -0 `A j I wish to purchase tickets at $100 per person Complete Mail To: j I wish to reserve a table (seating 8) for $800 PrimeLife Enrichment I cannot attend, but wish to make a Gift of 1078 Third Avenue SW Carmel, IN 46032 Check to PrimeLife Enrichment enclosed Master Card Visa Credit Card Questions? (317) 815 -7008 x 200 Name of Card Holder sstewart @primelifeenrichment.org Expiration Date Signature Your tickets will be held at the door. All seats will be reserved at tables for eight. If you wish to be seated with friends, please provide names: I 1 L----------------------------------------------- ht 0 C3r&",L E- r Z 1 F, r 3a r 4 w.. k.H "'•4'' ,y 'd .3. c f y 1t a Y's,z i 2 t s ,,,ham v st •k s 3, d r t- ik sp f i 1 W. i Mli 11 p■ m 0 m 0 7 Life's a Journey 2012 "Fabulous Fifties Bash" April 28, 2012 Special Event Sponsorship Commitment Form Please indicate the level at which you will be supporting PrimeLife Enrichment's mission of providing programs and services that promote independence, optimal wellness and socialization for individuals aged 50 and beyond. Classy Chassis Corporate Table $2,500 Big Daddy Corporate Table $1,500 Hep Cat Corporate Table $1,000 Individual Ticket $100 Number of Tickets I /We cannot attend. Please accept our contribution of 1 would like to be included in the Life's a Journey... Program Booklet. Back Cover $500 (offered on a first come /first confirmation basis) Inside Front Cover $600 (offered on a first come /first confirmation basis) Full Page Color Ad $350 ❑Full Page B W Ad $250 1/2 Page Black White Ad $150 Our Ad is included in Sponsorship Pkg. Contact Person (for ad art work/electronic file proof) (Please refer to attached "Advertising Specs for program book A check in the amount of is enclosed. Please make checks payable to PrimeLife Enrichment, Inc. 501(c) 3 Tax ID# 35- 1411017 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) Contact Person (for coordination/table assignments) Address Telephone Email Please list the items to be donated that PrimeLife Enrichment will be able to auction at the 2012 Life's a Journey Event. Use the "Help" checkbox to indicate if you would like us to make arrangements to pick up this item. Item Value Help Item Value Help Questions? (317) 815 -7008 x 200 sstewart @primelifeenrichment.org 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)) 04/20/12 Invoice $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 IN SUM OF 1078 Third Avenue, S.W. Carmel, IN 46032 $1,000.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1203 Invoice 43- 590.03 $1,000.00 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 Saturday, April 21, 2012 Community Relations Title Cost distribution ledger classification if claim paid motor vehicle highway fund