HomeMy WebLinkAbout210317 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350802 Page 1 of 1
ONE CIVIC SQUARE D.A.R.E. INDIANA, INC
CARMEL, INDIANA 46032 10293 N MERIDIAN ST SUITE 175 CHECK AMOUNT: $250.00
INDIANAPOLIS IN 46290 CHECK NUMBER: 210317
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 913 250.00 OTHER EXPENSES
D.A.R.E. Indiana, Inc.
10293 N Meridian Street, Suite 175 invoice
r L. Indianapolis, IN 46290 DATE INVOICE NO.
"4r Telephone Tele hone 317
P 816.1615
Fax (317) 816.1633 6/6/2012 913
BILL TO
Carmel Police Department
Attention: James Barlow
3 Civic Square
Carmel, IN 46032
TERMS
Due Upon Receipt
DESCRIPTION QUANTITY RATE AMOUNT
D.A.R.E. Indiana Golf Tournament 1 500.00 500.00
June 25, 2012 Prairie View Golf Course
Foursome Law Enforcement Flight
Total $500.00
Baas -z�ao
CARMEL FOP 185 za 149
3 CIVIC SQUARE
CARMEL, IN 46032 -2584
Q
AR vi of Try l7rA!`�� 1 Z��
M &I Marshall Ilsley Bank
:T4 a43
4/_ (26i,F Ounce b
lw
1; 2740704391: D230011 1 211 0 h494
C 4 ®,Jlr Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26196
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, Al
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/13/2092
DARE Indiana, Inc. Carmen Police Department
VENDOFraoIf TOUmament 2010 SHIP 3 Civic Sq
TO
10203 North Meridian Street, Suite 175 Carmel, IN 46032
Indianapolis, IN 3 (317) 671-2%9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
,Account 00 -M2.00
1 Each golf outing $250.00 $250.00
Sub Total: $250.00
EI
r 6 e
e
k s
ca
g rn e
qq
a
a`:6 a
L
N
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 4603- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PR OJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $M
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOU ER AND EVERY INVOICE AND
VOUCHER HAS T OPER SW AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER AT TH IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPRO IA S ICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. p
of
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A Of P olice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 61 6 6 VENDOR COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
DARE Indiana, Inc.
Golf Tournament 2010
IN SUM OF
10293 North Meridian Street, Suite 175
Indianapolis, IN 46290
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26196 I 913 I 852.00 I $250.00 1 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
Wednesday, June 27, 2012
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))
06/06/12 913 golf outing $250.00
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