HomeMy WebLinkAbout221010 06/18/2013 CITY OF CARMEL 1 INDIANA VENDOR: 00350802 Page 1 of 1
ONE CIVIC SQUARE D.A.R.E.INDIANA,INC
` a CARMEL, INDIANA 46032 10293 N MERIDIAN ST SUITE 175 CHECK AMOUNT: $500.00
INDIANAPOLIS IN 46290 CHECK NUMBER: 221010
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 25745 950 500 . 00 GOLF OUTING
D.A.R.E. Indiana, Inc.
10293 N Meridian Street, Suite 175 Invoice
R 0` Indianapolis, IN 46290 DATE INVOICE NO.
10 . `PNP,�"0'® Telephone (317) 816.1615
`® 50% Fax (317) 816.1633 5/28/2013 950
BILL TO
Carmel Police Department
Attention: James Barlow
3 Civic Square
Carmel, IN 46032
I
TERMS
Due Upon Receipt
DESCRIPTION QUANTITY RATE AMOUNT
D.A.R.E. Indiana Golf Tournament 1 500.00 500.00
June 3, 2013 -Prairie View Golf Course
Foursome-Law Enforcement Flight
} Purchase Order#25745
Total $500.00
INDIANA RETAIL TAX EXEMPT PAGE
Cily Carmel CERTIFICATE NO.003120155 002 0 of PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 'A7A#i
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
SNOW
DARE Indiana, Inc. Carmel Police Depafinlont
VENDOR12olf Tournamorit 2016 SHIP 3 Citric squaro
TO
10293 North Maddlan Stroot, Sulte 175 Carmel, IN 46032
Indianwolis, IN 46M 13M 671.2%3
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
! QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-02.00
9 Each golf outing $500.00 $500.00
Sub Total: $500.00
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Send Invoice To: r
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'
Carmel Polico Department
Attu: Teresa ANdorfion
3 Citric Square
Camel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ,. ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Irma@ Police Dad. PAYMENT MM.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
' NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
e'
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS •1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ---- ' --
SHIPPING LABELS. �"�,A
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE'`,_ t- y Cl91of of Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
J §. CLERK-TREASURER
OCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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,----______
20
Signature
--- -----------..--.... .......-..------.... ------ -------- 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))
05/28/13 950 golf outing $500.00
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.
ALLOWED 20
DARE Indiana, Inc.
Golf Tournament 2010 IN SUM OF $
10293 North Meridian Street, Suite 175
Indianapolis, IN 46290
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25745 I 950 I -852.00 I $500.00 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
Friday, June 14, 2013
X�
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund