HomeMy WebLinkAbout221584 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 361540 Page 1 of 1
ONE CIVIC SQUARE JAKE LAIRD GOLF OUTING CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 20491 COUNTRY PINE COURT
NOBLESVILLE IN 46062 CHECK NUMBER: 221584
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 500 . 00 OTHER EXPENSES
INVOICE
June 26, 2013
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Golf Outing $500.00
TOTAL AMOUNT DUE: $500.00
Please make check payable to:
Jake Laird Golf Outing
20491 Country Pine Court
Noblesville, IN 46062
4 INDIANA RETAIL TAX EXEMPT PAGE
o f .;Q arm( l CERTIFICATE NO.003120155 002 0��// � ��// �1.� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2m i
35-60000972
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
6W220,13
Jake Laird Golf Outing Carmel Police Department
VENDOR SHIP 3 CIVIC squam
aa����ppryry �y �g pl TO �a �y g�yt31p}}
20491 Country Pine}Court Cw-mol, IN �L
Noblosville, IN 4 (317)574d2569
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION �
Account 00-M.00
1 Each golf outing $500.00 $500.00
Sub Total: $500.00
>r
i
......
Send Invoice To: Lim
Cafinel Pollee Department
I
Arta: Temsa'Anderson
Carrel, IN 4Md PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
rmel Police Dept. -PAYMENT $500.00
l • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
! NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. p.
THIS ORDER ISSUED IN COMPLIANCE C WITH CHAPTER 99,ACTS 1945 TITLE of of Pollee
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
i CLERK-TREASURER
OCUMENT CONTROL NO. A•P COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. -
ALLOWED 20
__—__-- IN THE SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#ITITLE AMOUNT
DEPT.# 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_
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))
06/26/13 golf outing $500.00
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
Jake Laird Golf Outing
IN SUM OF $
20491 Country Pine Court
Noblesville, IN 46062
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
-852.00 $500.00
I hereby certify that the attached invoice(s), or
2 I I
QG bill(s) is (are) true and correct and that the
U J� materials or services itemized thereon for
which charge is made were ordered and
received except
Wednes ay, June 26, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund