228903 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 355724 Page 1 of 1
ONE CIVIC SQUARE ADDRESS ART CHECK AMOUNT: $355.70
ro CARMEL, INDIANA 46032 PO BOX 90018
INDIANAPOLIS IN 46290 CHECK NUMBER: 228903
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 0446014—IN 355 . 70 REPAIR PARTS
INVOICE INVOICE NUMBER: 0446014-IN
1� INVOICE DATE: 01/31/2014
C�
P.O. Box 8092
Greenwood, IN 46142
ART (3 17)254-1508
Q� (888)900-1508
www.addressart.com
ACCT.NO.: AR5370 JOB SITE: Mailboxes
SOLD TO: Carmel Street Department
3400 W. 131 st St.
Carmel, IN 46074
PURCHASE ORDER:
CONTACT:
TERMS: NET 30
DESCRIPTION AMOUNT
Materials-Proposal#261903 147.00
Discount 7.40-
Large T3 Address Art mailbox with beige graphics
Materials-Proposal#261901 90.00
Discount 13.50-
Large T3 Address Art mailbox with pear gray graphics
Materials-Proposal#261900 147.00
Discount 7.40-
Large T3 Address Art mailbox with putty graphics
Invoice Total: 355.70
PURCHASER AGREES that by its act of making payment for this invoice that ADDRESS ART does not owe any ongoing duty of care to third parties for risk of injury resulting from any planned
work performed,that all work was fully and satisfactory completed,and is accepted"AS IS". ADDRESS ART disclaims and limits any implied or expressed warranties for any planned/agreed work
performed to the fullest extent allowed by law.The PURCHASER GUARANTEES that they and their insurer(s)will INSURE,INDEMNIFY,DEFEND,AND HOLD HARMLESS ADDRESS ART
regardless of any fault ADDRESS ART may have for any claims of personal injury or property damage made by either the PURCHASER or any third party.ADDRESS ART shall be entitled to recover
its reasonable legal costs,expenses,and attorney's fees incurred in enforcing any covenant,term,or condition of the contract created by acceptance of air proposal.In addition,purchaser agrees to pay
1'/percent per month(18%annual)service charge on unpaid balance after 30 days thereafter.
Thank You For Your Business
VOUCHER NO. WARRANT NO.
ALLOWED 20
Address Art
IN SUM OF $
P.O. Box 8092
Greenwood, IN 46142
$355.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT _ Board Members
2201 { 0446014-IN I 42-370.001 $355.70 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
a
jp'day/ U br a 0 , 2014
Strt�F�u�WriTt�i�iatQner
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))
01/31/14 0446014-1 N $355.70
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