233122 05/28/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350519
ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECKAMOUNT: $********65.00*
CARMEL, INDIANA 46032 4026 WEST 10TH STREET CHECK NUMBER: 233122
INDIANAPOLIS IN 46222 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 S4030837011 65.00 OTHER CONT SERVICES
ShirleyEngraving Co.
-- 4026 West 10th Street INVOICE
®� Indianapolis, IN 46222
S'H/RLEY Phone: 888.955.PRINT
ENGRAM/NG CO.INC Fax: 317.685.2524 Invoice # S4030837011
Web: www.shirleyengraving.com Invoice Date 04/22/14
Date Shipped
Ship Via Best Way
City of Carmel/Redevelopment Comm. Salesperson DJ Margason
Matt Worthley Terms Net 30 Days
30 West Main Street, Suite 220
Carmel, IN 46032 P.O. Number
Job Number S4030837
Quan'ity Description '." Unit Price .'UM Amount
1 artwork 65.000000 Lot 65.00
Subtotal 65.00
Sales Tax 0.00
Total Due 65.00
Customer Code: CITR01
Invoice Number: S4030837011
Invoice Date : 04/22/2014
Invoice Amount: $ 65.00
Amount Paid
Remit To: Remitter:
Priority Press City of Carmel/Redevelopment Comm.
4026 W. 10th Street Matt Worthley
Indianapolis , IN 46222 30 West Main Street, Suite 220
Carmel, IN 46032
Page 1 of 1
Prescribed by State Board of Accounts City Forth 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 Co7 A j r I=11��-;n9 ( //0,-; /t Purchase Order No.
402L6 5free_ Terms
unx h f,(Is g62.2-Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
z1=1 ele Aro ac le fferh6S oa
Total
hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
S�1;rle � rJ� Co IN SUM OF
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j�n� b a[•S, Al 46-2-22
�o
ON ACCOUNT OF APPROPRIATION FOR
190114356yo
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
f 0( s 3701 �35dq �S,s0 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
5-23—
t
n ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund