240663 01/07/15 cnq .
CITY OF CARMEL, INDIANA VENDOR: 365814
q,
(� ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $*****1,493.57
as CARMEL, INDIANA 46032 8200 HAVERSTICK ROAD,SUITE 260 CHECK NUMBER: 240663
oN o. INDIANAPOLIS IN 46240 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4345000 37221 1,493.57 PRINTING (NOT OFFICE
P'C ED
DEC 17 2014
8200 Haverstick Road, Suite 260— Indianapolis, Indiana 46240 BY:
Phone: (317)254-8668 Fax: (317)254-0801
I
12/16/2014 37221
BILL TO SHIP TO
Carmel Clay Parks & Recreation Carmel"Clay Parks &.Recreation
Administrative Offices Monon Community Center
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Ben Johnson
I
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3�788446vyNet 20. JC 122/�1�2//�201144 120y5�y1y,44 MYfT'i
1:.:.(n71:lUUU U UUL'SIlJ 0 L!'.1�.JL"JI.1'LIYUU.�.tlil Lrll�Y1�11� W�u .
1 09 Camp Series Guide Books 1,467.13 Lot 1,467.13
Quantity: 2500
1 99 Freight 26.44 lot 26.44
'l/VtYV U V L4Y4/
37?4�0 F
TL/
Thank you for your business Total $1,493.57
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365814 Diversified Business Systems, Inc. Terms
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/16/14 37221 Summer Camp Series 2015 Guide 37846 $ 1,493.57
t
Total $ 1,493.57
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.
365814 Diversified Business Systems, Inc. Allowed 20
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
In Sum of$
$ 1,493.57
ON ACCOUNT OF APPROPRIATION FOR
1Dg E5 C
PO#orBoard Members
INVOICE NO. ACCT WTITLE AMOUNT
Dept#
1082-99 37221 4345000 $ 1,493.57 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
January 2, 2015
Signature
$ 1,493.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund