247478 07/15/15 �_CAA .
y ';% CITY OF CARMEL, INDIANA VENDOR: 00350519
j;/® I ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECK AMOUNT: S""""""'174.40*
i° CARMEL, INDIANA 46032 4026 WEST 10TH STREET CHECK NUMBER: 247478
<;,,.,,.� INDIANAPOLIS IN 46222 CHECK DATE: 07/15/15
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 S5040449011 174.40 OTHER CONT SERVICES
0 Shirley Engraving Co. ���®0��
4026 West 10th Street
Indianapolis, IN 46222
F:-.7 ,70 Phone: 888.955.PRINT
S"IF7LEv
ENGRAV/NGCO.INC Fax: 317.685.2524 Invoice # S5040449011
Web: www.shirleyengraving.com Invoice Date 04/27/15
Date Shipped 04/26/15
Ship Via Best Way
City of Carmel/Mayor's Office Salesperson DJ Margason
Mayor's Office Terms Net 30 Days
One Civic Square P.O. Number
Carmel, IN 46032
Job Number S5040449
Quantity Description Unit Price -UM Amount
250 Business Cards 165.000000 Lot 165.00
Subtotal 165.00
Sales Tax 0.00
Freight 9.40
-- 1
Total Due 174.40
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Adel Fr.,rAyin9 �� Purchase Order No.
�1 zG W. I& 'l f• Terms
141 115 b ` Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) —7
JL
— /T;
pJC!
Total
I 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
IN SUM OF $
+026 V 1U�' 5-t,
ON ACCOUNT OF APPROPRIATION FOR
i J/1435NOO
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
174,44) 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 �
Sig tur
tiA7 TZ
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund