248302 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 365814
(9,
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $""13,370.00`
CARMEL, INDIANA 46032 8200 HAVERSTICK ROAD,SUITE 260 CHECK NUMBER: 248302
INDIANAPOLIS IN 46240 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4345000 38154 13,370.00 PRINTING NOT OFFICE
FUL
0158200 Haverstick Road, Suite 260— Indianapolis, Indiana 46240Phone: (317)254-8668 Fax: (317)254-0801
A •
7/21/2015 38154
BILL TO SHIP TO
Carmel Clay Parks & Recreation Post Office
Administrative Offices
1411 E. 116th Street
Carmel, IN 46032
Attn: Paula Schlemmer
ATE PROJECT PO#
CUSTOMER PO# TERMS REP SHIP D VIA
37840 Net 20. JC 062915
QUANTITY ITEMCODE DESCRIPTION
1 09 Escape Guides- Fall 2015 11,790.00 lot 11,790.00
Quantity: 45,000
1 98 Alterations to 18 pages 120.00 lot 120.00
1 . 09 Escape Guide Postcards 1,460.00 lot 1,460.00
Quantity: 15,500
.l
tt f,y-s
Thank you for your business Total $13,370.00
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AccouhMoltle'rAccount.Numger 1;9639.:.:
Agcouht Holdet Perrriit Numtier :: $365
Accburit Flolder PerrnitT PI
Acc?ountRbIder CRID 258.5484=:`. .
.1?o toffice.of:Permrt_ Cndiana'olis,IN•462064998-
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Post'Qffice of PermitCost Cerker 17A037;;A988 V
PosfOffice OfaVladin >Cost:Genter :174037-0988.. ;
Maili'n 'A"'enf CMD f 2585484
M.ai[Owrier Name. Morion Communi Center
Mail Owaer GRID 17 t9592
JOB 113-
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Customer Reference ID.,4-, .: 19639, a
CAP&Ttansaction Nurrlber- 101;5070.914352400M7
Class of.Mail. StantlaFtlMail •
Prcdesslri Cate o Letters
P-psta e_SYateinenf9D.-. 1:58060fi4
.MailiFl` Grog :ID 151471:$75 .
Mailer's Mai in' Date. 07/07/2015.
_. .
TotaFPieces ...... - 45:484 cs
VifeiA:0125 lbs.
Total'Weight '... :.._.. 193:5509
lbs: .
Totai`Number:of ontainers 27
Total Ad Lfsted Posta $ $'2.428.59
Pa .rrrenYDate i d.Time =07/09/2015 15:35
=Pa mQnfTransaction Number: ,201519014352362M1
Ad ustment Transaction 1►luinber.
Mailer:Fi ores Ad usted� No
Person.ituth'oritin-.adjustment
Name
Phone Nurnbef .
Ac tarice Site.Mailer for
Cleik Initials ",CSL.
Wit ArrivaFDate anilT�me =: 07/09120151"..1
United States Postal Service Z m
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Postage.Statement,:'. ,&91.
Transaction Number. CAPS rransacti9nNymber: Pasta eStetemantNun113ar �{ 03,
201519006220895 M7
3 Mailing Group ID MaOng Doti Numbor.
Open:Date
2 152088888 00028881 . 07 09=2D15
origin .: Cfose Date
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Mail Oat
M Job Description
Escape Guide
Permit Holder's Name end Address and Emaii'Address if Any Norte ar7tl AddresBofMaillmgAgent NarreandAddress of Iridividoal or
(Ifoil7ortkah older):.- Organizallon for Which,Maiting is Prepared
(If other.than permrl Bolder)
DIVERSIFIED BUSiNESS SYSTEM$
_ - ----- __ - -- —— _ INC
8.200 HAVER8TI0 RD STE 260 '
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CRID 4795654 INDIANAP.OLIS,'IN 46240-4387
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CAPS Customer Ref.No:'Escepe Guide SV11S CRID:12876749
7.
CRID:4795654
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Post Office of Mailing. Processing Category , Mailer's Maiiing,Date Federal Agency Cost Code Statementseq No No&Type of Coritamer�
6ERNE:IN 46711-9998 Flats d 07/0.9/15
Type of Postage SSF Transaction# y Total#of Pieces in SaCks:'0
Permit Impi7nt. 0 Mailing 1 ft Letter Trays:0
37,287 21.Letter Trays.:0
eight of a Single r Combinetl Mailing Total Weight :EMM.,Lett. Trays:0
V. Flat Trays 0
pisco 6804.87751b5. pallets:?
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. . flA825 abs
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For AutornationrRate Pieces,Enter Date For Carrier Route Pieces;;Enter Date' For -Carrier Route.Piebes Entar.Date of : For PiecesEeanng a Simpifiad'Address Enter
of Address;Matchingand.Coding of Address.Matchmgrandcodng CamerRouteSequericing: Dae
03215
03/02/15 03/02/15 of oehvery;Stabstics Eire orAltemative Method
Move U ate'Method:
Altemative-Address Format
This is a Politicat Campaign Mailing this is Official Election Mad [:JLetter side or flat mallpiec@,contains:'.
No No
DVD/CD.or o}hertiisc
Parts Com leted'1`
r tflsWt 6.. CJ:l P .sta Aarts totals — $6,2T3 11
N Complete tt Qni mailing Includes places bearing me[etedlPG Postai dr
0 precanceledstamps.
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pCS x$ Postage:Affixetl 0 00
iL Rate at Which:Postage,iffixed'(Checkone)
Correct:.Lowest Neither
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ancentivelDlseount $0.00
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fMet has#a e'Dle
$8,273.81
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p Incentive7Dis6ount Claimed:NIA Type of Fee NIA
The mailer certifies.acceptance of liability for and agreementtg pay a4y revenuCIS ecdeficiencies assessed on his;mailing,subject to appeal if an agent certifies that
v he or'she is authorized,on behalf of the mailer then that rnai).atls bound by the:Certification and'agI ees to pay;any,,deficiencies.'In addition,,agents:rrlay be liable>for
any deficiencles:resulting from matters within theirresponsibility,knowledge,tarcontroh7he mailer hereby-certifies that ail information furnished on:jhis form is
a) accuratei truthful,and complete;that the mail and the su pottln doer fnentation comply'with all pi stat standards and that the maim qualifiesfprthe pncesand
P p 9 9
U fees claimed;and that the mailing does not contain tiny matter prohibited by aiwI r postal[egulation:l understand that anyone wNo famishes false or misleading
information:on this form or who omits information requested on this fortnmay be-'subject tocrimmalarad)or civil penalties,including fines antl tmpnsonment
lPrivacy.Notice:For information regarding our Privacy—,policy visit ;U? com'.
This postage -10 and accepted undetFte PostalOnel Pogrom N.o postal signature qr round:staRip is.required.
PS Folin.36OZ-R May 2015 (Page 1 of 2j
Part F
Carrier Route Flats _
Flats EDDM 3.3 oz(0:2063.lbs)dt:less
Entry Price Price No of Places Subtotal Stage: Discount Total Fee Total- TotaU Postage
Category
F23 None Saturation $0.215 5,59$ . $1;203.5700 . $0:0000 $0:0000 $1,203:5700
F35 DDU Saturation $0.160' 31"P $5;070.2400 $0:0000 $060000 $5,070.2400
F77 Part F Total(Add lines.F1=F76) $6 273:81;
`Full Service Intelligent Mail Option not available
May contain both Full Service Intelligent Mail and other.discounts
ti
This postage-.statement was verified and accepted under the PostalOnel program,)SIo postal;signature or rbund-stamp,ls required.
PS Form 3602-R May 2015 (Page 2 of 2)
I
o. Warrant No.
4 Diversified Business Systems, Inc. Allowed 20
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
)I In Sum of$
$ 13,370.00
1
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
l
PO#or INVOICE NO.FAi4.q;n
CT E
TL AMOUNT Board Members
Dept#
1091 38154 00 $ 13,370.00 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
i� received except
t
August 6, 2015
'I
Signature
$ 13,370.00 Accounts Payable Coordinator
Cost distribution ledger classification if _ Title
claim paid motor vehicle highway fund
E VOUCHER
NNWCARMEL
iind of service, where performed, dates service rendered, by
r hour, number of units, price per unit, etc.
0
Purchase Order No.
(versified 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
7/21/15 38154 Fall 2015 Escape Guide&Postcards 37840 $ 13,370.00
I
Total $ 13,370.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20—
Clerk-Treasurer