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250726 10/21/15 u"C4NN CITY OF CARMEL, INDIANA VENDOR: 00350359 ONE CIVIC SQUARE INDIANAPOLIS BUSINESS JOURNAL CHECK AMOUNT: $***"***850.00* CARMEL, INDIANA 46032 41 E.WASHINGTON,SUITE 200 CHECK NUMBER: 250726 INDIANAPOLIS IN 46204 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4346500 91430445 850.00 CITY PROMOTION ADVERT Invoice# 91430445 1 B J Invoice Date 09/22/2015 Customer City of Carmel,ID. 5668 IBJ Media Payment Terms Net 30 41 East Washington Street,Suite 200 Due Date 10/22/2015 Indianapolis,IN 46204 Tearsheet BILLING ADDRESS ADVERTISER Nancy Heck City of Carmel,ID: 5668 City of Carmel Square One Civic S One Civic Square Carmel, IN 46032 Carmel,IN 46032-0000 27505-30200 Indianapolis Covers&Special Business Care Breast Business Journal Placement 10/05/15 Cancer Logo 1 $850.00 $850.00 Message: Subtotal $850.00 Tax $0.00 Thank you for your business! IBJ Media Tax ID Number 35-1814931 Payments&Credits $0.00 C� BALANCE DUE $850.00 AJ Vo,, -�s ► �{� C�S�o ------------------------------------ ---- --------- -------- REMITTANCE STUB TO IBJ MEDIA Invoice# 91430445 Indianapolis Business Journal Date 09/22/2015 Customer ID I ID:5668,City of Carmel Amount Enclosed: 1 -0$ E60 Make Checks Payable to: IBJ Media IBJ Media PHONE (317)634-6200 41 East Washington Street,Suite 200 FAX (317)263-5060 Credit Card information Indianapolis,IN 46204 Master Card Visa American Express Name on card: Credit Card Number: Exp. Date: Security Code: Card Holder Signature: Amount to charge: 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)) 09/22/15 91430445 $850.00 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 20Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IBJ Media IN SUM OF $ 41 East Washington Street, Suite 200 Indianapolis, IN 46204 $850.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 I 91430445 I 43-465.00 I $850.00 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 received except Sunday, October 18,2015 r Director, Community Relations/Economic Development Title Cost distribution ledger classification if claim paid motor vehicle highway fund