252598 12/15/15 0a°�Sway
�/ �F. CITY OF CARMEL, INDIANA VENDOR: 365814
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $****15,067.17*
%?� CARMEL, INDIANA 46032 8200 HAVERSTICK ROAD,SUITE 260 CHECK NUMBER: 252598
9M�TON INDIANAPOLIS IN 46240 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4345000 38795 14,201.00 PRINTING (NOT OFFICE
1092 4239039 38816 866.17 GENERAL PROGRAM SUPPL
DEC -- 7 201-
8200 Haverstick Road, Suite 260—Indianapolis, Indiana 46240
Phone: (317)254-8668 Fax: (317)254-0801
' O�ooc�a
712173/20715r38816
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
Cannel, IN 46032 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Shauna Lewallen
7 ;L*V�I TERMS REP SHIP DATE PROJECT PO#
39264 Net 20. JC 12/2/2015 UPs 113715
QUANTITY ITEM . . OF
MEASUREI AMOUNT
Welcome Packets
1 09 Guest Passes - 5 Up 473.00 Lot 473.00
Quantity: 1000
1 09 Reward Cards 374.00 Lot 374.00
Quantity: 1000
9 .
1 99 19.17 Lot 19.17
sM'ti:.,:'vsi'c.d'i
E�
it
Thank you for your business Total $866.17
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8200 Haverstick Road, Suite 260—Indianapolis, Indiana 46240
Phone: (317)254-8668 Fax: (317)254-0801
OG�ODGL� ' '
11/30/2015 38795
BILL TO SHIP TO
Carmel Clay Parks & Recreation Post Office
Administrative Offices R-ECEIVI�D
1411 E. 116th Street
DEC - 4 2015
Carmel, IN 46032
Attn: Paula Schlemmer BY:
CUSTOMER PO# TERMS SHIP DATE PROJECT • .
37840 Net 20. JC us Maii 110315
QUANTITY ITEM CODE DESCRIPTION PRICE UN IT OF AMOUNT
MEASURE
1 09 Escape Guides- Winter/Spring 2016 12,621.00 lot 12,621.00
Quantity: 45,000
1 98 Alterations to 12 pages 120.00 lot 120.00
1 09 Escape Guide Postcards 1,460.00 lot 1,460.00
Quantity: 15,500
/ 'xiIs
r
Thank you for your business Total $14,201.00
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.
S:e
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
12/3/15 38816 MCC Welcome Packet Reprint 39264 $ 866.17
11/30/15 38795 Escape Guide/Postcards Winter/Spring 2016 37840 $ 14,201.00
Total $ 15,067.17
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC5-11-10-1.6
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$
$ 15,067.17
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#rrITLE AMOUNT Board Members
Dept#
1092 38816 4239039 $ 866.17 1 hereby certify that the attached invoice(s), or
1091 38795 4345000 $ 14,201.00 bill(s)is(are)true and correct and that the
i
materials or services itemized thereon for
which charge is made were ordered and
received except
I
December 10, 2015
t
'P t
iSignature
$ 15,067.17 ti Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund