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CITY OF CARMEL, INDIANA VENDOR: 00350519
® it ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECK AMOUNT: $"""*609.00"
CARMEL, INDIANA 46032 4026 WEST 10TH STREET CHECK NUMBER: 252784
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',yt�N�;r INDIANAPOLIS IN 46222 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4230100 S5110947011 609.00 STATIONARY & PRNTD MA
Shirley Engraving Co.
_- 4026 West 10th Street 2' INVOICE
Indianapolis, IN 46222
SH/RLEV Phone: 888.955.PRINT
ENGHAV/NGCO.,INC Fax: 317.685.2524 Invoice # S5110947011
Web: www.shirleyengraving.com Invoice Date 12/9/15
Date Shipped 12/4/15
Ship Via Priority Truck
City of Carmel/Dept. of Human Resources Salesperson DJ Margason
Department of Human Resources Terms Net 30 Days
One Civic Square
Carmel, IN 46032 P.O. Number
Job Number S5110947
Quantity Description Unit Price:-., UM -'Amount.:--
500 10x13 Catalog Envelope $209.00 $209.00
1.000 9x12 Catalog Envelope $252.00 $252.00
500 #10 Regular Envelopes ,$148.00 $148.00
Submitted To
DEC 14 2015
Clerk Treasurer
ry Subtotal $609.00
n
Sales Tax $0.00
IN
Total Due1 $609.00
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
12/09/15 S5110947011 $609.00
1205 101
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
SHIRLEY ENGRAVING CO INC
4026 WEST 10TH STREET
IN SUM OF $
INDIANAPOLIS, IN 46222
$609.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT
Board Members
S5110947011 I 42-301.00 I $609.00 1 hereby certify that the attached invoice(s), or
1205 101
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
Monday, December 14, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund