303013 09/12/16 s C�„
CITY OF CARMEL, INDIANA VENDOR: 00350519
e ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECK AMOUNT: $*******130.88*
CARMEL, INDIANA 46032 4026 WEST 10TH STREET CHECK NUMBER: 303013
INDIANAPOLIS IN 46222 CHECK DATE: 09/12/16
r TpN�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4230200 S6081042011 130.88 OFFICE SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
SHIRLEY ENGRAVING CO INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4026 WEST 10TH STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46222 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$130.88 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Mayor's Office Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
S6081042011 42-302.00 $130.88 I hereby certify that the attached invoice(s),or 9/6/16 S6081042011 $130.88
1160 101 1160 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
Wednesday,September 07,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Shirley Engraving Co. INVOICE
-- 4026 West 10th Street
Indianapolis, IN 46222
.SH/RLEY Phone: 888.955.PRINT
ENGHAV/NGCO.,INC. Fax: 31.7.685.2524 Invoice # S6081042011
Web: www.shirleyengraving.com Invoice Date 9/6/16
Date Shipped 9/1/16
Ship Via UPS Ground
City of Carmel/Mayor's Office Salesperson DJ Margason
Mayor's Office Terms Net 30 Days
One Civic Square
Carmel, IN 46032 P.O. Number
Job Number S6081042
f Quantity Description Unit Price UM Amount
3 Self Inking Stamps $120.00 $120.00
Subtotal $120.00
Sales Tax $0.00
Freight $10.88
Total Due $130.88
------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------
-- Delivery Receipt
Shirley Engraving Co.
-- 4026 West 10th Street
Indianapolis, IN 46222
ENGRAurNc co,PVC.. Phone: 888.955.PRINT
Fax: 317.685.2524
Web:www.shirleyengraving.com
Ship To: Customer Ide: CITMO7
Job Nu er: S6081042
City of Carmel/Mayor's Office i
Mayor's Office Shipment Nu` er: 61468
One Civic Square Shipment i ite: 09/01/2016 4:00 Pm
Carmel, IN 46032 Shy lia: UPS -Ground
ATTN:Sharon Kibbe
(317) 571-2401 customs, o
Salespii on: DJ Margason
R: Sherri Leeper
Notes:
I
Job Description: Self Inking Stamp
No.of Cartons Carton Qty Total Qty Notes
1 3 3
3 Job: Self Inking Stamp
1 3 Total Shipped
i
Shipped By: dimargason
The above items have been received in good condition.
RECEIVED: By: Dai
02/8/13:pace/publicfobcontrolfjobcontrol-delivery-receipt.rpt Pace Systems Group,Inc.