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304132 10/10/16 a°�-4�qb '�/ \ CITY OF CARMEL, INDIANA VENDOR: 00350519 j ® t 1 ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECK AMOUNT: $*******174.86* s. ,_� CARMEL, INDIANA 46032 4026 WEST 10TH STREET CHECK NUMBER: 304132 a,;,__,_ INDIANAPOLIS IN 46222 CHECK DATE: 10/10/16 t �rON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4350900 S6080570011 174.86 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SHIRLEY ENGRAVING CO INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 4026 WEST 10TH STREET IN SUM OF$ 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. $174.86 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Redevelopment Department 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 S6080570011 43-509.00 $174.86 1 hereby certify that the attached invoice(s),or 8/29/16 S6080570011 Business cards for Michael Frischkom $174.86 1801 101 1801 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, October 03,2016 Come Meyer 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer . Shirley Engraving Co. -- 4026 West 10th Street �- Indianapolis, IN 46222: . -- Phone:888.955.PRINT : SH/RLEY ENGHAV/NGCO.,�C. Fax: 317:685.2524 Invoice.* 56080570011 Web: www.Shlrleyehgraving.com Invoice Date 8/29/16 Date Shipped : 8/25/16 .. Ship Via,: UPS Ground: City of Carmel /Redevelopment Comm.. Salesperson - DJ.Margason_' 30.West_Main Street,;Suite 220 0 Days Terms - Net 3 -Carmel;-IN 46032 . - P.O. •Number:. Mike•Lee . Job Number S6080570, �. Quantity DescriptionUnit:Price. UM Amount 250_ Thermo_Business Card ::Business Cards--Frischkorn $165.00: $165.00. Subtotal $165:00 . Sales Tax $0.00 Freight :$9.86- .. $9.86-.. . TofaI: Due $174.86