319709 12/15/17 -
>% CITY OF CARMEL, INDIANA VENDOR: 36581'4
d tj ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $"**16,686.38*
=a CARMEL, INDIANA 46032 8200 HAVERSTICK ROAD,SUITE 260 CHECK NUMBER: 319709
INDIANAPOLIS IN 46240 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4345000 42678 16,686.38 PRINTING .(NOT OFFICE
Voucher No. Warrant No.
365814 Diversified Business Systems, Inc. Allowed 20
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
In Sum of$
$ 16,686.38
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1091 42678 4345000 $ 16,686.38 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
December 14, 2017
PAWM��
Signature
$ 16,686.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
D E C 1011
J`
8200 Ha_gstick Road,_
Suite 260 Indianapolis Indiana 46240
-- d
Phone. (317)254-8668 Fax. (317)254-0801 BY^.............=====j
BILL TO SHIP TO
Carmel Clay Parks & Recreation Post Office
Administrative Offices
1411 E. 116th Street
Carmel, IN 46032
Attn: Paula Schlemmer
I SHIP DATE, I PROJECT - .
40878 Net 20. jC 104717
UNIT OF
QUANTITY ITEM CODE DESCRIPTION PRICE �IWEASURE
1 09 Escape Guides - Winter/Spring 2017 15158.30 Lot 15,158.30
Quantity: 45,000
1 09 Escape Guide Postcards 1,528.08 Lot 1,528.08
Quantity: 15,500
d.j s
T®
Thank you for your business 'to- I�
DEC.0 1011
PS Form 3607R - Mailing Transaction Receipt '"•••••••••••
Account Holder Account Number 599577
Account Holder Permit Number 43
Account Holder Permit Type PI . I
Account Holder CRID 4795654
Post Office of Permit BERNE IN 46711-9998
Post Office of Mallin BERNE IN 46711-9998 }
Post Office of Permit Cost Center 170550-0147
Post Office of Mailing.Cost Center 170550-3147
�Mallin�Agent CRID __j 4795654
Mail Owner Name DIVERSIFIED BUSINESS SYSTEMS INC I
Mail Owner CRID 12876749
JOB ID 00033200 `
Customer Reference ID Escape Guide 9w,9
CAPS Transaction Number NIA
Class of Mall `^ _ USPS Marketing Mail
Processing Category Flats
Posta aStatementID 288966506 i
Mailing Group. ID -20-1782112
4Malleesallin Date 11/2112017
clared Total Pieces 41,466 clared Total Wei ht 8,853.4180 Ibs.
clared Weight of a single lece 0.2135 Ibs.
USPS Determined Total Pieces 41,468 pcs. i
USPS Determined Total Wei ht 8,853.4180 Ibs.
USPS Determined Weight of a sin Ie- lece 0.2135 Ibs.
Total Number of Containers 10
Total Adjusted Postage
Payment Dat nand Time 1 11/21/2017 07:44
Payment Transaction Number 201732506440542M1
Ad ustment Transaction Number
Mailer FI ures Adjusted? No
Person authorizing adjustment _
Name _
Phone Number
Acceptance Site Mailer ID
Clerk Initials
Mail Arrival Date and Time ___ 11/21/2017 07:42
F
PS Form 3607R Mailing Transaction Receipt
............. ..._...__._._._..............._..................._....-._.........._................._.=...._._....._._.__....__......._......................_..._--.._.._............................................................_........._............................_.................._....................
Account Holder Account Number _ 25033_
Account Holder Permit Number593
Account Holder Permit Type PI
[Account Holder CRID p � � ---- -- -- -i
.2471684
PostOffice of ....................... -..._...._...__._........................._..--..-----....,_............................_._.......__..............__................:......._.........._.................._................
i
Post Office of Mailing - -W-�. indi_anapolis,IN 4620Fr9998. W
Post Office of Permit Cost Center _ 174037-0988_
Post Office of Mailing Cost Center _..__i 174037-0988
Mailin A ent'CRID
...:f 2471684
-. -._._........................._..._.._....._ _
- .........._._._..... ............_......_......._..__..._..............................-...:......................................_._............_
Mail Owner Name r Monon Community Center
Mail Owner CRID -� � 17419592
.-.-_._._..__.._.._...._._._. .__.._........__..._._._______.__.____.___._____.._......_..._.....___....._.._..._._.._...__. ___._._._____.._.
JOB ID
i....._._......._......_..............._.................................._..._......_._........_................................................._..................._._; 630
...
Customer Reference ID _...._._............................................................._............._..........................._............_._......._.......................{
_ 0171120151318
CAPS Transaction Number 202M1
_.._..... - .....__.............._..............................
— - -— _-- --- -.._.................._....__ ._......._.._......... �.. ....__.....-._..........................._........-.:._...:._..._...............-..:....._......._.:..._........_..................... - -
__....__...._.-._._._.......__.__..._.._....__-_.__........................____._._._...._.._._....._r.-__.._._._._.-..__._.___.._._._..__. .___...._.____._._._....._..___.._.___
Class of Mail USPS MarketingMail
Processin Cate o - �_.-- ._----.- -----.
Letters
Postage_Statement ID..................................._..............................._....._..._.__......._..........288571630
... ................................................__......_........................................_.._........_......
.................
Mallin Grou ID 201477236
fMallets Mailing Date „11/20/2017
....... ....._.._.......__.....- _....._........-.........................................._................................................................_......
-...............
i Mailer Declared Total Pieces l 15406 pcs.
I Mailer Declared Total Weight !-139.5540 lbs.
— -F07060
..__.__....._.._....._____.
Mall..... Declared Weight of a single piece 0-.-lbs. ;
_._.___.... ....................._....._..__......_................._......_.__..-................i
USPS Determined Total Pieces � 15 606 cs.
USPS.Determined Total_Weight 1'39 5540 lbs.
- �....._ _.._._._.....................................--........_............................................_........
s USPS Determined Wight of a sinele- iece , 0.0090 lbs.
Total Number of Containers 25 -
i Total Adjusted Postage..__.._.. -_.._...___.._.............__..._..._._.._....._i..:$._2,392.04
......................._......_..._..__..................._........................_..............._...._.......................;
i Payment Date and Time ' 11/20/2017 16:13
Payment Transaction Number 201732415131824M1
`Ad ustment Transaction Number
Mailer Figures Adjusted? TFNo
?Personauthorizing.adJustment....,.,. i
fName... --...--..._....... ..................................................................._._............_.__.
Phone Number i �-----
j Acceptance Site Mailer ID
Clerk Initials _ _ PMi" ���H - - ;
;Mall Arrival Date and Time _11/20/2017 16:04