HomeMy WebLinkAbout181646 01/20/2010 W =z; CITY OF CARMEL, INDIANA VENDOR: 360951 Page 1 of 1
ONE CIVIC SQUARE KEVIN RIDER
t CARMEL, INDIANA 46032 1473 SECOND WAY CHECK AMOUNT: $243.75
`,4 CARMEL IN 46033 CHECK NUMBER: 181646
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4355100 123109 243.75 PROMOTIONAL FUNDS
Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
Property Owners /s
Property Location
yO inaAk, SI
Terms of cooperative advertising program:
Merchant must turn in funding request
Ad must include Arts and Design District Logo
Paid invoice and copy of ad must be submitted with funding request
If funding is approved, CRC will reimburse merchant for 25% of ad,
up to $250 per ad
Merchant maximum per year is $500
Funding is allocated on first come, first served basis
Total Cost of Advertisement 973, a
Grant Request
(25% up to $250 a
Attachments:
Copy of ad with logo
V Paid Invoice
t
12__/w/o
Signature of Ownerts Date
Mailing Address Li E 1 I C-(- 3
Jul 28 09 11:55e Kevin D. Rider 317 706 -0195 p.1
d 2/2
HoMEPAGES Billing Date: 28- May -09
Due Upon Receipt
Proudly Published by
American (Marketing gi Publishing, LLC Previous Balance: 0.00
P.O. Box 982, DeKalb, IL 60115 Current Charges: 990.00
800- 807 -6870 (Option 3) Fax 800 582 0021 Adjustments: 734E
Mail: accountir^g @home pagesdirectories .co Payments: 975.00
Interest: 58.48
Account No, CRMO8 (C281242)
'rota Amount D �e: $0 -DO
Phone Na. 317. 573.4444
WOODY'S LIBRARY RESTAURANT
40 E. MAIN ST. I Itrour f:
CARMEL, IN 46032 'Vat r4aste td
i lM
Card Nvrnber
Exp. Date Signature
Return upper porroon with payment for proper credal tc your account.
Pa
Account No. CRM08 (C281242 1 of 7
Billing Date: 28- May -09
Customer: WOODY'S LIBRARY RESTAURANT Dice Upon Receipt
Contract
Date Desaiption Amount Dve Taxes Interest
Carmel, IN'0823Q8 Directory (CRMD8)
Woody's Library Restaurant (C291242) CPE
Original Contract Amount: $375.03 (w/o tax) Pity Installments
Amount Received t $975.03
05- Sep -08 Payment Thatk You (#001 34431) $75.52
02.O:t -08 Payment Transfer #001 34431 5
26- Nov -08 Installment Billing
X75 -00
29-Dec-08 Late Fee 515 -00
14 -May-09 Payment Thank You l #0302311 5975.00 5 O
18-May-09 AqtisVnent
28- May-09 Interest' $15.D0. $58.48
D $5848 $5948
28- May -02 Total Carmel, IN '08 Directory saw
$0,P0,
'.E
"rot eree 5% per monde, wti his 18 %per annum, wit be charged un the unpaidba of a1 Pasr Due Amounts
TOTAL AMOUNT DUE (Please pay before tile dale ra award adCEcbrraifntuestcharges) $0.00
Pas1 Due A Aging uQng Int erewl K8ep lower portion for
so pay: Eco, 00 Day: $0.00 p your records.
60 Day. 1: 120+ Day: $o.ap
Prescrjbetl by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 peihour, number of units, price per unit, etc.
Payee
Purchase Order No.
'V Terms
e: 5 2 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
LL 3( 6 )9 123(c 9 Cc' a/aP -T�,L zzrr"_ 7S
Total 2 93 7s
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
CQ'• 41/
2 q .75
ON ACCOUNT OF APPROPRIATION FOR
go 2/ 4'3 5
Board Members
Po# r INVOICE NO. ACCT #/TITLE AMOUNT hereby certify DEPT. I hereb certi that the attached invoice(s), or
Q /U2
12 yo F 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
20 /a
Al l. :1040_4(
Signa re
Director of Operations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund