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181952 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352067 Page 1 of 1 „:Nii ONE CIVIC SQUARE INDIANA NEWSPAPERS, INC CHECK AMOUNT: $145.01 CARMEL, INDIANA 46032 PO BOX 9001532 LOUISVILLE KY 40290 -1532 CHECK NUMBER: 181952 CHECK DATE: 213!2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4357004 IS- 0784825 145.01 1S- 0784825 �j. THE INDIANAPOLIS STAR INDYSTAR *COM 307 N. Pennsylvania St., Indianapolis, IN 46206 -0145 Account Number: ID: 31345 IS-0784825 ,dis' Cost: 41 g 5'4-0 0I $145.01 Remit By: DEPARTMENT ENGINEER Upon Receipt 1 CIVIC SQ CARMEL IN 46032 2584 Currently Paid Through: 12/27/2009 SUBSCRIPTION- INFORMATION' All home delivery subscribers, regardless of scheduled delivery days, are delivered and charged for the Thanksgiving edition in accordance to the Published Sunday newsstand rate, currently $1.75. This charge will be reflected in the November subscription invoice. CO Previous Amount 01/07/09 $134.82 (i'''75 X1 1111 For 12/01/08- 12/31/09 Delivery $0.00 r DEC 2009 C0 I Payment 01/10/09 ($134.82 1 11/27/09 Thanksgiving 09 Surcharge $1.52 1 1 y, ,i P" 01/01/10- 12/31/10 DAILY /SUNDAY -7 DAYS De $143,49 cn ib Subscription Amount $145.01 '5)4 Z '9Z SZ For delivery at 1 CIVIC SQ, CARMEL, IN 46032 -2584 What is EZ Pay? EZ Pay is the fast and easy way to pay for your Indianapolis Star subscription. It automatically E charges your credit or debit card every month! No bills, no checks, no stamps. �Y Sign up today at IndyStar.com /EZPay or call 1- 888 357 -7827 Thank ou for your subscri tion. v a Wouldn't your life be a little easier with one less subscription invoice? IT COULD BE WITH EZ PAY! How would you like to get the newspaper service of your choice at the best rates available and never see another subscription invoice from The Star? EZ Pay is your way to freedom from another invoice! On the 10th day of each month (or the next business day), we will charge the amount of your subscription to your credit/debit card, or deduct payment from your checking/savings account. The transaction will appear on your monthly credit card or banking statement. It's that easy! No more subscription invoices! No more stamps! No more calls! It's easy to sign up. You may choose to pay by credit/debit card or through your checking or savings account. Complete and sign the form below www.LndyStar.com /EZPay returning it in the enclosed envelope. If you decide to use your checking or savings account please he sure to sign the form below and include a voided check or deposit slip. If you have any questions, our customer service department is ready to help. We can be reached toll free at 1 -888- 357 -7827, You may also go online to WWW.IndyStar.com/EZPay. EZ Pay Terms. By selecting EZ Pay, you authorize Indiana Newspapers, Inc. to initiate debit entries to your (Credit Card or Checking Account) indicated on the front of this Tol I -Free Customer Service: payment coupon, herein after called DEPOSITORY, to debit the same in such account. EZ Pay deductions are taken on the 10th day of every month, unless the 10th falls on a holiday or weekend, then the deduction is taken on the next business clay. Any outstanding balances will be processed with the first EZ Pay charge. You agree your credit or 1 -888- 357 -7827 debit card can be charged for the current subscription rate for any increased rate(s) that Indiana Newspapers, Inc. may implement), This authorization will remain in effect until revoked by you in writing or by contacting one of our customer service representatives. Your credit card statement will serve as your receipt. Please keep a copy of this agreement for your records. EFT (Electronic Funds Transfer) When you provide a check as payment, you authorize is either to use information from your check to make a one -time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. If you wish to opt out of Electronic Funds Transfer please call 866- 404 -8038. (03/2009) 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 Indiana Newspapers, Inc Purchase Order No. P.O. Box 9001`523 Terms Louisville, KY 40290 -1532 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) n/a IS- 0784825 Newspaper subscription 2010 $145.01 please make check payable to Indiana Newspapers, Inc. Unit 1532 Total $115.01 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 Indiana NPwsp ipers, Inn IN SUM OF P.O. Box 9001523 Louisville, KY 40290 -1532 $145:01 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# DEPT. I NVOICE NO. ACCT /TITLE AMOUNT hereby certify invoice(s), I hereb certif that the attached invoice( s or bill(s) is (are) true and correct and that the n/a IS -0784825 2200- 4357004 $145.01 materials or services itemized thereon for which charge is made were ordered and received except 20 Signature c 1(,0 ,k ,A.00.V Title Cost distribution ledger classification if claim paid motor vehicle highway fund