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182396 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 362776 Page 1 of 1 ONE CIVIC SQUARE INDIANA NEWSPAPERS CHECK AMOUNT: $311.52 s` CARMEL, INDIANA 46032 PO BOX 677553 DALLAS TX 75267 -7553 CHECK NUMBER: 182396 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4345500 733248 155.76 PUBLICATION OF LEGAL 1125 4345500 734642 155.76 PUBLICATION OF LEGAL THE jj�yl I TDLAN OL S S TAR 1 BILLING PERIOD 2 ADVERTISER I CLIENT NAME J. 01- JAN -10 TO 31- JAN -10 CARMEL CLAY PARKS RECREATION INDYSTAR*COM 23 TOTAL DUE 26 UNAPPLIEDAMOUNT 3 TERMS OF PAYMENT 155.76 0.00 NET 15 21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS Advertising Invoice Statement 1 155.76 0.00 0.00 0.00 4 PAGE 5 BILLING DATE 8 BILLED ACCOUNT NAME AND ADDRESS 9 REMITTANCE ADDRESS f 1 31 JAN -10 6 13ILLED ACCOUNT NUMBER AR EEL CLAY SP ARKS RECREATION INDIANA NEWSPAPERS; INC. 1411 80303 ADMINISTRATIVE OFFICE P O BOX 6 77553 7 ADVERTISER 1 CLIENT NUMBER CARMEL, IN 46032 DALLAS TEXAS 75267 -7553 201621 FE B D 4 70 0803030000007346420001557Ll5324 DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE 10 DATE 11 NEWSPAPER 2 13 DESCRIPTION I THER 5 SIZE 7 TIMES 19 GROSS AMOUNT 20 NET AMOUN REFERENCE 4 COMMENTS I CHARGES 6 BILLED UNITS 8 RATE 21 -Jan 2072681 NOTICE TO BIDDERSCARMELCLAY BOARD OF P 17.1429 9 155.76 Thursday 5594905 DEBRA GRISHAM 17.1429 0.07 CLASSIFICATION 0 -CLASSIFIED 155 -76 Purchase P.O.0 P or F G.L a fa���. Purchaser Dam APP Date STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS 21 CURRENT DUE 122 30 DAYS 60 DAYS OVER 90 DAYS 126 UNAPPLIED AMOUNT 3 TOTAL DUE 155.76 0.00 0.00 0.00 0.00 155.76 1 INDIANA NEWSPAPERS. INC. 307 N. PENNSYLVANIA ST. TEL: (317) 444 -8484 FAX: (317) 444.8300 P.O. BOX 145, INDIANAPOLIS, INDIANA 46206 -0145 FED. I.D. 35- 2061385 24 INVOICE NUMBER 25 ADVERTISER INFORMATION 1 BILLING PERIOD 6 BILLED ACCOUNT NUMBER 7 ADVERTISER I CLIENT NUMBER 2 ADVERTISER CLIENT NAME 734642 01- JAN -10 TO 31- JAN -10 80303 201621 CARMEL CLAY PARKS RECRE LEGEND The 25 elements of the Standard Advertising Invoice (SAI) 1. BILLING PERIOD 14. OTHER CHARGES OR CREDIT "FROM" "TO" DATES FOR THIS STATEMENT ALL INFORMATION RELATING TO AD INCLUDING PURCHASE ORDER NUMBER. DETAIL OF ALL DISCOUNTS /CHARGES RELATING TO AD. 2. ADVERTISER CLIENT NAME NAME OF ADVERTISER (IF AGENCY, CLIENT NAME). 1 SAU SIZE x STANDARD ADVERTISING UNIT AD SIZE. 3. TERMS OF PAYMENT WHEN PAYME4�T PD�L.. 16. BILLED UNITS MEASUREMENT OF AD (COLUMNS X DEPTH), 4. PAGE N E ill PAGE STATEMENT FOR MULTI -PAGE STATEMENTS. 1 TIMES RUN a NUMBER OF INSERTION DAYS FOR THIS AD. 5. BILLING -FIAT a........ DATE STATEMENT WAS PREPARED. 18. RATE APPLICABLE NEWSPAPER ASSIGNED RATE. 6. BILLED ACCOUNT NUMBER NEWSPAPER ACCOUNT NUMBER 19. GROSS AMOUNT CORRESPONDING TO ELEMENT 8. CALCULATING OF AD PRICING. EXTENSION OF TOTAL BILLED AMOUNT AT APPLICABLE RATE. 7. ADVERTISER CLIENT- NUMBER BEFORE AGENCY COMMISSION. BILLED ACCOUNT NUMBER CORRESPONDING TO ELEMENT 2. 20. NET AMOUNT BILLED ACCOUNT NAME AND ADDRESS FINAL COST OF AD DUE FOR ADVERTISER (ELEMENT 2). COMPANY RECEIVING INVOICE. 21. CURRENT NET AMOUNT DUE 9. REMITTANCE ADDRESS SUM OF ELEMENT 20. RETURN PAYMENTADDR €SS. 22. 30/60 /OVER 90 UNAPPLIED AMOUNT 10. DATE AGING OF PAST DUE BALANCES FOR ADVERTISER. INSERTION DATE OF AD OR TRANSACTION DATE. 23. TOTAL AMOUNT DUE 11. NEWSPAPER REFERENCE SUM OF ELEMENTS 21 AND 22. NEWSPAPER'S INTERNAL REFERENCE NUMBER. r, 24. INVOICE NUMBER 12. DESCRIPTION, OTHER COMMENTS NEWSPAPERS INVOICE DOCUMENT NUMBER. 1 25. ADVERTISER INFORMATION 3. PRODUCT /SERVICE CODE (1) BILLING PERIOD, (6) BILLED ACCOUNT. (7) ADVERTISER CLIENT NUMBER. (2) ADVERTISER CLIENT NAME. The elernents shown above appear on the face of the invoice and are identified by number THE INDIANAPOLIS STAR 01 BILLING PERIOD 2 ADVERTISER !CLIENT NAME A p 01- JAN -10 TO 31- JAN -10 CARMEL CLAY PARKS RECREATION IN DYSTAR *COM 23 TOTAL DUE 26 UNAPPLIED AMOUNT 3 TERMS OF PAYMENT 155.76 0.00 NET 15 21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS Advertising Invoice Statement 15516 0.00 0.00 0.00 4 PAGE 5 BILLING DATE 8 BILLED ACCOUNT NAME AND ADDRESS 9 REMITTANCE ADDRESS" `Z 1 31- JAN -10 6 13ILLED ACCOUNT NUMBER CARMEL CLAY PARKS &RECREATION INDI ANA_N.EWS.P_ARE.RS. LNC. 1411E 116TH ST 707066 CARMEL, IN 46032, P.O. BOX 677553 DALLAS, TEXAS 75267 -7553 7 ADVERTISER 1 CLIENT NUMBER 768223 f EB 0 4 NQ 707Q66223O007332480001557615322 DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE 10 A E 1. N 1 DESCRIPTION 1 0TH ER I TIMES 1 R A N 20 AMOUN REFERENCE 4 COMMENTS CHARGES 6 BILLED UNITS 8 RATE 21 -Jan 2072730 NTB 2010 INLOW PARK REPAIRS FINAL 17.1429 2 155.76 Thursday 5595091 AUDREY KOSTRZEWA 17.1429 0.32 CLASSIFICATION 0 NOBLESVILLE LEDGER 155.76 Purchase Description P.O. 1'orF G.L. I I �l �I 4� c Budget Line Descx Purchaser Date Approval Date STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS 21 CURRENT DUE 22 30 DAYS 60 DAYS I OVER 90 DAYS 26 UNAPPLIED AMOUNT 3 TOTAL DUE 15516 0.00 0.00 0.00 0.00 155.76 INDIANA NEWSPAPERS. INC. 307 N. PENNSYLVANIA ST. TEL (317) 444 -8484 FAX: (317) 444 -8300 P.O. BOX 145, INDIANAPOLIS, INDIANA 46206 -0145 FED. I.D. 35- 2061385 24 INVOICE NUMBER 125 ADVERTISER INFORMATION 1 BILLING PERIOD 16 BILLED ACCOUNT NUMBER 7 ADVERTISER! CLIENT NUMBER 2 ADVERTISER CLIENT NAME 7-33248 01-JAN-10T031-JAN-10 707066 768223 CARMEL CLAY PARKS RECRE LEGEND The 25 elements of the Standard Advertising Invoice (SAI) 1. BILLING PERIOD 14. OTHER CHARGES OR CREDIT "FROM" "TO" DATES FOR THIS STATEMENT. ALL INFORMATION RELATING TO AD INCLUDING PURCHASE ORDER NUMBER, DETAIL OF ALL DISCOUNTS /CHARGES RELATING TO AD. 2. ADVERTISER CLIENT NAME NAME OF ADVERTISER (IF AGENCY, CLIENT NAME). 15, SAU SIZE STANDARD ADVERTISING UNIT AD SIZE. 3. TERMS OF PAYMENT WHEN PAYMENT IS DUE. W 16. BILLED UNITS MEASUREMENT OF AD (COLUMNS X DEPTH). 4. PAGE NUMBER PAGE STATEMENT FOR MULTI -PAGE STATEMENTS 17. TIMES RUN NUMBER OF INSERTION DAYS FOR THIS AD. 5. BILLING DATE DATE STATEMENT WAS PREPARED...._ 18. RATE APPLICABLE NEWSPAPER ASSIGNED RATE. 6. BILLED ACCOUNT NWBER NEWSPAPER ACCOUNT NUMBER 19. GROSS AMOUNT CORRESPONDING TO ELEMENT 8, CALCULATING OF AD PRICING. EXTENSION OF TOTAL BILLED AMOUNT AT APPLICABLE RATE. -T ADVERTJSER. CLIENT NUMBER— BEFORE AGENCY coMMlssloN. BILLED ACCOUNT NUMBER CORRESPONDING TO ELEMENT 2. 20. NET AMOUNT 8. BILLED ACCOUNT NAME AND ADDRESS FINAL COST OF AD DUE FOR ADVERTISER (ELEMENT 2). COMPANY RECEIVING INVOICE, 21. CURRENT NET AMOUNT DUE 9, REMITTANCE ADDRESS SUM OF ELEMENT 20. RETURN PAYMENT ADDRESS, 22. 30/60 /OVER 90 UNAPPLIED AMOUNT 10. DATE AGING OF PAST DUE BALANCES FOR ADVERTISER, INSERTION DATE OF AD OR TRANSACTION DATE. 21 TOTAL AMOUNT DUE 11. NEWSPAPER REFERENCE SUM OF ELEMENTS 21 AND 22, NEWSPAPER'S INTERNAL REFERENCE NUMBER. 24. INVOICE NUMBER 12. DESCRIPTION, OTHER COMMENTS NEWSPAPERS INVOICE DOCUMENT NUMBER. 1 25. ADVERTISER INFORMATION 3. PRODUCT /SERVICE CODE (1) BILLING PERIOD, (6) BILLED ACCOUNT. (7) ADVERTISER CLIENT NUMBER, (2) ADVERTISER CLIENT NAME, The elements shown above appear on the face of the invoice and are identified by number. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. 00350498 Indiana Newspapers, Inc. Terms P.O. Box 677553 Dallas, TX 75267 -7553 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/31/10 733248 Legal ads 155.76 1/31/10 734642 Legal ads 155.76 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in' i with IC 5- 11- 10 -1.6 20_ Joj2(/t Clerk- Treasurer Voucher No. Warrant No. 00350498 Indiana Newspapers, Inc. Allowed 20 P.O. Box 677553 Dallas, TX 75267 -7553 In Sum of 311.52 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 733248 4345500 155.76 1 hereby certify that the attached invoice(s), or 1125 734642 4345500 155.76 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 11 -Feb 2010 Signature 311.52 Accounts Payable Coo Cost distribution ledger classification if Title claim paid motor vehicle highway fund