183206 03/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 363881 Page 1 of 1
ONE CIVIC SQUARE BLUE HERON PUBLICATIONS
CHECK AMOUNT: $598.00
CARMEL, INDIANA 46032 2138 WILSHIRE ROAD
INDIANAPOLIS IN 46228 CHECK NUMBER: 183206
CHECK DATE: 3116/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4345002 189 598.00 PROMOTIONAL PRINTING
1
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Blue Heron Publications, LLC Invoice
2138 Wilshire Road
r Indianapolis, M 46228 Date Invoice
3/2/10 189
r
Bill To
City of Carmel
Robert Higgins
Department of Administration
One Civic Square
Carmel, IN 46032
Description Amount
Carmel City Guide Vol I, Iss I half page ad plus $99 category listing 598.00
Iota! $598.00
Phone 317 -663 -3154 E -mail emoore n carmelcityguide.com
0 INDIANA RETAIL TAX EXEMPT PAGE
%..A of I' Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM.APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE D REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1IIS�t�}
131,E
SHIP
VENDOR TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
0
QUANTITY UNIT OF MEASUAE DESCRIPTION UNIT PRICE EXTENSION
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Ep f
C A w
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6
1 4
Send Invoice To: r
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. f (f
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 7 'G ..3 L. 1 ty' 45/,
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE /I i J'f e )L. �r'r L•Ci`f a 'tlf
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
A CO PY SIGN AND RETURN TO CLERK'S OFFICE
i VOUCHER NO. VVARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NQ, ACCT #(r3TLE AMOUNT DEPT. I 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
20
Signature
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Filue Heron Publications LLC
IN SUM OF
2138 Wilshire Road
Indianapolis, IN 46228
$598.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1207 189 43- 450.00 $598.00 I 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
Monday, March 08, 2010
Director, Brooks ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No 201 (Rev_ 199!,
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/02/10 189 Advertising $598.0
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.5
,20
Clerk- Treasurer