183343 03/16/2010 *F CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS STAR CHECK AMOUNT: $720.00
CARMEL, INDIANA 46032 PO BOX 677553
DALLAS TX 75267 -7553 CHECK NUMBER: 183343
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4341991 739884 720.00 MARKETING PROMOTION
i�
THE I NDIANAPOLIS ND A Aj L APOy Icy STAR 1 BILLING PERIOD 2 ADVERTISER l CLIENT NAME
�y 1 H I y 1 \J 01- FEB -10 TO 28- FEB -10 CARMEL CLAY PARKS RECREATION
INDYSTAR *COM 23 TOTAL DUE 26 UNAPPLIED AMOUNT 3 TERMS OF PAYMENT
1,440.00 0.00 NET 15
21 CURRENT DUE 22 30 DAYS 6 Advertising Invoice Statement 720.00 720.00
4 PAGE 5 BILLING DATE B BILLED ACCOUNT NAME AND ADDRESS g
1 �2$ -FEB -10 REMITTANCE ADDRESS
6' BILLEDACCOUNTNUMBER CARMEL CLAY PARKS RECREATION INDIANAPOLIS STAR
12921 1411 E 116TH
CARMEL, IN 46032 P:O. BOX 677553
7 ADVERTISER /CLIENT NUMBER ,DALLAS, TEXAS 75267 7553
47682 rq
T, 0 ca' N
0 1292100 00007398840007200015322
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
ff2l 1i N PA ER 2 13
E RI H 7 IM 19 M UN
REFERENCE 4 COMMENTS lCHARGES 6 BILLED I) 20 N UNITS 8 RATE U
2085031 MARCH INDY MOMS 2 x 3.87
5601152.1 MARCH INDY MOMS 1
7.74
MAGAZINE
720.00
P.O.i P F
o.L0
Bud
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS 26 UNAPPLIED AMOUNT
3 TOTAL DUE
720.00 720.00 0.00 0.00 0..00
1,440.00
INDIANAPOLIS STAR
307N. PENNSYLVANIA ST. TEL: (317)444 -6484 FAX: (317) 444-8300
P.O. BOX 145, INDIANAPOLIS, INDIANA 46206 -0145 FED, I.D. 13- 2599556
24 INVOICE NUMBER 25 ADVERTISER INFORMATION
1 BILLING PERIOD 6 BILLED ACCOUNT NUMBER 7 ADVERTISER CLIENT NUMBER 2 ADVERTISER CLIE.NT NAME
7 884
01- FEB -10 TO 28- FEB -10 12921 47682 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 TOAD.
2. ADVERTISER CLIENT NAME
NAME OF ADVERTISER (IF AGENCY, CLIENT NAME), 1 SAU SIZE
STANDARD ADVERTISING UNIT AD SIZE.
3. TERMS OF PAYMENT
WHEN PAYMENT IS DUE.
4. PAGE NUMBER
PAGE STATEMENT FOR MULTI -PAGE STATEMENTS. 1 6
j
5. BILLING DATE yq���{g
DATE STATEMENT WAS PREPARED. 10. f1HT
11P CABL D "HAT
6. BILLED ACCOUNT NUMBER
NEWSPAPER ACCOUNT NUMBER 19. GROSSAMOUNT
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
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 PAYMENTADDRESS,
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.
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 08ments 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.
Indianapolis Star Terms
P.O. Box 677553
Dallas, TX 75267 -7553
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/28/10 739884 Indy Mom's Ad Mar'10 23080 720.00
Total 720.00
1 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.
Indianapolis Star Allowed 20
P.O. Box 677553
Dallas, TX 75267 -7553
In Sum of
720.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -99 739884 4341991 720.00 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
11 -Mar 2010
Signature
720.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund