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183941 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1 ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CARMEL, INDIANA 46032 460 VIRGINIA AVE CHECK AMOUNT: $361.00 INDIANAPOLIS IN 46203 -1779 CHECK NUMBER: 183941 CHECK DATE: 3/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4345001 0319610S 361.00 INTERNAL MATERIALS Invoice Date Invoice SH/RLE4r 3/19/2010 03196105 ENGRAVING CO., IN 4026 West 10th Street Indianapolis, IN 46222 317.634.4084 Fax 317.685.2524 www.shirleyengraving.com We accept Mastercard, Shelly Lingelbaugh VISA, City of Carmel Department of Human Resources American One Civic Square Express Carmel IN 46032 P.O. No. Due Date Terms Rep Customer Contact Jim 4/18/2010 Net 30 DJM 571 -2465 Fx. 571 -2409 Qty Description Priec Each Amount 1,000 Printed 410 Regualr Envelopes 0.15 150.00 1,000 9x12 Envelopes 0.211 211.00 MAR 2 6 2010 By Thank you for your business. A Division of Priority Groin subtotal $361.00 contact Phonel Fax Number Sales Tax (7.0 $0.00 DJ Margason 634 -4084 FX: 685 -2524 Email: shirleyengravingaaol.com Total $361.00 www.shirleyengraving.com Letterhead Envelopes Business Cards Announcements Pocket Polders Marketing Materials Engraving Foil Stamping Thermography Embossing 4 Color Offset Printing VOUCHER NO._ WARRANT NO. Shirley Engraving Co., Inc. ALLOWED 20 IN SUM OF 4026 West 10th Street Indianapolis, IN 46222 $361.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# I Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1201 I 0319610S I 43- 450.01 I $361.00 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 Thursday, March 25, 2010 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/19/10 0319610S $361.00 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