184204 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364058 Page 1 of 1
ONE CIVIC SQUARE CARMEL AMBASSADOR CLUB
CARMEL, INDIANA 46032 520 E MAIN CHECK AMOUNT: $500.00
CARMEL IN 46032
o CHECK NUMBER: 184204
CHECK DATE: 4/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4346500 STMT 500.00 CITY PROMOTION ADVERT
Carmel High School Performing Arts Department Presents
C AMEL okfaAma
H t.G';H o'S.CHOO'7
4 Program Advertisement Order Form
Business or Organization Name:
Address: 0 1'1 W Q i C:_ lv
Contact Person:
1 C_ el
Telephone Number:
Fax Number: k 4) 5 1 2-2---
E -Mail: M V rC-ryn e_r NCE C. r MJ
J
Ad Size (Please Circle One):
Full Pa eg $SOQ Half Page: $300 1/4 Page $200 Business Card $100
Special Discount: A 20% discount is being offered to advertisers who order the same
sized ad in both the May 2010 Oklahoma Program and the 2010 Holiday Spectacular
Program. To exercise this option, please check the box below and submit payment for
two ads minus 20% (e.g. to run full page ads in the Holiday Spectacular program and the
musical program, submit $1,000 minus the 20% discount, or $800).
R L heck here to take advantage of this special discount offer
Total. Amount of order:
(make check payable to: Carmel Ambassador Club) laq
Please contact Mary Poulin at 575 -8192 if you have questions. r
Methods for submitting photo ready ad art and copy: 4- C'acE4�r
1) E -Mail .pdf file to msmith @ccs.kl2.in.us�S
2) Mail paper copy to address below.
3) If assistance is needed in layout and design, contact Mark Smith at
msmith @ccs.kl2.in.us
Complete and send this form along with photo ready ad to:
Car►nel High School Performing Arts Department
Attn: Oklahoma Ads
520 East Main Street
Carmel, Indiana 46032
ADS AND PAYMENT MUST BE RECEIVED NO LATER THAN
APRIL 2, 2010
orn C.i -4-� Gornc�t� on pjvC.r 1 S r�q 3`f b5oo
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
9 Loy Z— Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total d 6
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.
ALLOWED 20
C.
IN SUM OF
DU,d0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 Sn S�3 o� bill(s) is (are) true and correct and that the
(v materials or services itemized thereon for
which charge is made were ordered and
received except
2— 20 �d
SI ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund