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184334 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1 ONE CIVIC SQUARE INDIANAPOLIS STAR CHECK AMOUNT: $720.00 a CARMEL, INDIANA 46032 PO BOX 677553 DALLAS TX 75267-7553 CHECK NUMBER: 184334 OM CHECK DATE: 4114/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341991 743032 720.00 MARKETING PROMOTION DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE 10 DATE 1'- NEWSPAPER 2 13 DESCRIPTION 10 5 SIZE 7 TIMES RUN I 19GROSS AMOUN r 20 NET AMOUNT REFERENCE 14 COMMENTS I CHARGES IO BILLED UNITS 6 RATE 08 -Mar 182889 Payment Received Thank you! 720.00 CR 22 -Mar 183343 Payment Received Thank you! 720.00 CR 21 -Mar 2096222 PARKS 2 x 3.87 1 Sunday 5615037.1 PARKS 7.74 MAGAZINE 720.00 Purchase y� Descri V V rn g r gyp} P.O. LG P a0 F G.L.# I� I 4 �41GCI I` APR 0 5 2010 Budget Line Descr r P( Purchaser A I A Date Approval Date STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS 21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS 2G UNAPPI -FD AMOUNT 1 3 TOTAL DUE 720.00 0.00 0.00 0.00 0.00 F INDIANAPOLIS STAR 397 N. PENNSYLVANIA ST. TEL (317) 444 -8484 FAX: (317) 444 -8360 P.O. BOX 145, INDIANAPOLIS, INDIANA 46205 -0145 FED. TD- 13- 2599556 24 INVOICE NUMBER 25 ADVERTISER INFORMATION BILLING PERIOD 6 BILLED ACCOUNT NUMBER 7 ADVERTISE=R /CLIENT NUMBER 12 ADVERTISER CLIEN NAME 743032 01- MAR -10 TO 31- MAR -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" T0° DATES FOR THIS STATEMENT. ALL INFORMATION RELATING TO AD INCLUDING PURCHASE ORDER NUMBER. DETAIL OF ALL DISCOUNTSICHARGES 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 16. BILLED UNITS MEASUREMENT OF AD (COLUMNS X DEPTH). 4. PAGE NUMBER PAGE STATEMENT FOR MULTI -PAGE STATEMENTS, 17. TIMES R UN NUMBER OF INSERTION DAYS FOR THIS AD. 5. BILLING DATE ...e.,�.�..... .�a..�._..�__�._ DATE STATEMENT WAS PREPARED. APPLICABLE NEWSPAPER ASSIGNED RATE. 6. BILLED ACCOUNT NUMBER NEWSPAPER ACCOUNT NUMBER 19. -GROSS AMOUNT CORRESPONDING TO ELEMENT 8. CALC_UL AD PRI EXTENSION OF TOTAL BILLED AMOUNTAT 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 €NVOICE, 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, 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 1 CLIENT NUMBER, (2) ADVERTISER CLIENT NAME. The elements snovjn above appear on the face of the invoice and are identified by number. I BILLING PERIOD 2 ADVERTISERlOLEE NT NAME T IND ®LIS ST 01- MAR -10 TO 31- MAR -10 CARMEL CLAY PARKS RECREATION I B D Y STAR* COM 23 TOTAL DUE 26 UNAPPLIED AMOUNT 3 TERMS OF PAYMENT 720.00 0.00 NET 15 21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS Advertising Invoice Statement 720.00 0.00 0.00 o.00 4 PAGE 5 BILLING DATE a BILLED ACCOUNT NAME AND ADDRESS 9 kt. 1-REMITTANCE,1ADDRESS..,_,,. y 6 BILLED ACCOUNT NUMBER CARMEL CLAY PARKS RECREATION itI'OIANQpOLISSTAR 1411 E 116TH 12921 CARMEL, IN 46032 s BOX- 67.7553�:."r•� _s DALLAS TEXAS 75267-7553 7 ADVERTISER /CLIENT NUMBER 47682 0129210000007430320007200015323 DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE 10 DATE 1' NEWSPAPER 2 1 E RI Tf N 1 H 5 IZE 7 TIM RUN 19 R SS AM UNT 20 NET AMOUNT REFERENCE 4 COMMENTS I CHARGES 6 BILLED UNITS B RATE 08 -Mar 182889 Payment Received Thank you! 720.00 CR 22 -Mar 183343 Payment Received Thank you! 720.00 CR 21 -Mar 2096222 PARKS 2 x 3.87 1 Sunday 5615037.1 PARKS 7.74 MAGAZINE 720.00 Purchase Descri �1`�a 17gY P.Q. �3 P_ r°! G.L.# :541 APR 1010 Bud Line Descr i P urchaser Date Approval Date STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS 21 CURRENT DUE 22 30 DAYS 60 DAYS OVER °0 DAYS 125 UNAPPLIED AMOUNT 3 TOTAL DUE 720.00 0.00 0.00 0100 0.00 ",QO` INDIANAPOLIS STAR 307 N. PENNSYLVANIA ST. TEL: (317) 444 -8484 FAX: (317` 444 -8300 P.O. BOX 145, INDIANAPOLIS, INDIANA 46206 -0145 FED. I.D. 13- 2599556 24 INVOICE NUrv1BFR 25 ADVERIISFR INFORMATION 1 BILLING PERIOD 6 BILLED ACCOUNT NUMBER 7 ADVERTISER I CLIENT NUMBER 12 ADVERTISER I CLIENT NAME '74303211;2 01- MAR -10 TO 31- MAR -10 12921 47682 CARMEL CLAY PARKS RECRE 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. 358657 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 3/31110 743032 Water park Ad 23336 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- 14 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 358657 Indianapolis Star Allowed 20 P.O. Box 677553 Dallas, TX 75267 -7553 In Sum of I 720.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 743032 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 8 -Apr 2010 �hhmm� Signature 720.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund