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185040 04/28/2010 CITY OF CARMEL, INDIANA VENDOR: 364058 Page 1 of 1 ONE CIVIC SQUARE CARMEL AMBASSADOR CLUB CHECK AMOUNT: $300.00 CARMEL, INDIANA 46032 520 E MAIN CARMEL IN 46032 CHECK NUMBER: 185040 CHECK DATE: 4/28/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4346500 300.00 CITY PROMOTION ADVERT �r Carmel High. School Performing Arts Department Presents CARM, EL O AffAma ■[r_Gn�� S.CGHO[l`i 4 Program Advertisement Order Form Ynta Mutt MtR,� ANTS Business or Organization Name: ��1 -�-y r)- i Address: One- Contact Person: 1 �y1(? 1 �C V C Telephone Number: 5 l 2- L A c l Fax Number: 14_) 5 4 1 2248 E -Mail: M V-- CC_r�n C=Y• 1 4 CIE' 0- Y Mc l `l Ad Size (Please Circle One): Full Page $500 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). C eck here to take advantage of this special discount offer Total Amount of order: e0© C� 0 (make check payable to: Carmel Ambassador Club) Please contact Mary Poulin at 575 -8192 if you have questions. Methods for submitting photo ready ad art and copy: A 1) E -Mail .pdf file to msmith @ccs.kl2.in.us 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: Carmel 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 k"J. 7'j&-0_h y iz —�vJ Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) a 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 CG�s Purchase Order No. Terms i e _T ��'y Z Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total I 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 IN SUM OF r o. ov ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or I C s�3 1, D bill(s) is (are) true and correct and that the 00 materials or services itemized thereon for which charge is made were ordered and received except �2_ 20 �D Slgpature Cost distribution ledger classification if Tit le claim paid motor vehicle highway fund