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188388 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1 `1. ONE CIVIC SQUARE INDIANAPOLIS STAR CHECK AMOUNT: $720.00 CARMEL, INDIANA 46032 PO BOX 677553 DALLAS TX 75267 -7553 CHECK NUMBER: 188388 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341991 755889 720.00 MARKETING PROMOTION TH D I AP O L Icy STAR T 1/t11 1 BILLING PERIOD 2 ADVERTISER! CLIENT NAME 11 e Ati j��fl A 1 y 01- JUN -10 TO 30- JUN -10 CARMEL CLAY PARKS RECREATION III DYSTAR* 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 0.00 4 PAGE 5 BILLING DATE 8 BILLED ACCOUNT NAME AND ADDRESS 9 REMITTANCE ADDRESS 1 30- JUN -10 6 BILLED ACCOUNT NUMBER CARMEL CLAY PARKS RECREATION INDIANAPOLIS STAR 1411 E 116TH 12921 CARMEL, IN 46032 P.O. BOX 677553 DALLAS, TEXAS 75267 -7553 7 ADVERTISER CLIENT NUMBER 47682 0129210000007558890007200015323 DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE 10 DATE I NEWSPAPER 2 13 DESCR IPTI N OTHER 5 SIZE 7 TIMES RUN 19 GROSS AMOUNT 20 NET AMOUNT REFERENCE 4 COMMENTS I CHARGES 6 BILLED UNITS 6 RATE 28 -Jun 186882 Payment Received -Thank yowl 720.00 CR 20 -Jun 2135658 WATER PARK 2 x 3.87 1 Sunday 5630946.1 WATER PARK 7.74 MAGAZINE 720.00 Purchase WQA ey Pk M Description P.O. no r F G.L 91 Budget Une Descr fi Purchaser ate Approval Date STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS 21 CURRENT DUE 122 30 DAYS 60 DAYS I OVER 90 DAYS 26 UNAPPLIED AMOUNT 3 TOTAL DUE 720.00 0.00 0.00 0.00 0.00 720.00 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 NUMBER 25 ADVERTISER INFORMATION 1 BILLING PERIOD 16 BILLED ACCOUNT NUMBER 17 ADVERTISER 1 CLIENT NUMBER 12 ADVERTISER CLIENT NAME 755889 01-JUN-10T030-JUN-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 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 RUN NUMBER OF INSERTION DAYS FOR THIS AD. 5. BILLING DATE DATE STATEMENT WAS PREPARED, 18. RATE APPLICABLE NEWSPAPER ASSIGNED RATE, 6, BILLED ACCOUNT NUMBER NEWSPAPER ACCOUNT NUMBER 19. GROSS AMOUNT 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 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. PRODUCT /SERVICE CODE 13. 25. ADVERTISER INFORMATION (1) BILLING PERIOD, (6) BILLED ACCOUNT. (7) ADVERTISER CLIENT NUMBER, (2) ADVERTISER CLIENT NAME. The elements 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. 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 6130110 755889 Waterpark ad 23748 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. 358657 Indianapolis Star Allowed 20 P.O. Box 677553 Dallas, TX 75267 -7553 In Sum of$ 720.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1091 755889 4341991 720.00 f 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 29 -Jul 2010 Signature 720.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund