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189391 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1 ONE CIVIC SQUARE INDIANAPOLIS STAR CARMEL; INDIANA 46032 PO BOX 677553 CHECK AMOUNT: $1,200.00 V, DALLAS TX 75267 -7553 CHECK NUMBER: 189391 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4346000 758582 1,200.00 CLASSIFIED ADVERTISIN TAE I T 1 BILLING PERIOD 2 ADVERTISER /CLIENT NAME Ln�N 01-JUL-10T031-JUL-10 CARMEL CLAY PARKS IND C STAR *COM 23 TOTAL DUE 26 UNAPPLIEDAMOUNT 3 TERMS OF PAYMENT 1,200.00 0.00 NET 15 21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS Advertising Invoice Statement 1,200.00 0.00 0.00 0.00 4 PAGE 5 BILLING DATE 8 BILLED ACCOUNT NAME AND ADDRESS 9 REMITTANCE ADDRESS 1 31- JUL -10 6 WI-LED ACCOUNT NUMBER CARMEL CLAY PARKS INDIANAPOLIS STAR 1411 E 116TH ST 749416 CARMEL, IN 46032 -3455 P.O. BOX 677553 DALLAS, TEXAS 75267 -7553 7 ADVERTISER CLIENT NUMBER 945360 7494 160000007585820012000015325 DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE 10 DATE i'� NEWSPAPER 2 13 DESCRIPTION i OTHER 5 IZE 7 TIME RUN 19 GROSS AMOUNT 20 NET AMOUN 10 DATE T REFERENCE 4 COMMENTS! CHARGES 6 BILLED UNITS 8 RATE 18 -Jul 2147705 5 FOR 3 ONLINE POSTINGS 0.5000 1 Sunday 5681533 lynn russell 0.5000 CLASSIFICATION 2 CAREERBUILDER ONLINE 1,200.00 Purchase Description P.O. P or F t k G.L. #U 0 3 207 Budget Line Descr Purchaser Date B Y......... Approval Date STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS 21 CURRENT DUE 122 30 DAYS 60 DAYS OVER 90 DAYS 126 UNAPPLIED AMOUNT 3 TOTAL DUE 1 0.00 0.00 0.00 0.00 1,200.00 INDIANAPOLIS STAR 307 N. PENNSYLVANIA ST. TEL: (317) 444 -8484 FAX: (317) 444-8300 P.D. BOX 145, INDIANAPOLIS, INDIANA 46206 -0145 FED. I.D. 13- 2599556 24 INVOICE NUMBER 25 ADVERTISER INFORMATION 1 BILLING PERIOD 6 BILLED ACCOUNT NUMBER 17 ADVERTISER 1 CLIENT NUMBER 2 ADVERTISER CLIENT NAME 758582 01- JUL -10 TO 31- JUL -10 749416 945360 CARMEL CLAY PARKS 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 AO (COLUMNS X DEPTH). 4. PAGE NUMBER PAGE STATEMENT FOR MULTI -PAGE STATEMENTS. -17. 17•. TIMES BUN 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 PAYMENTADDRESS, 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 I CLIENT NUMBER, (2) ADVERTISER 1 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 7131110 758582 Career Builder Ads 1,200.00 Total 1,200.00 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 1,200.00 ON ACCOUNT OF APPROPRIATION FOR 101 Genera! Fund PO# or INVOICE NO. A.CCT WTITLE AMOUNT Board Members Dept 1125 758582 4346000 1,200.00 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 26 -Aug 2010 Signature 1,200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund