190275 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364755 Page 1 of 1
ONE CIVIC SQUARE GLOO FACTORY INK, LLC
CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 PO eox iziz
TUCSON AZ 85702 CHECK NUMBER: 190275
CHECK DATE: 9/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 300.00 OTHER MISCELLANOUS
Gloo Factory Ink, LLC
POB 1212 Tucson, AZ 85702 (520 )740 -0810
Invoice
Date: 9/13/10
City of Carmel
Reflective bicycle stickers
Quantity Item Amount Total
500 reflective stickers various designs .4 200
200 1 Bike Cannel reflective stickers .5 100
Amount Due: 300
0UCHER NO. WARRANT NO.
ALLOWED 20
Oloo Factory Ink, LLC
IN SUM OF
P.O. Box 1212
Tucson, AZ 85702
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel 'DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 42- 390.99 $300.00 1
i I 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
M ndaY)Se?t9nPerY 2010
Director, DOC
Title
Cost distribution ledger"classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/13/10 Bike Stickers for Public Safety Day $300.00
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