190809 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1
0 ONE CIVIC SQUARE INDIANAPOLIS STAR
CARMEL, INDIANA 46032 PO BOX 677553 CHECK AMOUNT: $77.37
DALLAS TX 75267 -7553
ory CHECK NUMBER: 190809
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4345500 768223 77.37 PUBLICATION OF LEGAL
THE INDIANAPOLIS STAR 1 BILLING PERIOD 12 ADVERTISER! CLIENT NAME
n 01- SEP -10 TO 30- SEP -10 CARMEL CLAY PARKS RECREATION
N DYSTAR >k COI V I 23 TOTAL DUE 26 UNAPPLIED AMOUNT 3 TERMS OF PAYMENT
77.37 0.00 NET 15
21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS
Advertising Invoice Statement 77.37 0.00 0.00 0.00
4 PAGE 5 BILLING DATE 8 BILLED ACCOUNT NAME AND ADDRESS 9 REMITTANCE ADDRESS
1 30- SEP -10
6 BILLED ACCOUNT NUMBER CARMEL CLAY PARKS RECREATION INDIANAPOLIS STAR
1411 E 116TH ST
707066 CARMEL, IN 46032 P.O. BOX 677553
7 ADVERTISER /CLIENT NUMBER DALLAS, TEXAS 75267 7553
768223
7070660000007645870000773715329
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE 1'. NEWSPAPER 2 13 DESCRIPTION OTHER 5 7ZE 7 TIMES RUN 19 GROSS AMOUNT 20 NET AMOUNT
REFERENCE 4 COMMENTS CHARGES 6 BILLED UNITS 8 RATE
09 -Sep 2170439 RFP PRINT SERVICES SUPPLIES 8.2857 9 77.37
Thursday 5702619 AUDREY KOSTRZEWA 8.2857 0.07
CLASSIFICATION 0 NOBLESVILLE LEDGER 77.37
5V rr-a
Purchase o J CA
Description 0 4 2010
P.O.# PorF
G.L.
Budget BY:
Une Descr
Purchaser Date
Approval Date
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS 26 UNAPPLIED AMOUNT -3 TOTAL DUE
77.37 0.00 0.00 0.00 0.00 77.37
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 7 ADVERTISER I CLIENT NUMBER 2 ADVERTISER CLIENT NAME
764587 01- SEP -10 TO 30- SEP -10 707066 768223 CARMEL CLAY PARKS RECRE
10 ,9A
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.
13. PRODUCT SERVICE CODE 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
9130/10 764587 Legal ad RFP Print services 77.37
Total 77.37
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
77.37
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1125 764587 4345500 77.37 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
7 -Oct 2010
�Lm ,6�tSt�t
Signature
i s 77.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund