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190856 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 190775 Page 1 of 1 Q� ONE CIVIC SQUARE MACO PRESS INC CHECK AMOUNT: $525.52 CARMEL, INDIANA 46032 Po Box 329 CARMEL IN 46032 CHECK NUMBER: 190856 CHECK DATE: 10113/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4230100 13983 525.52 AP ENVELOPES �M 317- 846 -5567 ac p ress 877 234 -9658 Fax: 317 -846 -5754 Invoice Number 560 3rd Avenue S.W. www.macopress.com Invoice Date 10/5/2010 P.O. Box 329 Purchase Order A. DAVIS Carmel, IN 46082 -0329 DESCRIPTION AMO 10,000 ACCOUNTS PAYABLE WINDOW ENVELOPE 513.52 Sub -Total 513.52 Tax Shipping 12.00 Invoice Total 525.52 TERMS: ALL INVOICES DUE UPON RECEIPT. FINANCE CHARGE OF 1.5% PER MONTH, (18% PER ANNUM) WILL BE CHARGED ON OVERDUE BALANCES. Balance Due 525.52 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. Q Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) AJ rs 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 ON ACCOUNT OF APPROPRIATION FOR to Actco kn Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 4 I hereby certify that the attached invoice(s), or ��Z� 1 q3 �5 O I 566 55A 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 20 P' Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund