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191785 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 362829 Page 1 of 1 ONE CIVIC SQUARE PARTNERS PRINTING CHECK AMOUNT: $330.00 CARMEL, INDIANA 46032 5153 COMMERCE SQUARE DR. SUITE C CHECK NUMBER: 191785 INDIANAPOLIS IN 46237 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION 1081 4239039 12886 330.00 GENERAL PROGRAM SUPPL Invoice Q rs DATE INVOICE N... 10/15 /2010 12886 BILL TO Carmel Clay Parks Recreation Paula Schlemmer 1411 E. 116th Street Make checks payable to Carmel IN 46032 Partners Printing E1N 35- 2038973 DBA Partners Printing Promos P.O. NO. TERMS DUE DATE REP PROJECT 23983 Net 30 Days 11/14/2010 MS 12886 910 E... DESCRIPTION AMOUNT 22 Pads of Behavior Report Forms 330.00 I T (M TR)T 7 T 1� OCT 1 8 2010 �J Purchase Description Y P.Q. �391g3 P G.L. 10 F_t 4 a3L10 ,3 9 Budget Line Desc �1 -t Lt2bwS Purchaser A Date Approval Date 1 r 1� Total $330.00 e Drive, caste C COetaeSgaaYh6237 Payments/Credits $0.00 `'153 oCts Inalana 317.885 �yo2 lnaian�P 79�� FnX Orr` Balance Due e 317.885 rs printinS• cow 330.00 www p °r www.par 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. 362829 Partners Printing Terms DBA Partners Printing Promos 5153 Commerce Square Drive, Suite C Indianapolis, IN 46237 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10/15/10 12886 Behavior report pads 23983 330.00 Total 330.00 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 1 20 Clerk Treasurer Voucher No. Warrant No. 362829 Partners Printing Allowed 20 DBA Partners Printing Promos 5153 Commerce Square Drive, Suite C Indianapolis, IN 46237 In Sum of 330.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 12886 4239039 330.00 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 4 -Nov 2010 Aj I d I A& M- Ma Signature 330.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund