155639 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 358378 Page 1 of A
ONE CIVIC SQUARE ART SOUL GALLERY
CARMEL, INDIANA 46032 1 SOUTH RANGELINE ROAD CHECK AMOUNT: $250.00
CARMEL IN 46032 CHECK NUMBER: 155639
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4346500 250.00 CITY PROMOTION ADVERT
W�
Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
Property Owners /s 4' �"�r/G. C� ���G�►"'
Property Location
Terms of cooperative advertising program:
Merchant must turn in funding request
Ad must include Arts and Design District Logo
Paid invoice and copy of ad must be submitted with funding request
If funding is approved, CRC will reimburse merchant for 25% of ad,
up to $250 per ad
Merchant maximum per year is $500
Funding is allocated on first come, first served basis
Total Cost of Advertisement y
Grant Request t�s
(25% up to $250)
Attachments:
Copy of ad with logo
V Paid Invoice
Signature Owner /s Date
Mailing Address
62-F .2-
ART HOUSE SPECIAL ADVERTISING SUPPLEMENT
practicing the most advanced pediatric care
possible," Poltawsky says.
Children's perspectives are treated with BE
respect at Peyton Manning Children's Hos- F E H S Ee N F E L D
pital as well, stemming from the hospital's 1 E A R "l'
holistic approach to health. "Because we
were founded by the Daughters of Char-
ity, St. Vincent is unique in that we treat t �y� j95:*
the child and the child's whole family body, z� y�
mind and spirit," Poltawsky says. "That
holistic care includes treating the illness,
treating the emotional part of being sick, al_
Ir
lowing people of every faith to express their eta Q N,i 3�
spirituality in the healing process. ChildT' ;'I aL
Life is part of that process." Y
The proceeds from the ticket sales to the*�,�r
Indianapolis Monthly Art House are going
to Peyton Manning Children's Hospital's
Child Life program, an innovative service t
that makes hospitalization less stressful on
sF# s
a child than it otherwise might be. "It's a t
special department with specialized pro
fessionals, experts in child development, n+ 1 1
who educate the child and the child's fam -�1 u�
ily about the treatment or the illness that RURAL LIFE, LOIRE VALLEY OIL ON LINEN
the child's going through so that the child GALLERY HOURS THest Satartlnv7 ri -5 31
knows what to expect," Poltawsky says. 7•, 3- ooz6
zo Nortlj Main Street Zionsvi�(e IN 60
"Anxiety and fear is reduced." 4 77 mmtv.BeclZyStiulio.coui
The Child Life program goes beyond the
hospital's walls as well: The specialists will
also go to schools and educate the hospital
ized child's teachers and classmates on the
details ofthe child's illness. Remarkably, the
Program is included in the hospital's regu
lar fees —one of the advantages of being
treated in a hospital specifically designed y F
a t
for kids. "It's an important program, its
one of the value -adds that a children's hos-
pital brings to the table —and St. Vincent
doesn't receive- extra reimbursement for it,
so it's totally dependent on the generosity of
others," he adds. f
The Peyton Manning Children's Hospk
"t 1
tai has any number of additional features
and programs, from the largest Level III
neonatal intensive -care unit in the state b�OF
u�.
a state -of the -art pediatric department,
a nurse advice line (338 -KIDS) provid- t}
ing phone access to a registered nurse 24
1J ��STRI
hours a da Gt
y —but the Child Life program i
perhaps best exemplifies Peyton Manning t" Original amtork from over 80 in
A ternationally recognized
Children's Hospital's commitment to rais- b *t v artists including American artists StuartYankell acid Thomas
ing pediatric care to a new level. With the �a Easley French artW iahne Aol and Russians Alexilaitsel' A
as of donations like those from the nOVS
I i P t aila Natal ROITIOki
y� Y
IaJuuuzpolKi 1h Art House event, Pey- j t n�s
Uv
oul
ton Manning Children's Hospital will con- 00 GII IN 46032
tinue to treat all its patients as MVPs. o T,
INDIANAPOLIS MONTHLY 27
Mp'anapdo*s A o
M FTFIY �1..1 V OCI
7992 Reliable Parkway 'f L r
Chicago, IL 60686 -0079 t DATE INVOICE NO. PAGE
(317)237 -9288
tax: (317) 684 -8356 0/ 0 7 6 2 8 8 9 01
Contract: 18164
BILLED SHIP 118985
TC�T SOUL
TO: ART SOUL
1 SOUTH RANGELINE ROAD 1 SOUTH RANGELINE ROAD
SUITE 100 SUITE 100
CARMEL, IN 46032 -0000 CARMEL, IN 46032 -0000
ORDER NO. INVOICE DATE CUSTOMER ACCOUNT PAGE NUMBER
CODE EXEC. ISSUE DUE DATE TERMS
1 -1- 02.4-0-1-0-43-0-/70-7-3 .1$ -9 -8.5 p,2 I I�
Nov _20. 11__./ 3.0_/_0
QUANTITY REM NUMBER ITEM DESCRIPTION
AMOUNT
1 LL 1/3 PAGE 4 -COLOR ea. 3,000.00
i
I
I
ccount Executive
OM PITZ
SALE AMOUNT 3, 0 Q Q_ Q O
11Qf1� 9JO C1 �Q$
A c�u �$fl °tf1(�I SALES TAX O OO
G ROSS DUE 3 000.00
LESS PREPAID
NET DUE
ADVERTISING CONTRACT
Contract No.
1816
Z
0 0
L06 Company Name: vL
Authorized Agency:
Billing Address: _i�,P�Nng LwE R%7A,,
City, State, Zip Code:
Phone: q i iE
Name of Contact: i�� s d D A/
Email address: Aki A A S o m L t &A
I have the authority to execute this Advertising Contract on behalf of the above -named company (hereinafter
"Company and, with my signature here on, authorize Indianapolis Monthly (hereinafter "IM for and on
behalf of the Company, to publish advertising as outlined below within a 12 month period beginning with the
One EMMIS Plaza ���t l 20 issue of IM.
40 Monument Circle No. of Insertions Size and Shape i 17 B/W O 2 /Color 4 /Color
Rate 3(m per insertion Special remarks
Suite 100
RATES AND CONDITIONS ARE SUBJECT TO CHANGE UPON 60 -DAY WRITTEN NOTICE.
Indianapolis, IN 46204 January September
(317) 237 -9288 February October
March November 14A4lSe
FAX: (317) 684 -8356 April December
May City Guide
June Menu Guide
July Indy Shops
August Indianapolis Home
The Company acknowledges that any changes in the above specifications and /or schedule or cancellations must be in writing and must arrive at /Ms
office prior to the closing date for the issue in which the next insertion is scheduled to run. If this contract is not fulfilled for any reason, the Company
will be short rated, charged the highest applicable earned rate, which means that the rate on past and subsequent insertions will be readjusted to con-
form to the actual space used when it is less than the space originally contracted for by the advertiser.
The Company acknowledges and agrees that IM is not liable for delays in delivery and /or nondelivery; that IMs liability for any error or omission in
any advertising will not exceed the cost of the space occupied by the error; and that IM assumes no liability and shall not be liable to Company if, for
any reason, it becomes necessary to omit or delete an advertisement.
The Company agrees that payment for advertising shall be by insertion, and, should IM publish the advertising without advance payment by the
Company, all charges are due to IM by the 30th of the month of publication date. IM reserves the right to hold advertiser and /or its advertising agency
jointly and severally liable for such monies as are due and payable to the purchaser, including all costs, attorneys' fees and expenses incurred in-col-
lection thereof, all without relief from valuation and appraisement laws.
This Advertising Contract is subject to all terms and conditions set forth in current IM rate card issued 20
Signed at (City) /lfiV (State) this day of l 20
AAA 5
Name of Company 4$01r kL W itness
IM Account EKe rve
Authorized Representative f� sr Accepted by:
J 1T IM Advertising Director
Typed or printed name
Original: Return to Indianapolis Monthly e Return to Indianapolis Monthly Sales Department Pink: Advertiser to retain for records
1
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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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
h
!q
Total TO oC
1Z
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
i� T/U
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
ZS o co 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
rn'. a.
Ig tur
Gt/LCo
Ti
Cost distribution ledger classification if
claim paid motor vehicle highway fund