166693 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 118500 Page 1 of 1
ONE CIVIC SQUARE HAINES COMPANY INC
CHECK AMOUNT: $1,479.00
CARMEL, INDIANA 46032 Po BOX zii7
8050 FREEDOM AVE NW CHECK NUMBER: 166693
NORTH CANTON OH 44720
CHECK DATE: 12/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT D ESCRI PTIO N
,1115 4351502 287106 1,479.00 SOFTWARE MAINT CONTRA
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(Do HAINE COMPANY, INC®
MAKE CHECKS PAYABLE TO: AMOUNT
ENCLOSED
P.O. Box 2117
8050 Freedom Ave, N.W. TERMS: NET CASH
1 North Canton, Ohio 44720
Y (330) 494 -9111 Please show account number on all
Correspondence and Remittance
CARMEL CLAY COMMUNICATIONS CENTER Invoice Number: 287106
ATTN JANET
31 1ST AVENUE NW Invoice Date: 12101108
CARMEL IN 46032 Purchase Order: 14213
PO Expire Date: 0113112007
Detach and return this portion with your remittance Service Date: 0110112006
(see reverse side for credit card payment)
Item Code Description Type Price Quantity Item Total
65422Q INDIANAPOLIS W /QTR UPDATE CD 659.00 1 659.00
6J219Q INDY NORTH W /QTR UPDATE CD 307.00 1 307.00
NETWORK SERVICE CHARGE 10 USERS $483.00
SUBTOTAL 1449.00
SALES TAX 0 $0.00
SHIPPING $30.00
CREDIT AMOUNT $0.00
AMOUNT PAID $0.00
R
THIS IS A 12 -MONTH LEASE AGREEMENT
BILLING IS GOVERNED BY YOUR SERVICE DATE (AS SHOWN, ON YOUR AGREEMENT)
AND USUALLY DOES NOT COINCIDE WITH PUBLICATION EXCHANGE) DATES
All monies past due are subject to a service charge of 1 112% per month
Account Number: 99 17930 01 Purchase Order: 14213 REMIT HAINES &COMPANY, INC.
Invoice Number: 287106 PO Expire cafe: 7326,96 P O-B 2117
Invoice Date: 12101108 Total Due: $1479.00 8050 Freedom Ave, N.W.
North Canton, Ohio 44720
Service Date: 1101106 TERMS: NET CASH (330) 494 -9111
Remember: To keep enjoying all the benefits of Criss +Cross Plus information on CD -Rom and to ensure continuous service, submit payment as noted above.
Please see your contract for date of CD expiration.
AMOUNT.
CHARGE TO MY MASTERCARD
CARD NO.
CARD EXPIRES
CHARGE TO MY VISA MO. YR.
VISA CARD NO.
CARD EXPIRES
CHARGE TO MY DISCOVER CARD MO. YR.
CARD NO.
HAINES COMPANY, INC CARD EXPIRES
P.O. BOX 2117 CHARGE TO MY AMERICAN EXPRESS MO. YR.
8050 FREEDOM AVENUE, N.W.
D�HE55 CARD NO.
NORTH CANTON, OHIO 44720 CARD EXPIRES
MO. YR.
PRINT CARD HOLDER'S NAME
SIGNATURE
I I
CRISS CROSS° DIRECTORY SERVICE
Haines Criss Cross Directories and /or CD ROMs are and shall remain the property of the
Publisher. Future issues are furnished to the subscriber when and as published to replace
obsolete directories and /or CD ROMs, so that the subscriber will always be in possession of the
most current directory and /or CD ROM. Upon termination of agreement, all directories and /or
CD ROMs shall be returned to publisher. Charges will not be terminated until such directories
and /or CD ROMs are returned. Agreements are until forbid and shall remain in force until
cancelled by either party in writing prior to anniversary of service date.
23412 -1/07
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))
12/01 /08 I 287106 I I $1,479.00
1 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
Haines Company
IN SUM OF
P.O. Box 2117 8050 Freedom Avenue, N.W.
North Canton, OH 44720
$1,479.00
S
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 287106 43- 515.02 $1,479.00 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
Thursday, December 04, 2008
Dire ctor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund