164638 11/16/2008 CITY OF CARMEL, INDIANA VENDOR: 357371 Page 1 of 1
d ONE CIVIC SQUARE CARMEL OLD TOWN ANTIQUE MALL CHECK AMOUNT: $228.76
r CARMEL, INDIANA 46032 38 W MAIN ST
CARMEL IN 46032 CHECK NUMBER: 164638
CHECK DATE: 1011612008
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER A MOUNT DESCRIPTION
902 4346500 228.76 CITY PROMOTION ADVERT
s Application Cover Sheet
Carmel Redevelopment Commission Grant Request
r Carmel Arts and Design District
Cooperative Advertising Program
CARMEL OLIN TOWN
ANTIQUE MALL
Property Owners /s 38 w- MAIN AT
CARMEL, IN 46032
PH: 317 -566 -1908
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
Grant Request
(25% up to $250)
Attachments:
Copy of ad with logo
V
Paid Invoice
Signature of Owner /s Date
Mailing Address CARM o
CABw M�NST
P RM 7 X
TIAVELHOST of Indianapolis
P.O. Box 185 li
Ellettsville, IN 47429
United States DUE DATE INVOICE
9/19/2008 I 1900
B I Carmel Old Town Antique Malt S I Carmel Old Town Antique Mall
1 I 38 W, Main St, H 1 38 W. (Hain St.
L Carmel, IN 46032 1 Carmel, IN 46032
L I P
T I O i
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P:O- NUMBER 1 __.__._..�TERMS CZJSTQiUicR S
Yr SriiP- i- iiP VIA
PROJECT
r r
88.828.109mue on or before due date of if i 8/29/2008 November 2008
ITEM j DESC I QTY I RATE I TAX j AMOUNT
COTAM 1 small ad on antique theme (for one insert) i 1 T 200.00 i j 200.00
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Please remit payment to: TRAVELHOST of Indianapolis, P.O. Box 185, Ellettsville, IN 47429 Subtotal 200.00
0.00% Tax 0.00
Total 200.00
Amount Paid: 0.00
Balance Due: 200.00
0 30 days 31 60 days 61 90 days 90 days Total
0.00 0.00 1 0.00 0.00 200.00
I
CheckTmage
81
View Front View Back dose
r7L cT urrwve MALL 86
;S 72
ir C w (i Date Z�3 DoIara r. AW
1.. OQ 01 40067q 6'9r 2
Checklmage
'v View front 1 View Back Close
P. M.'T06 B:006 S:0071 00669
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Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
CARMEL OLD TOWN
Property Ownersls ANTIQUE MALL
CARMEL, IN 46032
PH: 317 -..566 -1908
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 I
7f
Grant Request
(25% up to $250)
Attachments:
Copy of ad with logo
Paid Invoice
Signature of Ownerls Date
Mailing Address CARMEL OLD TOWN_
MALL
38 W. MAIN ST.
CARMEL IN 46032
317 r,66 -1908
t e V e
r
dmg world media (USA) inc
P.O. Box 90
Knightstown, IN 46148 INVOICE
Phone 800 -876 -5133 Fax Invoice Date Invoice
Bill To: 9/20/2008 77530
Carmel Old Town Antique Mall Pay this amount
$752.64
38 W Main St. By: 10/20/2008
Carmel, IN 46032
Make checks payable to: dmg world media (USA) inc
Have E -Mail? Please write it here:
Please check box if address is incorrect or has changed, and
indicate change(s) on reverse side.
dmg world media (USA) inc PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT
Invoice Date: 9/20/2008 Invoice 77530
P.O. Box 90
Knightstown, IN 46.148 P.O. No. Terms Due Date Order
5 /10 Net 30 10/20/2008 92911
Ad Type Description Pub Issue Column Inches Amount
DFC Display Ad; Color Full; Published on 09/15/2008 AWC2045 16 376.32
DFC Display Ad; Color Full; Published on 09/22/2008 AWC2046 16 376.32
view 2o-6675
N m View Front Back C9rsse
ate
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Dollars
lyp
IIi
ARDI
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4 I
1
5% discount if paid within 10 days.
THERE WILL BE A $15 CHARGE FOR ALL RETURNED CHECKS Total $75164
1.75% INTEREST, 21% ANNUAL WILL BE ASSESSED ON ALL
UNPAID BALANCES AFTER 30 DAYS Payments /Credits $0.00
Billing Inquiries? Call 800- 876 -5133
Balance Due $752.64
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
Ca rev%c -1 e) d Tow AA e1A Purchase Order No.
�g Se Terms
r N 1 0 T? Date Due
i
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
g GY N Coo ego ao4uer�<1 s p o 0
i
Total ZZ 8�
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
f o l s TOL,a,. IN SUM OF
y Lt,7 ��a .S�ra -e.•I` C Q -tow.(
19J
�2 74�
ON ACCOUNT OF APPROPRIATION FOR
3 V( .5 00
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
4 ?4Z N TGO 5o,C bill(s) is (are) true and correct and that the
U +A 6ST 7C? Pq materials or services itemized thereon for
which charge is made were ordered and
received except
(O f 20 0�
n
Sig
p.��, CX ure
F,��
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund