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160787 06/25/2008 a- CITY OF CARMEL, INDIANA VENDOR: 357371 Page 1 of 1 0 ONE CIVIC SQUARE CARMEL OLD TOWN ANTIQUE MALL CHECK AMOUNT: $75.00 CARMEL, INDIANA 46032 38 W MAIN ST CARMEL IN 46032 CHECK NUMBER: 160787 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT D ESCRIP TION ;002 4346500 75.00 CITY PROMOTION ADVERT I I I Application Cover Sheet Carmel Redevelopment Commission Grant Request Carmel Arts and Design District Cooperative Advertising Program Property Ownersts MEL OLD Property Location C ANTIQUUE MALL MAIN ST. CARMEL, IN 46032 PH: 317 -566 -1908 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 3 t:9D Grant Request (25% up to $250) Attachments: Copy of ad with logo Paid Invoice Signature of Ownerls Date Mailing Address CARMEL OLD TOWN ANTIQUE MALL 38 W. MAIN ST. CARMEL, IN 46032 PH: 317 -566 -1908 y V E; a F Transaction Period: 05/01/2008 05/31/2008 Carmel Old Town Antique Mall Account Number: 1010 Billing Date: 05/31/2008 38 W. Main St. Due Date: NET 30 Carmel, IN 46032 Amount Due: $300.00 Please indicate reference number(s) to ensure proper credit: Amount Paid: Please return top partEan w' ith payment STATEMENT INVOICE Page: 1 __.__Current_in_Carmel 1 South. Rangeline- (Road, Suite 220 Carmel,_lN 4W32_(317) 489 4444,. 05/2072008 14721 -001 Display Ad 411.000 5.71 $300.00 CURB 1/8 V, 4C CURRENT PUBLISHING, LLC 1 SOUTH RANGELINE RD SUITE 220 CAR IN 46g32 Thank you for advertising with us! PLEASE NOTE OUR NEW ADDRESS: 1 South Rangeline Road Suite 220 Carmel, IN 46032 ffimam Carmel Old Town Antique Mall 0 $300.00 Previous Balance: $0.00 Account No: 1010 Past 30 $Q.00 Total Credits: $0.00 YTD Inches: 6 60 $0.00 Total Charges: $300.00 No of Tears: 0 Info 90 $0.00 120 $0.00 150+ $0.00 Amount Due: $300.00 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL A,n 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 (I Purchase Order No. 3 8 W. 1;t, Terms y &03? Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) [j p 6 d CbG a P Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in ance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 6/d T l�,.�ti �G� IN SUM OF �Q 7.f ON ACCOUNT OF APPROPRIATION FOR 102 4 3 y(vroo Board Members PO# or DEPT. p INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or q6? L i 3 y (oSoo 7 S 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 j� Sign e iJ r Q Cost distribution ledger classification if Title claim paid motor vehicle highway fund