158319 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 357371 Page 1 of 1
ONE CIVIC SQUARE CARMEL OLD TOWN ANTIQUE MALL
CHECK AMOUNT: $50.00
%a CARMEL, INDIANA 46032 38 W MAIN ST
CARMEL IN 46032 CHECK NUMBER: 158319
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMB AMOUNT DESCRIPTION
902 4346500 50.00 CITY PROMOTION ADVERT
i
Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
CARMEL OLD TOWN
Property Owners /s ANTIQUE MALL
CARMEL, IN 46032
PH: 317 566 -1905
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 yU
Grant Request
(25% up to $250)
Attachments: C ve�
Copy of ad with logo
Paid Invoice
Signature of Owner /s Date
Mailing Address
CARMEL OLD TOWN
ANTIQUE MALL
38 W. MAIN ST.
CARMEL, IN 46032
PH: 317 -566 -1908
3
TRAVELHOST of Indianapolis
P.O. Box 185 In voice
Ellettsville I 47429 DUE DATE INVOICE
United States 31z1r20Da 1 729
BILL TO SHIP TO
Camel Old Town Antique Mall Carmel Old Town Antique Mali
I
38 W. Main St. Carmel, Main
Carmel, IN 46032 Cel, IN 466
032
PR OJECT
_PhoneJVumher___11 TER CUSTOME May /June 2008
888.828.1090 an or before 3.21.OJ� 3/112008
_T DESCRIPTION QTY RATE TAX AMOUNT
ITEM I 200.00
COTAM 1 small ad on antique theme (for one insert)
1 200.00 I
I
E
I
6280 I
�1�11 COTAM INC DsA 20-71740 I
CARMEL OLD TOWN AidTiQUE MALL
I lik 38 WEST MAIN STREET L
CARMEL. IN 460.32 3 7 /0 t DATE I
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r �1 hAY7OTIiE
ORDER C 7rf a� ::rs „PS
lJOLLAR ask. ri
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l HUNTINGTON
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40 74D000 '�B 1 m 0 L40 7` 06911 ®0 280
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HaALaN6;�a�p'[G
Subtotal Tax 200.00
Please remit payment to: TRAVELHOST of Indianapolis, P.O. Box 185, Ellettsville, IN 47429 0.00% 0.00
Total 200.00
Amount Paid: 0.00
Balance Due: 200.00
0 30 s da 31 60 days 61 90 days 90 days Total
y 200.00
0.00 0.00 j 0.00 0.00 Il
Checklmage Page 1 of 1
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Prescrip,ed by State Board of Accounts City Form No. 261 (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 /nLct o(.( Tow.. A 4.4.� if Purchase Order No.
Terms
C r.rcc l� T' y q 3 Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 7 0 8 Coo a►-� So o0
Total 59—: e-
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in c rdance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
'3 7 W
C41*J$U TN L16032-
ON ACCOUNT OF APPROPRIATION FOR
Board Members
o INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
o k3'FCO5 .�0. 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
ignatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund