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156529 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 357371 Page 1 of 1 ONE CIVIC SQUARE CARMEL OLD TOWN ANTIQUE MALL CARMEL, INDIANA 46032 36 w MAIN Sr CHECK AMOUNT: $88.99 CARMEL IN 46032 CHECK NUMBER: 156529 CHECK DATE: 2121/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4346500 88.99 CITY PROMOTION ADVERT I P Application Cover Sheet Carmel Redevelopment Commission Grant Request Carmel Arts and Design District f. Cooperative Advertising Program Property Owners /s CARMEL OLD TOWN 38 W. MAIN ST. CARMEL, IN 46032 Property Location 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 Grant Request (25% up to $250) Attachments: f Copy of ad with logo Paid Invoice C z/ Signature of Ownerls Date Mailing Address CARMEL OLD Tow 38 W. MAIN ST. CARMEL iN 46032 P H: 317-566 -1908 dmg wof'd media (USA) inc te t P.O. Box3 Knig btstown, 46148 Date 1/31/2008 800 -876 -5133 To: Carmel Old Town Antique Mall 38 W Main St. Carmel, IN 46032 Amount Due Amount Enc. Please return statement top with payment. $374.68 Date Transaction Amount Balance 12131/2007 Balance forward 0.00 01/2412008 INV #67366. Due 02/23/2008. 374.68 374.68 COTAM INC DBA. 62 10 CARMEL OLD TOWN ANTIQUE MALL 20-7040 I 6 WEST STREET C AFiMEL, IN 1N 460 46Q32 fl DATE II;' PAY TO THE ORDER OF I HUNTINGTON !I �f FOR l �dz �S 100 7400007 [II 0 14006790691 2 10 1 -30 DAYS PAST 31 -60 DAYS PAST 61 -90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 374.68 0.00 0.00 0.00 0.00 $374.68 This statement shows all activity for the month. Individual invoices are sent separately and may have already been paid. Payments received after statement date are not reflected on this statement. .,i s 1/ V 1 r 0r 01.5 c 1 pi S k'�iY +Y D �,x diW If rM- �r�`'a'". `�+i Ay r .Y-'i r �i h Y+-y` 3�-, Z.ti�S��.✓? y A y 1 k .fin .e ;"a r r� �"A� r i Y 4i t7 6•� 'a r'�.." x J is 1 n r, t "t 4 -4g it 3 ��hY�r�..'14�L.;��ir�Y -C(T 1 pr 4 M1 S,�I it 1..} ,�a'{ 7 �11 th �T y y, i4 �Cook,for a Red Heart�onr r f �j d £The Pace Tag�3 Y rt S S,- fi S4 5. >r r`,grt r�� W-are proud to have many brand name shops inthe`mall ✓ell kriowri =dealer" throughout Central Indaana znlude�U [✓a eralver�ferrey A'nn s, 3 Antzquef x s d tl r:''>E" +"spa °1."ur s r>. P r',• ry �fs�� y j 4 Paper Tra� Matey F rankAntzgie; intrige rions '�orzgznal framedtart Jean gown''r' armentDzstract all�AntuquesASAW Vn"t g Uendr%�Vntage� a fewelry�by�Kathleen Mar�nr many more soon to announce t H s��Nry ae at �c f t u„'Rr.3.F 2 .a `g•`S ,r'C` Sr 27 Z,,".'� y .Y 7 Please send us your a rna +l address so we can keep�you�upYto�f. h b rdatea wlthrour b� weeicCy n W "j s kt x� a� T r zs�x.e ti e slet#er IVew'th�ngs are�happenmg at3�� the Mall' &4hA h r J Arts,& Design Drstrrctf �4 6tVA8 x r ��,€a �""'Sx a Carmel C3dToW gt,e "i1�1= t r• 1S Pro llCl�© b N s is 15 a trtFly "Green" Mall GQreen9 k o t r ecyc t Oneof Hginolton County 's Finest largestrMalls A-4 e- .�r x ,{c✓ ti q� r Near Noblesville& Wesff�eld Just minutes north of Iritly z 7 Days A Week, or3�S7 566 190 5 „E mail cotti sbcglob it nets x ti T j y r f Visit us;on =theF =webs @k n w �Y w►wyw carmeloldtown�int�c�ennall icy 9 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An inyoice 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 6 Ic!' Purchase Order No. 32. a.,, 5Ye,,.4 Terms 3 Z Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Zj�foB Ca a �t Total C 6 S 9 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 r.ne,I TN Lf(oo 3 z ON ACCOUNT OF APPROPRIATION FOR o Z Lf 3if 6r Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or q�Z 43If45- a a$. 91 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 Z 20 r Cost distribution ledger classification if Title claim paid motor vehicle highway fund