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167454 12/23/2008 a CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1 ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECK AMOUNT: $241.00 CARMEL, INDIANA 46032 460 VIRGINIA AVE INDIANAPOLIS IN 46203 -1779 CHECK NUMBER: 167454 CHECK DATE: 12/23/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4239002 24657 33.58 REFERENCE MANUALS 1205 4230100 24657 109.92 STATIONARY PRNTD MA 1160 4230200 24711 97.50 OFFICE SUPPLIES AWASW MwAw ff V VOXE Js"IF71 —HV Date Invoice Number ENGRAVING CO., INC OFFICE STATIONERY 12/15/2008 24657 PRINTING 460 Virginia Avenue Indianapolis, IN 46203 317 634 -4084 Fax 317 685 -2524 Shelly Lingelbaugh We accept City of Carmel Mastercard, Department of Human Resources VISA One Civic Square Carmel, IN 46032 American Express PO Number Ship Date Ship Via Terms Job Ticket 12/15/2008 Net 30 12 -128 Quantity Description Rate Amount 2 2 lots 500 Thermographed Business Cards 68.00 136.00 Sue Coy, Rebecca Chike Shipping Charge 7.50 7.50 Subtotal $143.50 Contact Phone Fax number Shelly Lingelbaugh 571 -2465 Fx. 571 -2409 Sales Tax (7.0 $0.00 Email: shirleyengraving @aol.com iT!otall `$1�43;!5'0 www.shirleyengraving.com Letterheads Envelopes Business Cards Announcements Pocket Folders Marketing Materials Engraving Foil Stamping Thermography Embossing 4 Color Offset Printing 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 ;t Shirley Engraving Co., Inc. Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. 12119AQB ALLOWED 20 Shirley Engraving Co., Inc. IN SUM OF 460 Virginia Avenue Indianapolis, IN 46203 $143.50 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for .92 charge is made were ordered and 1202. 24657 390 -02 $33.5$eceived except 20 Signatu Cost distribution ledger classification if Title claim paid motor vehicle highway fund p p 4 ✓u RMW AWAW 5S#41#7LEV Date Invoice Number ENGf;AVlNG CO., I NC. 460 Virginia Avenue Indianapolis, IN 46203.1779 12/18/200 24711 317.634.4084 Fax 317.685.2524 www.shirleyengraving.com Ship To Accounts Payable City of Carmel Mayor's Office One Civic Square Carmel, IN 46032 P.O, Number Ship Date Ship Via Terms Job T911et Salesperson Jenny Chastain 12/18/2008 Net 30 DJ Linda Quantity Description Rate Amount 1000 hermdgraphed Business Cards and Plate 90.00 90.00 Mayor Brainard Shipping Charge 7.50 7.50 I i i i I I i i I Subto at 97.50 Contact Phone Fax Number Karen Glaser 71 -2401 Fx. 844 -3498 Sales Tax (7.0 $0.00 IF PAYING BY MASTERCARD OR VISA, FILL OUT BELOW $97.50 CHECK CARD USING FOR PAYMENT O MASTER CARD 0 VISA In thu event payment Ill not Gmgty mddo, Intorest commences at the rate im por annum, CARE NUMIWA AMOUNT to©athar with court costs, attorgoy's fear, of not lees than twenty -five percent (25 of the unpaid amount of principal anci Interest and any other costs of collection Incurred by Shhlay Engraving Company, trip. We hereby cattily that these goods were proaucea In 51(NATIJRE EX oATE conywance with all upplioablo ruclulromonw of Sections 6, 7 and 12 at tho Fair Labor Stundurtl. Act, as amondod, and of regulations and ordwc of thu Unitud Stalan Daportmanl of Labor luouad under Section 14 thoroof, After 00 day* peat duc balancoa arc oubt*ot to a ohargo 1.50% por month (18% per annum). TO /10 39Vd SNIAVaON3 A3 bZSZS89LT6 LZ :ZT 800Z /8T /ZT Prescribed b State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 12/19/08 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 Shirley Engraving Purchase Order No. 460 Virginia Ave Terms Indianapolis IN 46203 -1779 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/18/08 24711 Business cards for Mayor Brainard $97.50 Total $97.50 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. 12/19/08 ALLOWED 20 Shirley Engraving IN SUM OF 460 Virginia Ave Indianapolis IN 46203 -1779 97.50 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayor 4230200 Office Supplies Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 24711 4230200 $97.50 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 X i Sign a y i Cost distribution ledger classification if Title claim paid motor vehicle highway fund