167177 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
Q� ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECK AMOUNT: $450.00
�o CARMEL, INDIANA 46032 460 VIRGINIA AVE
INDIANAPOLIS IN 46203 -1779 CHECK NUMBER: 167177
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER A DES
1205 4230100 24554 227.50 STATIONARY PRNTD MA
1160 4230100 24644 222.50 STATIONARY PRNTD MA
SHiRLEY Date Invoice Number
ENGRAVING CO., INC.
460 Virginia Avenue Indianapolis, IN 46203 -1779 12/5/2008 24554
317.634.4084 Fax 317.685.2524
www.shirleyengraving.com
Ship To
Shelly Lingelbaugh
City of Carmel
Department of Human Resources
One Civic Square
Carmel, IN 46032
P0. Number Ship Date Ship Via Terms Job Ticket Salesperson
12/5/2008 Net 30 12 -38 DJ Linda
°"Quantity' Description Rate Amount
1,000 Printed 9 X 12 Envelopes from Plate 210.00 210.00
Shipping Charge 17.50 17.50
Contact Phone /Fax Number Subtotal 227.50
Shelly Lingelbaugh 571 -2465 Fx. 571 -2409 Sales Tax (7.0 $0.00
IF PAYING BY MASTERCARD OR VISA, FILL OUT BELOW Total Q
CHECK CARD USING FOR PAYMENT 227.50
MASTER CARD VISA In the event payment is not timely made, interest commences at the rate 18% per annum,
CARD NUMBER AMOUNT together with court costs, attorney's fees of not less than twenty -five percent (25 of the
unpaid amount of principal and interest and any other costs of collection incurred by
Shirley Engraving Company, Inc. We hereby certify that these goods were produced in
SIGNATURE EXP. DATE compliance with all applicable requirements of Sections 6, 7 and 12 of the Fair Labor Standards
Act, as amended, and of regulations and orders of the United States Department of Labor
issued under Section 14 thereof.
After 30 days past due balances are subject to a charge 1.50% per month (18% per annum).
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
1 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
Shirley Engraving Co., Inc Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
PF 9 x 12 enveiopes $227.50
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO WARRANT NO. O$
ALLOWED 20
Engraving Co., In
IN SUM OF
X460 Virginia Avenue
h1dianapalis, 1M 79
$227.50
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 24554 3 50 materials or services itemized thereon for
which charge is made were ordered and
received except
20
S' t e na
1,��
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
%d3 0l o 0
RAW M V MCC
Sly i4LE� Date Invoice Number
ENGRAVING CO., /NC.
OFFICE STATIONERY 12/15/2008 24644
PRINTING
460 Virginia Avenue Indianapolis, IN 46203
317 634 -4084 Fax 317 685 -2524
Accounts Payable We accept
City of Carmel Mastercard,
Mayor's Office VISA,
One Civic Square
Carmel, IN 46032 American
Express
PO Number Ship IDate Ship Via Terms Job Ticket
Melanie Lentz 12/15/2008 Net 30
Quantity Description Rate Amount
1000 Foil Business Cards and Plate 215.00 215.00
Norris
Shipping Charge 7.50 7.50
Subtotal $222.50
Contact Phone Fax number
Karen Glaser 571 -2401 Fx. 844 -3498 Sales Tax (7.0 $0.00
Email: shirleyengraving @aol.com Total $222.50
www.shirleyengraving.com
Letterheads Envelopes Business Cards Announcements Pocket Folders Marketing Materials
Engraving Foil Stamping Thennography Embossing 4 Color Offset Printing
i i'rescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
12 /15/08 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
Shirley Engraving Purchase Order No.
460 Virginia Ave Terms
Indianapolis IN 46203 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/15/08 24644 Business cards for Darrell Norris $222.
Total $222.50
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.
12/15/08
ALLOWED 20
t Shirley Engraving IN SUM OF
460 Virginia Ave
Indianapolis IN 46203
222.50
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4230100
Stationary Printed Material
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
24644 4230100 $222.50 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
7
i
Sign u e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund