165431 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC
s CHECK AMOUNT: $164.75
CARMEL, INDIANA 46032 460 VIRGINIA AVE
INDIANAPOLIS IN 46203 -1779 CHECK NUMBER: 165431
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUM IN VOICE NUMBER AMOUNT DESCRIPTION
1160 4230100 23794 164.75 STATIONARY PRNTD MA
r
e
%.23oio�
AM
Nl� I
0
Is"If?LE"o Date Invoice Number
ENGRAVING CO., INC.
460 Virginia Avenue Indianapolis, IN 46203 -1779 10/10/2008 23794
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
P0. Number .Ship Date `rShip Via, Terms Job Ticket Salesperson
2
Melanie Lentz 10/10/2008 Net 30 10 -62 DJ Linda
Quantity e Descrlpt Rate Amount
500 Thermographed Business Cards 68.00 68.00
Nancy Heck
2 2 lots 250 Thermographed Business Cards 45.00 90.00
Melanie Lentz, Michelle Krcmery
Shipping Charge 6.75 6.75
5 i yrcG-
Subtotal
Contact Phone Fax Number
Sales Tax (7.0
9401 Fx 844-34 8 IF PAYING BY MASTERCARD OR VISA, FILL OUT BELOW �.-1 T
otal a 't
1 44 715
CHECK CARD USING FOR PAYMENT
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 c1��
SIGNATURE EXP. DATE compliance with all applicable requirements of Sections 6,7 and 12 of the Fair Labor Standara�
Act, as amended, and of regulations and orders of the United States Department of La�r�
issued under Section 14 thereof.
After 30 days past due balances are subject to a charge 1.50% per month (18% per annum).
;Prescribed l;y State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995)
10/27/08 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 Co., Inc. 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))
10/10/08 23794 Business cards for Nancy Heck Melanie Lentz and $164.75
Michelle Krcmery
Total $164.75
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.
10/27/08
ALLOWED 20
Shirley Engraving Co., Inc. IN SUM OF
460 Virginia Ave.
Indianapolis IN 46203 -1779
164.75
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4230100
Stationery Printed Material
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
23794 4230100 $164.75 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
.,4
na e
tt��
Title dd
Cost distribution ledger classification if
claim paid motor vehicle highway fund