164931 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
d. ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC
CARMEL, INDIANA 46032 460 VIRGINIA AVE CHECK AMOUNT: $353.25
INDIANAPOLIS IN 46203 -1779
CHECK NUMBER: 164931
CHECK DATE: 10/16/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.1192 4230100 23578 75.50 STATIONARY PRNTD MA
1205 4230100 23604 277.75 STATIONARY PRNTD MA
r1\ Date Invoice Number
ENGRAVING CO., INC
460 Virginia Avenue Indianapolis, IN 46203-1779 9/26/2008 23578
317.634.4084 Fax 317.685.2524
www.shirleyengraving.com
Ship To
City ()t ry
Lisa Stewart ORIGINAL 101s,
c ic.es
City of Carmel ity1
Department of Commun
One Civic Square
Carmel, IN 46032
Job Ticket Salesperson;
P.O. Number Ship Date Shio,'Via ;Terms
9/26/2008 Net 30 09-247 DJ Linda
Quantity`., Description Rate Amounf
500 Thermographed Business Cards 68.00 68.00
Nick Mishler
Shipping Charge 7.50 7.50
Subtotal
Contact Phone Fax Number
1 :144 A F-X' P4 :24:29 Sales Tax (7.0%)
5 le Uov
IF PANG BY MASTERCARD OR VISA, FILL OUT BELOW Tdtal
CHECK CARD USING FOR PAYMENT 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)
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
75.50
Total 7 5, 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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
LJC-S
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Q o?3v��S 30 76. 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
/3 200&'
Si ure�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Date Invoice Number
ENGRAVING CO., INC.
OFFICE STATIONERY 9/29/2008 23604
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 ShipVi'a Terms Job Ticket#
9/29/2008 Net 30 09 -236
Quantity Description Rate Amount
5,000 Sheets Printed Note sheets from plates =100 265.00 265.00
pads
*PAD IN 50'S
Shipping Charge 12.75 12.75
Subtotal $277.75
Contact Phone Fax number
Shelly Lingelbaugh 571 -2465 Fx. 571 -2409 Sales Tax (7.0 $0.00
Email: shirleyengraving @aol.com
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
Shirley Engraving Co., I nc. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/
sheets from plates 100 pads $277.75
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER Ngo[1318$NARRANT NO.
y ngraving Co., Inc. ALLOWED 20
4 60 V irginia Avenue IN SUM OF
Indianannl�1 4
$277.75
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or D PT. r 23604 VOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
301 $277 5 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Si� tp re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund