155507 01/10/2008 o!_ tit
CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC
CARMEL, INDIANA 46032 460 VIRGINIA AVE CHECK AMOUNT: $74.50
INDIANAPOLIS IN 46203 -1779 CHECK NUMBER: 155507
CHECK DATE: 1/10/2008
m
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4230100 19936 74.50 STATIONARY PRNTD MA
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Date Invoice Number
ENGRAVING CO., INC. A t✓
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•460 Virginia Avenue Indianapolis, IN 46203 -1779 12/20/2007 19936
317.634.4084 Fax 317.685.2524
www.shirleyengraving.com
saopueS )(4iunwwoo ;o 'I aw Ship To
Sue Co 010AN I WN I O W C City of Ca rmel
City of Carmel laWeo �o AJ!3 ORIGINAL INV�I; e
Department of Community Service o f Community Sew
One Civic Square
Carmel, IN 46032
b.,Number. Ship Date Ship Via Terms Job Ticket Salesperson,
12/20/2007 UPS Net 30 11 -103 DJ Linda
Quantity
Description Rate ;Amount
500 Thermographed Business Cards 68.00 68.00
Inspector on Call
Shipping Charge 6.50 6.50
Subtotal
$74 rin
Contact Phone Fax Number
Sales Tax 6.0%
Sue clz=
IF PAYING BY MASTERCARD OR VISA, FILL OUT BELOW
CHECK CARD USING FOR PAYMENT
MASTER CARD VISA In the event payment is not timely made, interest commences at the rate 181 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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
AAn 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))
�a ao 0 7 /q q,3ly 7 y.5
Total 7y 6�O
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
qua o 3- i 77 9
7q, 60
N AGCOUNT OF APPROPRIATION FOR
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
which charge is made were ordered and
received except
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1C Signa o2 ;DdC S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund