157672 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 360383 Page 1 of 1
ONE CIVIC SQUARE SOORI GALLERY
0 CHECK AMOUNT: $56.25
CARMEL, INDIANA 46032 258 W MAIN ST
CARMEL IN 46032 CHECK NUMBER: 157672
CHECK DATE: 3/19/2008
DEPARTME ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
902 4346500 56.25 CITY PROMOTION ADVERT
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Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
Property Ownersls -:�'p�
Property Locatio
Terms of cooperative advertising program:
Merchant must turn in funding request
Ad must include Arts and Design District Logo
Paid invoice and copy of ad must be submitted with funding request
If funding is approved, CRC will reimburse merchant for 25% of ad,
up to $250 per ad
Merchant maximum per year is $500
Funding is allocated on first come, first served basis
Total Cost of Advertisement
Grant Request
(25% up to $250)
Attachments: j
Copy of ad with logo
Paid Invoice
l
Signature of Ownerts Date
Mailing Address OV V) -7
1429 Chase Court, Carmel, IN 46032
Sc Aver ph 317 -218 -8256 fax 317- 573 -0239 kwilson @uncommunications.com
carrnel
Invoice 114
Bill To: Soori Gallery
258 West Main Street
Carmel, IN 46077
Date: 11/07/2007
Description
Carmel New Resident Resource Guide
page Ad for months October, November and December 2007
Price
$75.00 month J'
$225.00 total outstanding
Terms: Net 15 I
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Please make check payable to: UN Communications
Mail Payment To:
Katie Wilson
UN Communications
1429 Chase Court
Carmel, IN 46032
1429 Chase Court, Carmel, IN 46032
ph 317 -218 -8256 fax 317 573 -0239 kwilson @uncommunications.com
ca rme
Company Name
I authorize this Y'J CMG -SrC� size advertisement to run in the Discover Carmel New Resident Resource
Guide during the month(s) of 6yi''y V �4Lye_ �VXA and
T)rICa4/Xt in the year of 2-0 I agree to pay '75, amount each month
for the agreed upon duration that my ad will run in the publication.
Design fee Total
1 agree to pay with a check or credit card in the one of the following two options:
/Payment in full at time of signing contract.
Check Credit Card ate, (fill out below)
O First month's payment due at time of signing contract. I agree to pay for any consecutive months by the
first Monday of each month or ad may be pulled from the publication.
Check Credit Card (fill out below)
Make checks payable to UN Communications, Inc.
Signature
Date
Credit Card Information:
I authorize UN Communications, Inc. to charge my credit card on the above stated months.
Visa MasterCard American Express
Card Number V 3 5 0 ;L- �5 —7 Expiration Date
Name on Card
Billing Address
City "6z tnaot4 State zip fi
Authorized Signature
1
gO,a ABOVE is LI1Nf
DO NOT WRITE PLEASE DO NOT WRITE ABOVE THIS LINE
EXPIRATIONt� C`+p��rg�ssk w13E o�S l
DATE
CHECKED I a
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AUTWOAIZATION TOTAL I
DATE
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S j� S sERVeR TAX t
v (pO REFERENGE NO.
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ID FOLIO /CHECK NOa:LIC;, NO. STATE REG KEPT CLERK "TIP,
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ISIGiV: HERE
ayy the amount shovm as TOTAL
r the t Pmmise 4a Pa such TOTAL. Itogelher with any other charges duo
e issuer of the wrd iden6lied an this item lsauthonz
Ihereon) su p e to and n accordance with a agreement g
tl overnin9 the use o! such card
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UN COMMUNICATIONS INC
1429 CHASE CT
CARMEL IN 46832
317 -044 -8622.
Term 10: 72940946 Ref N 0001
Phone Order
4802137105021937 E %PI 05 /11
VISA EntrY Method: Ma nua l
Total: 225,00
11/09/07 11,02;38
Inv 000001 Appr Code; 0F5613
Batch 000030
RVS Codc EXACT MATCH Y
I agree to PaY above total
amount according to card issuer
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asreementc(Merchauchereement if
redit r
Merchant COPY
THANK YOUI
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
SO t I �e� v 2 Sg l.J /y� Purchase Order No.
5"4 l Tit/ 4/6 a3L Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I t 2 1 0 7 C GO Z f
Total 5G1 s_
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
(�7 �le� IN SUM OF
0571 w �4 •n �4 ii sew
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ON ACCOUNT OF APPROPRIATION FOR
d �3NlaSo�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
OZ Y3 y GSoo SG Z S 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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Cost distribution ledger classification if
claim paid motor vehicle highway fund