163415 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 361270 Page 1 of 1
0 ONE CIVIC SQUARE SUCCESSORIES LLC CHECK AMOUNT: $109.93
CARMEL, INDIANA 46032 38646 EAGLE WAY
14 o e� CHICAGO IL 60678 -1386 CHECK NUMBER: 163415
CHECK DATE: 9/3/2008
DEPAR ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 22249141. 109.93 GENERAL PROGRAM SUPPL
M
Successories, LLC INVOICE
Please Remit to:
38646 EAGLE WAY
CHICAGO, IL 60678 -1386 Date: 07/29/08 Page: 01
Phone: (800)535-2773 Fax:(800)932 -9673
Sold to: 21506925 000 Ship to: 21506925 000
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
TESS PINTER TESS PINTER
1235 CENTRAL PARK DR E 1235 CENTRAL PARK DR E
CARMEL, IN 46032 -4421 CARMEL, IN 46032 -4421
TERMS DATE SHIPPED SALES REP CUSTOMER# OUR ORDER# INVOICE
NET 30 DAYS 07/29/08 002 21506925 34029507 -01 22249141
CUSTOMER P.O.# 1000000000196223 FED. I.D.# 30- 0150021
O.TY SHIPPED CODE NO DESCRIP TIO N; PRICE /UNIT TDTQL AMOUNT
1 701789 EO 9x11 INITIATIVE ALUM AWRD 49.99 EA 49.99
1 704102 CI 9X11V B /GLD ATTD DROP 49.99 EA 49.99
1 896019 MULTI PRODUCT 10% INSERT .00 EA .00
1 896069 DP COMP TEAM BRIEFINGS .00 EA .00
1 896080 SUCCESS MAGAZINE INSERT .00 EA .00
MERCHANDISE 99.98
TAX .00
SHIPPING 9.95
TOTAL INVOICE AMOUNT 109.93
Des I11+Ern Plag ve,
P.m N .��...o F AU 1 8 2r;�q
O.L N
Bud et BY:
Lno ro n� C c s I i es
p Ti'H og R CIVED
°W--- AUG 0 7 2008
BY
MERCHANDISE TAX SHIPPING MISC TOTAL
99.98 .00 9.95 109.93
PLEASE PAY AMOUNT IN TOTAL COLUMN
Thank You
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
I
Payee
Purchase Order No.
Successories, LLC Date Due
38646 Eagle Way
Chicago, IL 60678 -1386
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/29/08 22249141 Intern plague 109.93
Total 109.93
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
Successories, LLC
38646 Eagle Way
e Chicago, IL 60678 -1386 In Sum of
109.93
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 22249141 4239039 109.93 1 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
18 -Aug 2008
Signature
109.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund