172128 05/06/2009 CITY OF CARMEL, INDIANA VENDOR: 362167 Page 1 of 1
ONE CIVIC SQUARE MASOOMEH ARDALAN
CARMEL, INDIANA 46032 256 W MAIN ST CHECK AMOUNT: $29,975.00
CARMEL IN 46032 CHECK NUMBER: 172128
CHECK DATE: 5/6/2009
DEPAR A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
�04 4355101 29,975.00 SUPPORT FOR THE ARTS
I
i
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CITY O`F CARMEL
JAMES BRA.INARD, MAYOR
April 30, 2008
Masoomeh Ardalan
258 W. Main Street
Carmel, Indiana 46032
Dear Soori,
This note confirms that the city ill purchase Jerry
y p a e y Joslin s Spring
Eternal" in an eight foot version for placement in the Carmel Arts and
Design District.
The city will pay $20,000 this year upon delivery of the piece and
subject to council appropriation, the remaining balance in 2009.
The city will be responsible for the installation of the sculpture.
Thank you.
Ji Brainard
Mayor
ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317 571.2401, FAX 317.844.3498
EMAIL ibrainard ®carmel.in.gov
J ERR Y JOSLIN STUDIOS
Oregon 97034 (503) 699-0123
i
2480 S.W. Marylshire Lane Lake Oswego,
PURCHASE ORDER
Date: g 0 Buyer's Name: o
Address: (Street) g
(State) L (Zip)
Buyer's Home Phone: 3 1 Other Phone:
Y' a�
Sculpture:
IV e
Edition No.
Base Req uest:
Patina Request:
or crate)
q 7S plus shipping (Artist provides special packaging I� i L
Sales Price: J FJ (Cash) (Check) /v a
o Down Payment: Q
Balance Due on Delivery. (C.O.D.)
Estimated Delivery Date:
Deliver To: (Name):
(Street):
(City):
(State) S 1J (Zip)
a
Phone No.
Artist will notify buyer of shipment date and carrier prior to delivery.
Notes: 57W10 1`14
�a
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
.7. ACCOUNTS PAYABLE VOUCHER
5/5/09 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
Masoomeh Ardalan Purchase Order No.
258 W. Main St. Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4128108 P.O. "Sp ring Eternal" scul�ture payment of balance 29,975.00
i
Total $29,975.00
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
y Masoomeh Ardalan IN SUM OF
258 W. Main Street
Carmel IN 46032
s
ON A y, FOR
5a 55101
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
lettest 00 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
/1 I ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund