172719 05/27/2009 =q. CITY OF CARMEL, INDIANA VENDOR: 00352719 Page 1 of 1
ONE CIVIC SQUARE AMSTERDAM PRINTING
CARMEL, INDIANA 46032 Po Box Sao CHECK AMOUNT: $465.52
AMSTERDAM NY 12010 -0580
o CHECK NUMBER: 172719
CHECK DATE: 5/27/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AM OUNT DESCR
-,-1201 4239099 2011420 23.24 OTHER MISCELLANOUS
1201 4239099 19365 2011420 442.28 PENS
I E N E
O CORRESPONDENCE INQUIRIES: INVOIC
1 M CUSTOMER NO, ORDER NO. INVOICE DATE INVOICE NO.
H 07571248 7855 798 5/12/09 2011420
YOUR P.O. NO. DUE DATE YOUR CHECK NO. AMOUNT PAID
A mms e 1r
Printing Litho 1 9365 5/22/09
P.O. BOX 580 AMSTERDAM, NY 120 SAVE TIM For your convenience pay your invoice
PHONE: 800-842-6006 FAX: 518- 843 -7513 online at www.amsterdamprinting.com
BILL TO: SHIP TO:
SUE COY SUE COY
CITY OF CARMEL CITY OF CARMEL
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
TERMS: NET 10 DAYS KEEP THIS PORTION FOR YOUR RECORDS
0-MAISM SEEM=,
651 0 40725 STRUCTURE PEN .590 384.09
1 0 PROGRAMMINGFEE PROGRAMMING FEE 14.950 14.95
SHIPPING AND PR CESSING TO BE APPLIED WITH FINAL SHIPMENT
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S'PA MEN R�E
S U B PLEAS PA 'H'SS "AM T S
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399.04 66.48 .00 465.52 .00 .00 465.52
HN MEN
EVERY 30 DAYS YOUR ACCOUNT IS REPORTED TO TRW AND D&B CREDIT SERVICES
A I .5 ,D /o PER MO N T+i FINAf4GE GHARGE WILL
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
_r 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
Amsterdam Printing Litho Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$465.52
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 NO ;05/2 =ARRANT NO.
ALLOWED 20
Amsterdam Printing Litho
IN SUM OF
P.O. Box 580
.Almstwdam, NY 12010
$465.52
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify hat the attached invoice(s), or
DEPT. y y
19365 bill(s) is (are) true and correct and that the
mal 2011420 390 -99 $442.28 materials or services itemized thereon for
which charge is made were ordered and
3.24 received except
20
e u re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund