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204208 12/06/2011
CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1 ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $161.50 CARMEL, INDIANA 46032 8200 HAVERSTICKE ROAD, SUITE 260 INDIANAPOLIS IN 46240 CHECK NUMBER: 204208 CHECK DATE: 12/6/2011 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4345000 32464 161.50 PRINTING (NOT OFFICE 8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240, Phone: (317) 254 -8668 Fax: (317) 254 -0801 a o� 1 1 /1 81201 1 h 8 32464 BILL TO SHIP TO Careml Clay Parks Recreation Carmel Clay Parks Recreation Administrative Offices -al Central Par Dr ive)East- StreetE FIED 1411 E. 116th Street Carmel, IN Carmel, IN 46032 Attn: Lindsay Willard Attn: Paula Schlemmer MC092209 Net 20. JC 11/10f201 UPS Ground 111411 Eno 1° 09 F�tLmxx `Brochures 153 80a Lot 153.80 w, Quan#�ity 500 ro 1 991 Freight b 7.70 Lot 7.70 t a Purchase IM 3Dascription lA)1'e nnja�(��M G:L.# 1091 435C�o0 aP. udget, n �nrtnU a 4O Line ©scr 4 e� Pur chaser Date Approval g Da�e y w� N a e j r x �a ,2-�I I N al $,,161.50 Thank u for your �buslness TOta l m 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. Payee Purchase Order No. 365814 Diversified Business Systems, Inc. Terms 8200 Haverstick Road, Ste 260 Indianapolis, IN 46240 Invoice Invoice Description_ Date Number (or note attached invoice(s) or bill(s)) PO Amount, 11/18/11 32464 Fitlinxx brochures 161.50 Total 161.50 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 365814 Diversified Business Systems, Inc. Allowed 20 8200 Haverstick Road, Ste 260 Indianapolis, IN 46240 In Sum of 161.50 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1091 32464 4345000 161.50 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 1 -Dec 2011 Signature 161.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund