HomeMy WebLinkAbout175633 08/06/2009 CITY OFCARK8EL INDIANA «ewoom 357371 Page 1 of 1
ONE CIVIC SQUARE oAnMsL OLD TOWN ANTIQUE MALL
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c^nwsL/m 46032 CHECK NUMBER: 175633
CHECK DATE: meu000
oEpxnTmsmr ACCOUNT PO NUMBER |wvo|csmu�osn AMOUNT osmon|pr|om
902 4359003 3I309 50.00 FESTIVAL/COMMUNITY E\/
902 4346500 70709 I25.00 CITY PROMOTION ADVERT
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Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
CAR EL OLD TOWN
Property Owners /s A n NTIQUE MALL
o
-Al �ST-
CARMEL, IN 46032
PH: 311- 566 -1908
Property Location
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:
Copy of ad with logo
Paid Invoice
r 0 7
Signature of Owner /s Date
Mailing Address CARMEL OLD TOWN
ANTIQUE MALL
38 W. MAIN ST.
CARMEL, IN 46032
PH: 311- 566 -1908
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Bill TO: Sold To: Transaction Period: 6/1/2009 6/30/2009
Carmel Old Town Antique M Treasure House OAccount Number. 1745
Attn: Roman Chang Pauline Mumane Billing Date: 6/30/2009
38 W. Main St. 12150 Thicket Hill Circle Due Date: NET 30
Carmel, IN 46032 Carmel, IN 46033 Amount Due: $500.00
Please indicate reference number(s) to ensure proper credit: Amount Paid:
Please
return to p porbon'wit payment
ST INVOICE Page: t
Current in Carmel 1 South Rangeline Road, Suite 220 Carmel, IN 46032 (317) 4894444
Previous Balance $0.00
6/912009 19505 -001 Display Ad 545.000 9.75 $350.00
CURR 1/4,4C
6/9/2009 19505 -002 Display Ad 290.000 11.76 $150.00
CIW 114,4C
CIN OLDT OWN ANTIQUE MALL 7237���
OTAM
CARM 20-7f740
38 WEST MAIN STREET
i CARMEL, IN 46032
rl q
�I y t Date
Pay to the
h Order of i` i i✓�l rtit G %2fi.� 4
Dollars t`t'1
For
GUAROI0.N SAFETY ®VELLOYI
Thank you for advertising with us!
We sincerely appreciate your business.
Treasure House 0 $500.00 Previous Balance: $0.00
Account No: 1745 Past 30 $0.00 Total New Credits: $0.00
YTD Inches: 86 Due 60 $0.00 Total New Charges: $500.00
No of Tears: 0 Info 90 $0.00
120 $0.00
160+1 $0.00
Amount Due: $500.00
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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
?�iG7G� ��P�� Purchase Order No.
�/•l/�i� .S Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total r2S l�l�
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
9;::� aAq 5,�V
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
34 5w fz 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 a�
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Signature
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
Property Owners /s
Property Location CAR T TOWN MALL
38 W. MAI
CARMEL, IN 46032
PH: 317 566 -1908
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 Cz
Grant Request o u
(25% up to $250)
Attachments:
Copy of ad with logo
Paid Invoice
'3 3
Signature of Owner /s Date
Mailing Address
CARMEL OLD TOWN
ANTIQUE MALL
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Travelhost of Indianapolis
P.O. Box 185
Ellettsville, IN 47429
888.828.1090
Carmel Old Town Antiqu
38 W. Main St.
Carmel, IN 46032
2009_...•
Bill date Project Inv. DESCRIPTION Fee DUE DATE Amount pd Pay Date Current Due Past Due Total Due
2/20/09 May 1991 Sm Ad Theme S200.00 3/20/09 S200.00
70 8
i COTAM INC DBA 20 -7n40
CARMEL OLD TOWN ANTIQUE MALL
38 WEST MAIN STREET
CARMEL. IN 46032
3
Date 1Clj
I •'.I Pay to th
r rder of R.
I O Dollars
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For I IJ I �V
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GUAR04N S AFt� OS>
t:urrent Due
52110.00
Past Due $0 00 $200.00
TOTAL
$200.00
Nlake all checks payable to Travelhost of Indianapolis $200.00
THANK YOU FOR YOUR BUSINESS!
Please cut and remitt with payment
Name Invoice Check /amount
Carmel Old Town Antique Mall
38 W. Main Sc
Carmel, IN 46032
Checklmage Page 1 of 1
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https /onlinebanking.huntington.com /Checks /Checklmage. aspx? SessionKey= 07c27ab91 b... 3/11/2009
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
C&1 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 6?�
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. WARRANT NO.
ALLOWED 20
IN SUM OF
�G :06
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Z/ 3.5g 3 5 O �G� 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 9 20 <5�
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund