171987 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 361932 Page 1 of 1
ONE CIVIC SQUARE PILLOW TALK CHECK AMOUNT: $47.25
y' CARMEL, INDIANA 46032 23 E MAIN STREET SUITE 100
CARMEL IN 46032 CHECK NUMBER: 171987
CHECK DATE: 4129/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOIC E NUM AMO DESCR IPTION
902 4346500 47.25 CITY PROMOTION ADVERT
Application Cover Sheet
Carmel Redevelopment Commission Grant Request
Carmel Arts and Design District
Cooperative Advertising Program
Property Owners /s f(,( Ll /Am -IS)" ly
2 3.E
Property Location I S`�� i C tlwvA
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 w go /Y' 04
Grant Request
(25% up to $250)
Attachments:
Copy of ad with logo
Paid Invoice
Signature of Owner /s Dat
Mailing Address
C�-� ✓v�,e� c./ ��e r7�
S 4R 8Y A�N.Q .ENTER
F R OUR= GHp TO WIN A
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1LL fNl'AL.K
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317.574.8990
23, E. Main St. Suite 100
M- S:ll- 6• Sun: 12.4
orbyappointment
www.pil lowtalkboutique.com
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The ryant Company
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J IA I =MCIV I IIV VVIW:r rdye.
Current in Carmel 1 South Rangefine Road, Suite 220 Carmel, IN 46032 (317) 4444
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03/03/2009 18388 -001 Display Ad 275.000 4.87 $156.50
CURR 1/8 H, 4C
03/03/2009 18388 -002 Display Ad 175.000 6.00 $32.50
CIW 118 H. 4C
03110/2009 18571 Check $0.00 $539.00
Ck #1289
03/17/2009 18548 -001 Display Ad 275.000 5.71 $156.50
CURR 11S V, 4C
03/17/2009 18548 -002 Display Ad 175.000 5.88 $32.50
CIW 1/8 V, 4C
03/31/2009 18737 -003 Display Ad 175.000 6.00 $32.50
CIW 1/8 V, 4C
03/31/2009 18737 -004 Display Ad 275.000 4.87 $156.50
CURR 1/8 V, 4C r f
i i;3 i t iii_ `Ot r,'dvertisin'rj \lYtth Js`.
f= .'UDtKt- :=:.5:
R ange L in3 0 C_' M-cl, In 46032
a�;_ s
Pillow Talk 0 $567.00 Previous Balance: $539.00
Account No: 1432 Past 30 $0.00 Total Credits: $539.00
YTD Inches: 77 60 $0.00 Total Charges: $567.00
No of Tears: 0 Info 90 $0.00
120 $0.00
150+1 $0.00
Amount Due:
Apr 21 09 05:12p Rachel Davidson 317.574.8959 p.2
.2 REGULAR CUSTOMER ACCOUNT HISTORY FOR: Pillow Talk
Period Posted Date Posted Balance 0 30 60 90 120 150+ Days Old
1/1109 4121!09 1 3131109 567.00
432 Piflow Talk P Poster/ U Not Yet Posted Report Date:4121 109 Page: 1
1 13!09 17R05-00 1 CURB 010alia, Display Ad, 250.000 5.71 5170.00
1l8 V. 4C
1 15, 1 09 17920 Check 5510.00 P
Ck# 1259
1 27109 17936-001 CORR OMalia, Display Ad, 250.000 5.71 $170.00 P
113 V, 4C
13109 18012 -001 CURR OMalia, Display Ad, 545-00 9.75 $250.00 P
114. 4C
!3109 18012 -002 CIVV OMalia, Display Ad, 290-DOD 11.76 $100.00 P
1/4. 4C
117109 18202 -002 CIVV OMalia, Display Ad, 175.000 6.00 $32.50 P
1/B H, 4C
117109 18202 -027 CURB OMaha, Display Ad. 275.000 4.87 $156.50 P
1/B H, 4C
117109 16314 Check $340.00 P
Ck# 1277
113109 18388 -001 CURR OMalia, Display Ad, 275.000 4.87 $156.50 P
1/8 H, 4C
V3109 18388 -002 CIW OMalia, Display Ad, 175.000 6.00 $32.50 P
118 H. 4C
110. 18571 Check $539.00 P
Ck# 1289
117109 18548 -001 CURR OMalia, Display Ad, 275.000 5.71 $156.50 P
118 V, 4C
117109 18548 -002 CIW OMalia, Display Ad, 175.000 5.88 $32.50 P
118 V, 4C
131109 16737 -003 CIW OMalia, Display Ad, 175-000 6.00 $32.50 P
118 V. 4C
X1!09 18737 -004 CURR CiMalia, Display Ad, 275.000 4.87 $156.50 P
118 V, 4C
114!09 18880 -001 CORR OMalia. Display Ad. 275.000 571
$156.50 U
1j8 V, 4C i
114. +09 16880 -002 Cl VV OMalia, Display Ad, 175.000 5 -88 j t $32.50 U
1JB V, 4C
117109 19007 Check S567.00 U
Ck# 1309
TOTALS
Inches 88.720 GST 0.00
Quantity: 0.00 Provincial 0.00
Charges: 51,635.00 Unused 0.00
Payments: S1,956.00
Total Taxes: 0.00
Presrribetl 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.
Q rr11 Payee
✓1� Purchase Order No.
Terms
3 z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 7—;f S
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
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
X02 j ��O �3 yGSvv 2 S' 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
2 7 20Q�
6)))4
Signature
(r /�r'/4 /�3
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund