179377 11/11/2009 ,a CITY OF CARMEL, INDIANA VENDOR: 00351006 Page 1 of 1
ONE CIVIC SQUARE PRESTIGE PERFORMANCE II INC
CARMEL, INDIANA 46032 326 JOHN STREET CHECK AMOUNT: $612.77
CARMEL IN 46032 CHECK NUMBER: 179377
CHECK DATE: 11/11/2009
D EPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
854 5023990 5119 612.77 OTHER EXPENSES
Inv oice
PRES RFORMANCE II, INC_ DATE INVOICE
326 John Street
1.0/20/2009 5119
Carmel, IN 46032 -1215
Phone (317) 848 -2950 Fax (317) 848-0911
BILL TO SHIP TO
City Of Carmel Delivered 10/21/09
One Civic Square
Carmel IN. 46032
Attn: Nancy Heck
P.O. NUMBER TERMS REP DATE SHIP VIA
M.Lentz Net 30 BAS 10/19/2009 UPS
DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Carmel Veteran Set Of 4 Coasters 100 5.16 516.00
Die Charge l 60.00 60.00
Shipping Charge 1 36.77 36.77
ok -h'[DaA
Pal
2
Gad Bless America Our Troops
Total $612.77
Make all checks payable to Prestige Performance 11, Inc.
A Finance Charge of 1.5% (18% APR) Will be assessed on unpaid balances beyond
established terms.
L Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
11/9/09 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
Prestige Performance
Purchase Order No.
326 John St.
Terms
Carmel IN 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/20/09 5119 Coaster sets Carmel veterans 612.77
Total $612.77
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.
s
ALLOWED 20
Prestige Performance IN SUM OF
326 John St
Carmel IN 46032
612.77
ON ACCOUNT OF APPROPRIATION FOR
#854 Gift fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5 119 #854 $612.7 7 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
200
6 !2 ndtur qj
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund