171887 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362776 Page 1 of 1
ONE CIVIC SQUARE INDIANA NEWSPAPERS
CARMEL, INDIANA 46032 PO BOX 677553 CHECK AMOUNT: $1,890.00
a� DALLAS TX 75267 -7553 CHECK NUMBER: 171887
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4341991 1900353/1912 1,890.00 MARKETING PROMOTION
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DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE V NEWSrAPE 2 13 DESCRIPTION OTHER 5 SIZE 7 TIMES RUN 19 GROSS AMOUNT 20 NET AM UNT
REFERENCE 4 COMMENTS CHARGES 6 BILLED UNITS B RATE
01 -Mar 1900353 INDYMOMS MARCH 2 x 3.87 1
Sunday 5413152.1 INDYMOMS MARCH 7.74
MAGAZINE 945.00
22 -Mar 1912235 INDYMOMS APRIL 2 x 3.87 1
Sunday 5425856.1 INDYMOMS APRIL 7.74
MAGAZINE 945.00
Purchase
APR 0 2 2009 E S
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Purchaser i�at�0 9
BY Approval
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BY:.......................
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 122 30 DAYS 1 60 DAYS I OVER 90 DAYS 126 UNAPPLIED AMOUNT 3 TOTAL DUE
1,890.00 0.00 0.00 0.00 0.00 1,890.00
INDIANA NEWSPAPERS. INC.
307 N. PENNSYLVANIA ST. TEL: (317) 444 -8484 FAX: (317) 444 -8300
P.O. BOX 145, INDIANAPOLIS, INDIANA 46206.0145 FED. I.D. 35- 2061385
24 INVOICE NUMBER 25 ADVERTISER INFORMATION
1 BILLMG PERIOD 16 BILLED ACCOUNT NUMBER 17 ADVERTISER I CLIENT NUMBER 2 ADVERTISER I CLIENT NAME
676866 01- MAR -09 TO 31- MAR -09 13143 46427 CARMEL CLAY PARKS RECRE
LEGEND
The 25 elements of the Standard Advertising Invoice (SAI)
1. BILLING PERIOD 14. OTHER CHARGES OR CREDIT
"FROM" "TO" DATES FOR THIS STATEMENT. ALL INFORMATION RELATING TO AD INCLUDING PURCHASE ORDER NUMBER.
DETAIL OF ALL DISCOUNTS /CHARGES RELATING TO AD.
2. ADVERTISER CLIENT NAME
NAME OF ADVERTISER (IF AGENCY, CLIENT NAME). 15. SAU SIZE
STANDARD ADVERTISING UNIT AD SIZE.
3. TERMS OF PAYMENT
WHEN PAYMENT IS DUE. 16. BILLED UNITS
MEASUREMENT OF AD (COLUMNS X DEPTH).
4. PAGE NUMBER
PAGE STATEMENT FOR MULTI -PAGE STATEMENTS. 4; 17. TIMES RUN
NUMBER OF INSERTION DAYS FOR THIS AD.
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5. BILLING DATE
DATE STATEMENT WAS PREPARED. 18. RATE
APPLICABLE NEWSPAPER ASSIGNED RATE.
6. BILLED ACCOUNT NUMBER
NEWSPAPER ACCOUNT NUMBER 19. GROSS AMOUNT
CORRESPONDING TO ELEMENT 8. CALCULATING OF AD PRICING.
EXTENSION OF TOTAL BILLED AMOUNT AT APPLICABLE RATE.
7. ADVERTISER CLIENT NUMBER BEFORE AGENCY COMMISSION,
BILLED ACCOUNT NUMBER CORRESPONDING TO ELEMENT 2.
20. NET AMOUNT
8. BILLED ACCOUNT NAME AND ADDRESS FINAL COST OF AD DUE FOR ADVERTISER (ELEMENT 2).
COMPANY RECEIVING INVOICE.
21. CURRENT NET AMOUNT DUE
9. REMITTANCE ADDRESS SUM OF ELEMENT 20.
RETURN PAYMENT ADDRESS.
22. 30/60 /OVER 90 UNAPPLIED AMOUNT
10. DATE AGING OF PAST DUE BALANCES FOR ADVERTISER.
INSERTION DATE OF AD OR TRANSACTION DATE.
23. TOTAL AMOUNT DUE
11. NEWSPAPER REFERENCE SUM OF ELEMENTS 21 AND 22.
NEWSPAPER'S INTERNAL REFERENCE NUMBER.
24. INVOICE NUMBER
12. DESCRIPTION, OTHER COMMENTS NEWSPAPERS INVOICE/ DOCUMENT NUMBER.
1 25. ADVERTISER INFORMATION
3. PRODUCT /SERVICE CODE
(1) BILLING PERIOD. (6) BILLED ACCOUNT.
(7) ADVERTISER CLIENT NUMBER, (2) ADVERTISER CLIENT NAME.
The elements shown above appear on the face of the invoice and are identified by number.
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
s Purchase Order No.
00350498 Indiana Newspapers, Inc. Terms
P.O. Box 145
Indianapolis, IN 46206 -0145
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3131109 190035311912235 ESE SCS Ad 20579 F 1,890.00
Total 1,890.00
I hereby certify that the attached innvoice(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.
00350498 Indiana Newspapers, Inc. Allowed 20
P.O. Box 145
Indianapolis, IN 46206 -0145
In Sum of$
1,890.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 1900353/1912235 4341991 1,890.00 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
w 22 -Apr 2009
Signature
1,890.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund