170907 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362776 Page 1 of 1
ONE CIVIC SQUARE INDIANA NEWSPAPERS CHECK AMOUNT: $138.38
CARMEL, INDIANA 46032 PO BOX 677553
cr
DALLAS TX 75267 -7553 CHECK NUMBER: 170907
CHECK DATE: 4116/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES CRIPTION
1125 .4345500 707066/76822 62..98 PUBLICATION OF LEGAL
1125 4345500 80303/201621 75.40 PUBLICATION OF LEGAL
i
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE 1' NEVLSPAPER 2 13 DESCRIPTION I OTHER 5 SIZE 7 TIMES RUN 19 GROSS AMOUNT 20 NETAM UN
10 DATE T
REFERENCE 4 COMMENTS 1 CHARGES 6 BILLED UNITS RATE
23 -Mar 169950 Payment Received Thank you! 214.52 CR
19 -Mar 1910130 EXCLUSIVE BEVERAGE PROVIDER 128 9 62.98
Thursday 5429865 DEBRA GRISHAM 128 0.055
CLASSIFICATION 0 NOBLESVILLE LEDGER 62.98
v �C stw 9WV1
Purchase
for Description W 6 ?009
G. O.# PorF BY:
Budget
Line Descr
Purchaser Date
I1nprcval Date
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS 26 UNAPPLIED AMOUNT 3 TOTAL DUE
62.98 0.00 0.00 0.00 0.00 62.98
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 BILLING PERIOD 6 BILLED ACCOUNT NUMBER 7 ADVERTiSER 1 CLIENT NUMBER 12 ADVERTISER CLIENT NAME
675518 01- MAR -09 TO 31- MAR -09 707066 768223 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 OFADVERTlSER (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 (COLIMNS X DEPTH).,
4. PAGE NUMBER
PAGE STATEMENT FOR MULTI -PAGE STATEMENTS. 17. TIMES RUN t
NUMBER OF INSERTION-DAY&FOR THIS'AD.
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 an Ilia face of the invoice and are identified by number.
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE 1' NEWSPAPER„ 2 13 DESCRIPTION 1 OTHER 5 SIZE 7 TIMES RUN 19 GROSS AMOUNT 20 NET AMOUNT
REFERENCE 4 COMMENTS! CHARGES 6 BILLED UNITS 8 RATE
23 -Mar 169950 Payment Received Thank you! 250.90 CR
19 -Mar 1910077 RFP EXCLUSIVE BEVERAGE PROVIDER 128 9 75.40
Thursday 5429860 DEBRA GRISHAM 128 0.065
CLASSIFICATION 0 CLASSIFIED 75.40
Purchase
DescriPtion P or F Q II U
P.O.
a.L APR 06 2009
Budget
Une Descr
Purchaser Date BY:
Date
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 122 30 DAYS 1 60 DAYS I OVER 90 DAYS 26 UNAPPLIED AMOUNT 3 TOTAL DUE
75.40 0.00 0.00 0.00 0.00 75.40
INDIANA NEWSPAPERS. INC.
307 N. PENNSYLVANIA ST. TEL: )317) 444 -8484 FAX: (317) 444 -8300
P.O. BOX 145, INDIANAPOLIS, INDIANA 46206 -0145 FED. LD. 35- 2051385
24 INVOICE NUMBER 25 ADVERTISER INFORMATION
1 BILLING PERIOD 16 BILLED ACCOUNT NUMBER 17 ADVERTISER CLIENT NUMBER 2 ADVERTISER 1 CLIENT NAME
677330 01- MAR -09 TO 31- MAR -09 80303 201621 CARMEL CLAY PARKS RECRE
1
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 TOAD.
2. ADVERTISER CLIENT NAME
NAME OF ADVERTISER (IF AGENCY, CLIENT NAME). 1 SAU SIZE
STANDARD ADVERTISING UNIT AD SIZE.
3. TERMS OF PAYMENT
WHEN PAYMENT IS DUE. 16. BILLED UNITS
MEASUREMENT OF AD•(COLUMNS:X,DEP.TH).__..
4. PAGE NUMBER
PAGE STATEMENT FOR MULTI -PAGE STATEMENTS, 17. TIMES RUN
NUMBER OF INSERTION DAYS`FOR'THIS'AD-
5. BILLING DATE
DATE STATEMENT WAS PREPARED, 18. RATE
APPLICABLE NEWSPAPER ASSIGNEO'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 PAYMENTADDRESS.
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
Purchase Order No.
00352067 Indiana Newspapers, Inc. Terms
P.O. Box 677553
'r
Dallas, TX 75267 -7553
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3131109 7070661768223 Legal ads Beverage provider 62,98
3131109 80303/201621 Legal ads Beverage provider 75.40
Total 138.38
1 hereby certify that the attached invoice(s), or bil(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.
00352067 Indiana Newspapers, Inc. Allowed 20
P.O. Box 677553
Dallas, TX 75267 -7553
In Sum of
it
138.38
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 7070661768223 4345500 62.98_ 1 hereby certify that the attached invoice(s), or
1125 803031201621 4345500 75.40 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
9 -Apr 2009
��1� PIYY1JYl`L�7J
Signature
138.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund