HomeMy WebLinkAbout205406 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 363881 Page 1 of 1
Q� ONE CIVIC SQUARE BLUE HERON PUBLICATIONS
CARMEL, INDIANA 46032 2138 WILSHIRE ROAD CHECK AMOUNT: $1,298.00
sM t.TON_`o.P INDIANAPOLIS IN 46228 CHECK NUMBER: 205406
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4346500 20704 665 1,298.00 ADVERTISING
Blue Heron Publications, LLC Invoice
2138 Wilshire Road
Indianapolis, IN 46228 Date Invoice
1/10/12 665
Bill To
City of Carmel
c /o: Brookshire Golf Club
12120 Brookshire Parkway
Carmel, IN 46033
P.O. No. Terms Project
30 days
Description Qty Rate Amount
The Official Carmel City Magazine Vol 3, Iss 1- full page 599.00 599.00
The Official Carmel City Magazine Vol 3, Iss 2 full page 599.00 599.00
"fhe Official Carmel City Magazine Vol 3, Iss 3 half page 100.00 100.00
Total $1.298.00
Payments /Credits $0.00
Balance Due $1.298.00
Phone E -mail
317- 696 -0674 cmoore n carmelcitymagazine.com
INDIANA RETAIL TAX EXEMPT PAGE C ity o Carmel CERTIFICATE NO.003120155 002 0
Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR N DESCRIPTION
G
VENDOR t� 1 ,Sf�1ie SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Send Invoice To: I CH
PLEASE INVOICE IN DUPLICATE
DEPARTMENT A CCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �f 1 I k/
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE r J 0�� 1 l: .9,/ i -i r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
0 Q J CLERK TREASURER
DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO, WARRANT NO
ALLOWED 20__-
|N THE SUM OF$
ON ACCOUNT {]F APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT hereby certify that the attached invoiun(m).or
bill(s) is (are) hue and correct and that the
materials or services itemized thereon for
which charge ia made were ordered and
received except
2 0__
Signature
Title
Cost distribution ledger classification n
claim paid mmo, vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/10/12 665 Advertising $1,298.00
I
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
Blue Heron Publications LLC
IN SUM OF
2138 Wilshire Road
Indianapolis, IN 46228
$1,298.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
20704 665 43- 465.00 $1,298.00 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
Wednesday, January 11, 2012
Director, Brookshire Ulf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund