178700 10/28/2009 CITY OF CARMEL., INDIANA VENDOR: 362219 Page 1 of 1
ONE CIVIC SQUARE GUIDE BOOK PUBLISHING
CARMEL, INDIANA 46032 `0 BOX 240430 CHECK AMOUNT: $370.00
BALLWIN MO 63024
CHECK NUMBER: 178700
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4345002 370.00 PROMOTIONAL PRINTING
IN V DICE
GUIDE HOOD. PUBLISHING
P.O. Box 240430
Ballwin, MO 63024
St. Louis Area (636) 391 -2121 Other Areas (800) 597 -3037
October 22, 2009
Terms. Payable Upon Receipt
BROOKSHIRE GOLF CLUB
BOB HIGGINS Account Number: 142 BR0078 2009
12120 BROOKSHIRE PARKWAY Sales Date: October 15, 2009
CARMEL IN 46033 Sales Representative: D1
Book Name: Carmel Lutheran Church Carmel
Ad Size: 1/4 Page
Ad Location: Inside Pages
Ad Layout: Horizontal
Your advertisement to be placed in
the annual Guide Book and Directory $370.00
Payments Made Date Received
$0.00
Total Paid $0.00
Total Balance Due 370.00
Cut here and return lower portion with payment.
Flease make check payable to
GUIDE BOOK PUBLISHING
P.O. Box 240430
Ballwin, MO 63024
Please reference your Account Number on your check:
142 BR0078 2009
THANK YOU WE APPRECIATE YOUR BUSINESS!
Prescribed 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.
Payee
0 2 CZ/1C PLAb I Purchase Order No.
P 'w 1d yso Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
r ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
6z�/P da-,ese
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1,26 'Z 037 0.66 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
C,t 20 0`
Si natur
6124
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund