171811 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 354153 Page 1 of 1
ONE CIVIC SQUARE DQP PRINTING
CARMEL, INDIANA 46032 1920 DR MARTIN LUTHER KING JR ST CHECK AMOUNT: $261.48
INDIANAPOLIS IN 46202 -1155 CHECK NUMBER: 171811
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
11.92 4230000 31671 163.25 OFFICIAL FORMS
1192 4230000 31672 98.23 OFFICIAL FORMS
I
D9P Printing INVOICE
f 1920 Dr. Martin Luther King Jr. St.
Indianapolis, Indiana 46202-1155
(317) 921 2233 INVOICE NUMBER INVOICE DATE
(317) 921 -2230 (Fax) 31672 04/23/2009
I F T
Dept. Of Community Services
BILLTO: Attn.: Trudy Weddington SHIPTO:
One Civic Square Same
II Carmel, In 46032
TERMS CUSTOMER'S PHONE CUSTOMER CONTACT PURCHASE ORDER CUSTOMER SERVICE REP.
30days 317 571 -2475 Trudy Weddington Jeannine
QUANTITY DESCRIPTION AMOUNT
Re: Temp.�Certificate of Occupancy EE;
250 Form 3 Part Carbonless�°
7 x 8.5 1/ S 98 23
p
o
b
s �2i
�a j ai
x
4
A6
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c .g
TOTAL
1 stTax ID#,�unknwn�� ���L AMOUNT DUE
SHIP VIA SUB -TOTAL TAX RATE TAX FREIGHT CHARGES DEPOSIT
Our Van 98.23 I lJ 98.23
RECEIVEDBY DATE
DAP Prinfing INVOICE
1920 Dr. Martin Luther King Jr. St,
Indianapolis, Indiana 46202 -1155
(317) 921 -2233 INVOICE NUMBER INVOICE DATE
(317) 921 -2230 (Fax) 31671 04/23/2009
F 7 F
Dept. Of Community Services
BILLTO: Attn. Trudy Weddington SHIP TO:
One Civic Square Same
Carmel, In 46032
1 1 1
TERMS CUSTOMER'S PHONE CUSTOMER CONTACT PURCHASE ORDER CUSTOMER SERVICE REP.
30days 317 571 -2475 Trudy Weddington Jeannine
QUANTITY DESCRIPTION AMOUNT
Re: Notice of Corrections
500 form 3 Part Carbonless
8.5 x 11 1 /S 1 63,:25
'A4
2.
1 �t
i�:z
114
Y {l9
�R� m� �3 TOTAL
4MOUNT DUE
SHIP VIA SUB -TOTAL TAX RATE TAX FREIGHT CHARGES DEPOSIT
Our Van 163.25 163.25
RECEIVEDBY DATE U
1
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))
04/22/09 31671 Notice of Correction $163.25
04/22/09 31672 Temp CO's $98.23
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
i
with IC 5- 11- 10 -1.6
2a
Clerk Treasurer
a
VOUCHER NO. WARRANT NO.
ALLOWED 20
DQF Printing
IN SUM OF
1920 Dr. Martin Luther King Jr. Street
Indianapolis, IN 46202 -1155
$261.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 31671 42- 300.00 $163.25 1 hereby certify that the attached invoice(s), or
1192 31672 42- 300.00 $98.23
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
Friday, April 24, 2009
Di ctor, DO
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund