178669 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 072950 Page 1 of 1
ONE CIVIC SQUARE DAY TIMERS INC.
CARMEL, INDIANA 46032 PO SOX 27013 CHECK AMOUNT: $41.94
LEHIGH VALLEY PA 18002 -7001 CHECK NUMBER: 178669
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 41.94 OTHER MTSCELLANOUS
n E T**J E Wk L F® n M
for DIANA CDRDRAY
Q YeS, renew my Day -Timee Planner as shown below. I understand that I need not enclose any money and
will be billed later. (If making a name and/ or address correction, a street address is required.)
SHIP TO /BILL TO: KEY# 306565
INV# 58360429 OUST# 325- 176 -282
DIANA CORDRAY
CITY OF CARMEL
CITY TREASURE
1 CIVIC SQ. AOJB
CARMEL, IN 46032 -7569
Include Your Phone I E- Mail Addr ss
Day (317) 5 71 d ^If Yes, I would like to receive special e -mail offers from Day Timer.
Evening E -Mail Address
These are the Day- Time>h products you ordered last year.
Qty. Product #1 Description Start Date (year /month) Color Price Each
1 96011 COMPACT 2PPD INDEXED REFILL 2010/01 $32.99
1 76700 BONDS CERTIFICATE
STAY ORGANIZED! RENEW YOUR PLANNER PAGES BY 10/20/09 AND
GET A FREE BONUS CERTIFICATE. CALL 800 995 --8300 TO ORDERI
Personalization for $4.99. Print your name (up to 20 characters) or up to 3 initials in the Drbossins and Foil Stamping
Personalization S
spaces below. Circle your choice of letter style to the right. One letter type per item, please. f DMR (Blxkj D (Rcu 3 y
Subtotal 3�
Brass plates and Pens:
I I I I I i I 1 I 1 I I I I I I I F p (5ar f) D (Script) Shipping Handling Charge S-15
Renew Your Planner Total
1 Easy Ways To Pay
Pages Today! sales Tax
Check or Money Order: enclosed Total
Call our Automated Ordering System Ctedit Card Amex Diners Club Discover MasterCard Visa
800 5546200 available 24 hours allay
Go to daydmercom Card I I I I I I I I I I I I I I I I Ship By. OGround
Fax order 800 452.7398 Expedite to 20.00
Mail in envelope provided Signature Exp. Date 001- $30.00 $6g5 shipping
available.
$30.01 $50.00 $B95
IN DAY TIMER Hm Me You will be billed for your order, plus shipping and handling $50.01 .575.00 $10.25 Call for
Day -'rimer is required by law to collect and rc 11 sales or use (see chart), and any applicable taxes. Orders are subject to credit approval. $75.01 $100.00 $12.25 details.
taxes in all states except DE, Mr, NH, and OR. Please compute tax Day Timer, A Subsidiary of ACCO Brands Over $100.00 please Call
based on the applicable stadlomt rate. One Day -Timer Plaza, Allentown, PA 18195 -1551
c70os
daytimeccam •Phone: 800 995 -8300 Mon. -Fri., SAM SPM (ET)
1301 -AWB- 306565- 00075066
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.
1 Terms
3 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.
Q�j ALLOWED 20
IN SUM OF
Hog
ON ACCOUNT OF APPROPRIATION FOR
0
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
4F% 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
s 20
ti
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund