HomeMy WebLinkAbout180000 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 025998 Page 1 of 1
ONE CIVIC SQUARE BIRCH, INC
CARMEL, INDIANA 46032 PO BOX 50590 CHECK AMOUNT: $147.00
INDIANAPOLIS IN 46250 CHECK NUMBER: 180000
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4230000 062140 147.00 OFFICIAL FORMS
MIf1lCH M. INVOICE
P.O. Box 50590 Indianapolis, IN 46250
Ph: 317 -849 -3322 Fax: 317 849 -0961 062140 Page: 1
Email: birch @iquest.net INVOICE DATE: 12/1/2009
B, R'C IHf PSDA #000101 SAGE #24202
INCORPORATED
CLIENT NO: CCCT
CONSULTANT GF
GREG FARRELL
TO: SHIP TO:
ATTN: ACCOUNTS PAYABLE ATTN: KIM ROTT
CARMEL CITY COURT CARMEL CITY COURT
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
SHIPPED UNIT ITEM DESCRIPTION UNIT PRICE AMOUNT
1,000 EN1 CHECK CITY COURT CHECKS 0.147 147.00
PO: KIM Dist. PO# 122620
Shipped: UPS Ground 11/18/2009
Numbering: 2701 thru 3700
THIS INVOICE IS DUE ON OR BEFORE 12 -31 -2009. SUBTOTAL 147.00
s
TOTAL 147.00
I
Independent Marketers Since 1969
Business Forms Commercial Printing 0 Print Management Services Advertising Specialities
CUSTOMER SHALL NOTIFY US PROMPTLY AND NO LATER THAN THIRTY (30) DAYS AFTER
RECEIPT, OF ANY COMPLAINTS CONCERNING PRODUCTS OR SERVICES PROVIDED. IF NOT
PAID WITHIN THIRTY (38) DAYS THIS INVOICE SHALL BE SUBJECT TO A 1 PERCENT PER
MONTH SERVICE CHARGE EFFECTIVE AS OF THE DATE OF DELIVERY. IN THE EVENT IT IS NEC-
ESSARY TO COMMENCE COLLECTION PROCEEDINGS BUYER SHALL PAY ALL COLLECTION
COSTS INCURRED INCLUDING REASONABLE ATTORNEY'S FEES.
Notice to Customer This invoice may include aoharge for producing artwork and/or graphics, Any such
artwork and/or graphics in your property which is available to you for pick-up and use at any time. Should
you not presently wish to obtain possession o/ your artwork and/or graphics, Birch will store it on our
premises without charge to you We will not make use of it without your consent. During the period that
Birch retains possession cf your artwork and/or graphics, Birch does so as a gratuitous depository.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
f
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.
0, qU Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 O6alLID 000 y7��
Total 1
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
IN SUM OF
v&
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT I hereby y
DEPT. y certif that the attached invoices or
IJO 1 4 v 3 oU /Y7 6r) 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
4 do 4
i n r
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund