205826 01/31/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $1,294.30
CARMEL, INDIANA 46032 8200 HAVERSTICKE ROAD, SUITE 260
oM `om INDIANAPOLIS IN 46240 CHECK NUMBER: 205825
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4345000 32627 1,152.45 PRINTING (NOT OFFICE
1091 4345000 32647 141.85 PRINTING (NOT OFFICE
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8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254 -8668, Fax: (317) 254 -0801
DLODC�L
1143/2012 r "32647
BILL TO SHIP TO
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices MOnon CO mmunity ,CenteriVL SS SPECIFIED
1411 E. 116th Street 1235 Central Park Drive East
Carmel; IN 46032 Camel, IN
Attn: Paula Schlemmer Attn: Lindsay Labas
CUSTOM
-SHIP DATE.
MC002450 Net 20. JC 1/12/2012 :j: 011312
UNIT OF
RICE
QUANTITY
DESCRIPTION-',- RE A-MOUNT,
50 a 09 Gpld &.Gold Plus Sponsorship Brochures 0.86 each 43.00
50 09 Platinum Platinum Plus Sponsorship 0.86- each 43.00
50 09 Silver Sponsorship Brochures 0.86 each 43.00
1 99 Freight 12.85 lot 1`2.85
Purchase
Description F)POMOR39[p gRuC4I[A k5
P.O.# PorF.
G.L. 11091. q345ooO f
Sudoet
unebescr
Purchaser Date
Approval Date
1
7 2012
98"
t
Thank you for your business Total $141.85
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8200 Haverstick `Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254 -8668 Fax: (317) 254 -0801
1 /4/201 '1 e m 32627
BILL TO SHIP TO
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Monon Communitl/t0. 6nterNL S SPECIFIED
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN
Attn: Paula Schlemmer Attn: Lindsay Labas
M:.
30283 Net 20:: JC .1' 2/29/2011 7 7 •D
W 1
w
1' 09 Guade Books =`m`; 1,127`45 Lot 1,127.45
eQuaritity 2
1 99 Freight 25 00
Lot 25.00
Q
Purchase
,5tamrnear,C _M r
r<
Descriptio e
283 Po�a �w
$pu et
Prlr 1i Ylc1
Line Descr�r�
n
Purchaser Date ro� ft
approval Data f,
s
t
a
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i JAM 0 5 12
R0'� R
gq
a e
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y
ilk te r'
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.'Thank`you for youlr�busmess 's i TOtal $1;,152.45
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365814 Diversified Business Systems, Inc. Terms
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/4/12 32627 ESE Summer camp brochures 30283 1,152.45
1/13/12 32647 Sponsorship brochures 141.85
Total 1,294.30
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
i
Voucher No. Warrant No.
365814 Diversified Business Systems, Inc. Allowed 20
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
In Sum of
1,294.30
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -99 32627 4345000 1,152.45 1 hereby certify that the attached invoice(s), or
1091 32647 4345000 141.85 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
26 -Jan 2012
Signature
1,294.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund