169002 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 354296 Page 1 of 1
ONE CIVIC SQUARE HOBBY LOBBY STORES
0 CHECK AMOUNT: $1,084.90
CARMEL, INDIANA 46032 PO BOX 960070
OKLAHAMA CITY OK 73196 -0070 CHECK NUMBER: 169002
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 1,084.90 OTHER CONT SERVICES
www.hobbylobby.com rte,. old
Hobby Lobby# T i P
O p< O Date Order Taken 1{2t*t (/Of Order Zof
D D Order Taken By t Framed By
Date Due Called
r--
CUSTOMER INFORMATION
Custo Name r Primary Telephone Secondary Telephone
Address
City State Zip t
Artwork Description/Condition 2 j �0. r.
FRAME
i° L 12 o t L 90
t! Custom 3� t.
Frame s
Readymade
Size Z Xb�
t
Customer's (Refit Fee)
United
Sectional Gold Black Silver (Assembly Fee) Inches 7 4
MAT
JL Color
Top Mat Name��� Width ,Y l
Color
2 Mat 9 3'8 Name �t/A1r,�+t� 1�nv Width Window f 3
Color f Opening x r2s 7 l
3'd Mat Name Width
Special Design (See reverse for layout)
GLASS
Regular Clear Non Reflective UV Clear Customer's No Glass e<
MOUNTING Z y
4 Regular FCB Acid Free FCB Drymount Needleart/Canvas Shadowbox
OTHER
1
�7 1
t fit i�r
j
4 1 f �C" f9sf F o
Note: Please present receipts for frames and prints previously purchased at Hobby Lobby. The Customer assumes the risk and liability for any loss or
damage upon delivery.of framed work, prints, photos, etc. Customer acknowledges that value of property delivered to Hobby Lobby does not exceed
$250.00 and further agrees that Hobby Lobb.Xs total liability for any loss or damage to customer's property shall not exceed $250.00.
I declare the value of this artwork to be `t�}" Any items not,picked up after 120 days become the property of Hobby Lobby.
50t Customer Signature Y
Estimated Total Before Tax White: Artwork Yellow: File Pink: Customer
1 REV 01 -2008 Item #622720
www.hobbylobby.com
Hobby Lobby# f Ph one# W O'Fo I
O p O Date Order Taken /z! d f.' Order fI
D D D D Order Taken By /-A k -1 Framed By
Date Due 3'fZ A,? Called
r
rAdd:res:s OMER INFORMATION J j.�
ame Primary Telephone Secondary Telephone
State Zip
rworDescription/Condition
f
FRAME
Custom f=rame otj
Readymade �r ti .�i to, r:, Size 1 X 1 g
Customer's (Refit Fee)
United
Sectional Gold Black Silver (Assembly Fee) Inches r�
MAT
Color
Top Mat j Name Fi't y f( Width 16 0
Color
2nd Mat Name Width Window
Color Opening �Y X
3 Mat Name Width
Special Design (See reverse for layout)
I GLASS x,
I;
//Regular Clear Non Reflective UV Clear Customer's No Glass 4U
MOUNTING X (o
Regular FCB Acid Free FCB y'Drymount Needleart/Canvas Shadowbox G
OTHER
i
i
i Note: Please present receipts for frames and prints previously purchased at Hobby Lobby. The Customer assumes the risk and liability for any loss or
damage upon delivery of framed work, prints, photos, etc. Customer acknowledges that value of property delivered to Hobby Lobby does not exceed
$250.00 and further agrees that Hobby Lobby's total liability for any loss or damage to customer's property shall not exceed $250.00.
I declare the value of this artwork to be ,2!C Any items not picked up after 120 days become the property of Hobby Lobby.
i
,'J` Customer Signature
Estimated Total Before Tax White: Artwork Yellow: File Pink: Customer
REV 01 -2008 Item #622720
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))
Frame Dept. Composites $1,084.90
1 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.
Hobby Lobby ALLOWED 20
IN SUM OF
$1,084.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 509.00 $1,084.90 1 hereby certify that the attached invoice(s), or
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
L
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund