169473 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 357179 Page 1 of 1
0 ONE CIVIC SQUARE ID VILLE
CARMEL INDIANA 46032 5376 52ND ST SE CHECK AMOUNT: $108.99
GRAND RAPIDS MI 49512
CHECK NUMBER: 169473
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM A DESCRIPTION
1047 4230200 1913145 108.99 OFFICE SUPPLIES
PAST DUE NOTICE
5376 52nd StreetSE, Grand Ropids, Michigan 49512
luma j
ID's On Site, Done Right. 616.698 -7014 FAX: 616- 698.6937 Fed. ID: 38- 2549249
02/06/2009 FE B 2009
Bill To: Ship To:
MANDY SPADY MANDY SPADY
CARMEL CLAY PARK RECREATN CARMEL CLAY PARK RECREATN
1235 CENTRAL PARK DR E 1235 CENTRAL PARK DR E
CARMEL IN 46032 -4421 CARMEL IN 46032 -4421
Invoice 1913145
Invoice Date: 12/10/2008
PO Num:
Customer 1402449
Item Description Qty Unit Price Ext Price
41 197CL Strap Clips Clear 500 0.20 100.00
Merchandise Total 100.00
Freight Amount 8.99
Tax Amount 0.00
Invoice Total 108.99
Previously Paid 0.00
Pay this Amount d3 �$10899q
*THE OUTSTANDING BALANCE ON THIS INVOICE IS $108.99
Reprinted 2/6/2009 This is a copy of your original invoice. Payment is now-past due.
Please mail your check today. Call Sara Vreeland at (6 16) 698 -0889 or email AccouiltsReceivable@lDville.com with billing
questions.
Purchase C J FB r r DescrlPtlon
P.O. ._.,PorF EB 1 8 2009
G.L 14 1�"
Budget
Une Descr a
Purchase
Approve Date V 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show', kin of service, uni ts, price p erfor m ed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, p
Payee Purchase Order No.
Terms
I Dville
5376 52nd Street SE
Grand Rapids, Mi 49512
Invoice Description Amount
Invoice (or note attached invoice(s) or bill(s))
Date Number 108.99
12110108 1913145 ID Clips
Total 108.99
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.
I Dville Allowed 20
5376 52nd Street SE
Grand Rapids, Mi 49512
In Sum of
108.99
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
Pb# or INVOICE NO. ACCT TITLE AMOUNT Board Members
Dept ept
1047 1913145 4230200 108.99 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
26 -Feb 2009
I
Signature
E 108.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund