174894 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 118500 Page 1 of 1
ONE CIVIC SQUARE HAINES COMPANY INC CHECK AMOUNT: $635.00
CARMEL, INDIANA 46032 PO BOX 2117
8050 FREEDOM AVE NW CHECK NUMBER: 174894
NORTH CANTON OH 44720
CHECK DATE: 7/22/2009
DEPAR ACCOUNT PO NUMBER IN VOICE NU MBER AMOUNT DESCRIPTION
1110 4353099 69620 207.50 OTHER RENTAL LEASES
1110 4353099 69631 427.50 OTHER RENTAL LEASES
r
DESCRIPTION AMOUNT
P
1 INDIANAPOLIS 12 MONTH LEASE SERVICE FROM 08/01/09
DIRECTORY ANNUAL RATE 412.00
DELIVERY 15.50
REMITTO:
HAINES COMPANY, INC. 07 -08064 07/01/09 69631 j 1 j7. 50
P.O. BOX 2117
8050 FREEDOM AVE., NW ACCOUNT INVOICE INVOICE NORT H CANTON, OHIO 44720 NUMBER DATE NUMBER
THIS BILLING IS GOVERNED BY YOUR SERVICE DATE (AS SHOWN ON YOUR AGREEMENT) AND
USUALLY DOES NOT COINCIDE WITH PUBLICATION EXCHANGE) DATE.
ALL MONIES PAST DUE ARE SUBJECT TO A SERVICE CHARGE OF 1' /2% PER MONTH.
SEE REVERSE SIDE FOR CREDIT CARD PAYMENT
DESCRIPTION AMOUNT
i
1 INDY NORTH SUB 12 MONTH LEASE SERVICE FROM 08/01/09
DIRECTORY ANNUAL RATE 192.00
DELIVERY 15.50
REMIT TO:
HAINES COMPANY, INC. 07 -02598 07/01/09 69620 207.50
P.O. BOX 2117
8050 FREEDOM AVE., NW ACCOUNT INVOICE INVOICE
NORTH CANTON, OHIO 44720 NUMBER DATE NUMBER
THIS BILLING IS GOVERNED BY YOUR SERVICE DATE (AS SHOWN ON YOUR AGREEMENT) AND
USUALLY DOES NOT COINCIDE WITH PUBLICATION EXCHANGE) DATE.
ALL MONIES PAST DUE ARE SUBJECT TO A SERVICE CHARGE OF 1 1 12% PER MONTH.
SEE REVERSE SIDE FOR CREDIT CARD PAYMENT
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
Haines Company, Inc. Purchase Order No.
P.O. Box 21-17 Terms
North Canton, OH 44720 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/1/09 69631 payment for Indianapolis'':directory 427.50
7/1/09 69620 payment for Indy North directory 207.50
Total 635.00
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.
ALLOWED 20
Haines Company, Inc. IN SUM OF
P.O. Box 2117
North Canton, OH 44720
635.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 69631 530 -99 427.50 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 69620 530 -99 207.50 which charge is made were ordered and
received except
July 15 20 09
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund