206210 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $259.84
CARMEL, INDIANA 46032 8200 HAVERSTICKE ROAD, SUITE 260
1 ;roN i o INDIANAPOLIS IN 46240 CHECK NUMBER: 206210
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4345000 32668 161.50 PRINTING (NOT OFFICE
1091 4345000 32702 98.34 PRINTING (NOT OFFICE
y
.8200 Haverslick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254-8668 Fax: (317) 254-0801
1119/2012 32668
BILL TO SHIP TO
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices' Monon Qo_ mun4 dQFiVLESS SPECIFIED
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN
Attn: Paula Schlemmer Attn: Lindsay Labas
,TERMS SHIR.DATE
M C002400 Net 20. JC 1/6/2012 UPS Ground x 124411
AMO
-QUANTITY 1 09 Personal Training Brochures 153.80 Lot 153.80
Quantity: 500
1 99 Freight 7. 10, Lot 7.70
Put-chase i t f 1 j i r i JAN. 2 0 2012
Description F�,l}���Q �0�' fJ't� 1a'
7
P it NC &I Port,
G.L. 0q Z/ o
9 id et
tine'escr Pr �In��nc, C �ori
Purchaser Date
Approval
Date Twl
a
er
Thank you for your business Total $161.50
8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254 -8668 Fax: (317) 254 -0801
D
1127/2012 32702
J AN 3 0 2012
BILL TO SHIP TO
BY:
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Monon G OFLnj!'.nAnitY;fCAr4eJrWVLESS SPECIFIED
1411 E. 116th Street 1235 Central Park Drive, East Street
Carmel, IN 46032 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Lindsay Labas
IMC002450 Net 20. JC 1/24/2012 1 UPS Ground 011
QUANTIT.Y,, ITEM. .D
100 09 Community Partner Program 0.86 each 86.00
JSponsorship Brochures
1 99 e Freight 12.34 lot 12.34
N
Purch aser r.
Jescrrpt oni SPpL1 11P 1 2CC S
u_L'. i "09;1 9?)45000
Budget
Une Descr
Purchaser Date
Apprm 4.
l o
V-987 2
a
Thank you for your business Total 1 $98.34
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
1/19/12 32668 Personal trainer brochures 161.50
1127/12 32702 Sponsorship brochures 98.34
Total 259.84
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.
365814 Diversified Business Systems, Inc. Allowed 20
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
In Sum of
259.84
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 32668 4345000 161.50 1 hereby certify that the attached invoice(s), or
1091 32702 4345000 98.34 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
9 -Feb 2012
Signature
259.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund