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206434 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1 ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CARMEL, INDIANA 46032 4026 WEST 10TH STREET CHECK AMOUNT: $423.00 INDIANAPOLIS IN 46222 CHECK NUMBER: 206434 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4230100 0162012S 423.00 STATIONARY PRNTD MA Invoice S Date Invoice 1/31/2012 01620125 ENGRAVING CO., INC. 4026 West 10th Street Indianapolis, IN 46222 317.634.4084 Fax 317.685.2524 www.shirleyengraving.com We accept Mastercard, Shelly Lingelbaugh VISA, City of Carmel Department of Human Resources American One Civic Square Express Carmel, IN 46032 P.O. No. Due Date Terms Rep Customer Contact Shelly 2/29/2012 Net 30 DJM Qty Description Price Each Amount 1,000 10 x 13 catalog envelopes 0.222 222.00 1,000 9 x 12 catalog envelope 0.201 201.00 D FEB 13 2012 By Thank You for your Business! A Division of Priority Press Subtotal $423.00 contact Phone/ Fax Number Sales Tax (7.0 $0.00 DJ Margason 634 -4084 FX: 685 -2524 Email: shirleyengraving @aol.com Total $423.00 www.shirleyengraving.com Letterhead Envelopes Business Cards Announcements Pocket Folders Marketing Materials Engraving Foil Stamping Thermography Embossing 4 Color Offset Printing This invoice is subject to a late charge of 1.2% per month on all amounts not paid within 30 days of the invoice date. Purchaser agrees to pay resonable attorney fees and other costs incurred for collection. 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)) 01/31/12 0162012S $423.00 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. ALLOWED 20 Shirley Engraving Co., Inc. IN SUM OF 4026 West 10th Street Indianapolis, IN 46222 $423.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1205 0162012S 42- 301.00 $423.00 I 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 Monday, February 13, 2012 Director, Adm n Title Cost distribution ledger classification if claim paid motor vehicle highway fund