HomeMy WebLinkAbout175788 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 190775 Page 1 of 1
ONE CIVIC SQUARE MACO PRESS INC CHECK AMOUNT: $351.77
is CARMEL, INDIANA 46032 PO Box 329
CARMEL IN 46032 CHECK NUMBER: 175788
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4230000 13100 351.77 OFFICIAL FORMS
�F
Co' press 877 -234 -9658 upjwOU
Fax: 317 846 -5754 Invoice Number 13100
printing solutions since 1913 www.macopress.com
560 3rd Avenue S.W. Invoice Date 7/29/2009
P.O. Box 329 Purchase Order D. CORDRAY
Carmel, IN 46082 -0329
QUANTITY DESCRIPTION AMO
1,200 EMPLOYEE CHANGE FORM REVISED 7/2009 341.77
Sub-Total 341.77
Tax
Shipping 10.00
Invoice Total 351.77
TERMS: ALL INVOICES DUE UPON RECEIPT. FINANCE CHARGE OF 1.5% PER MONTH,
(18% PER ANNUM) WILL BE CHARGED ON OVERDUE BALANCES. Balance Due 351.77
P�scribe�7X State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
M ot o Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached i n or bill(s))
Total
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. WAPRANT NO.
ALLOWED 20
I IN SUM OF
4(m
ON ACCOUNT OF APPROPRIATION FOR
It C)
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice or
:�Do `3c51. -j 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
:41 (IOWL011-1-i
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund