169068 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 361561 Page 1 of 1
ONE CIVIC SQUARE MAZDA SIGNS CHECK AMOUNT: $105.00
CARMEL, INDIANA 46032 99 E CARMEL DRIVE SUITE L
CARMEL IN 46032 CHECK NUMBER: 169068
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4346500 1102 105.00 CITY PROMOTION ADVERT
1!
Job #1102 1/30/2009
Prepared For: Prepared By:
y Carmel Arts and Design District Office Ali Pournourbakhsh
Megan McVicker Mazda Sign, Inc.
111 W. Main St. 99 East Carmel
Suite 140 Suite L
Carmel, IN 46032 Carmel, IN 46032
USA USA
Phone: (317) 571 -2791 Fax: Phone: 317- 848 -6420 Fax: 317 848 -6422
Alt. Phone: Alt. Phone:
E -Mail: mmcvicker @carmel.in.gov E -Mail: alip @mazdasigninc.com
Description:
Archway Date Change
This Job's due date: 1/31/2009
Quantity Description Each Total Taxable
3 Gallery Walk Date Change 35.00 $105.00
F eb r uary 14th
Subtotal $105.00
IN State Sales Tax —$7
Total Due
Terms:
Payment due on receipt of invoice
Page 1 of 1
fPre'sciibed by 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) 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. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�o2�y 3 y6
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/0 2 Y3y65on %Soo 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
20
J
L (gnat re
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund