207027 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC
CARMEL, INDIANA 46032
8200 HAVERSTICKE ROAD, SUITE 260 CHECK AMOUNT: $798.00
INDIANAPOLIS IN 46240 CHECK NUMBER: 207027
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4345000 32816 798.00 PRINTING (NOT OFFICE
8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254-8668 Fax: (317) 254-0801
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BILL TO SHIP TO
Carmel Clay Parrs Recreation Carmel Clay Parks Recreation
Administrative Offices MOnon QW n tYLG: r1teJrMLESS SPECIFIED
1411 E. 116th Street 7
Carmel, N 46032 a 1235 Central Park Drive, East Street
1
�A� 212 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Lindsay Labas
BY...
TERMS SHIRDATE
7304!k Net 20. JC 2/24/2012 .021412
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DESCRIPTION
1 09 Rental Brochures 783 fl0- Lot 783.00
'dugntity:� 1-00 oK
90 Freight. 15.00 Lot 15,00
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Thank you for your business o q Total $798.00
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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 Flaverstick Road, Ste 260
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
311112 32816 Rental brochures 30432 798.00
Total 798.00
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.
365814 Diversified Business Systems, Inc. Allowed 20
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
In Sum of
798.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 32816 4345000 798.00 1 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
8 -Mar 2012
p�
Signature
798.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund