176418 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00350543 Page 1 of 1
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ONE CIVIC SQUARE S P G GRAPHICS INC CHECK AMOUNT: $296.00
CARMEL, INDIANA 46032 PO BOX 6069- DEPT98
`o INDIANAPOLIS IN 46206 -6069 CHECK NUMBER: 176418
CHECK DATE: 8/19/2009
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESCRIPTION
209 4230100 93792 296.00 STATIONARY PRNTD MA
SPG �Invoice No: 93792
Invoice Date: 7/14/2009
a Harding.Poorman Group company Job No: 44150
Customer PO:
Salesperson: Jane Kessiar
Customer No: 000000002107
e
City of Carmel City of Carmel
Attn: Office of Community Service Elaine Bass
One Civic Square, 3rd Floor Office of Community Service
Carmel IN 46032 One Civic Square, 3rd Floor
Carmel IN 46032
QUANTITY
1,000 Business Cards for Amanda Bennett 296.00
Terms: NET 15 DAYS
A finance charge of 1.5% per month (18% APR) will be applied to all balances unpaid after 30 days from the invoice date. S ub I ot 296.00
Tax 0.00
Freight 0.00
O �p Deposit 0.00
p �n PLEASE REMIT PAYMENT TO: Total 296.00
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INDIANA RETAIL TAX EXEMPT PAGE
Cl ®f Ca CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�y J p� FEDERAL EXCISE TAX EXEMPT
U�" �J 35- 60000972
r ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i r
SHIP
VENDOR'a 1, TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
7
n0n 4
zi
�nd Invoice �To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 11 jj ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
OC9 'e I ,3 PAYMEN
4 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
LL NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'HIP REPAID.
.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
IJRCHASE ORDER NUMBER MUST APPEAR ON ALL
iIPPING LABELS.
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VOUCHER NO. NO.
ALLOWED 20
IN THE SUM OF
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P IN qAIIIJ APPROPRIATION FOR
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Board Members
PO# or
INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund