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177393 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 357221 Page 1 of 1 s e ONE CIVIC SQUARE SHIFT CALENDARS, INC CHECK AMOUNT: $1,454.17 CARMEL, INDIANA 46032 809 N GLENDORA AVE COVINACA 91724 CHECK NUMBER: 177393 CHECK DATE: 9/1512009 DEPA RTMENT ACCOUNT PO N UMBER INVOICE NUMBER A MOUNT DESCRIPTION 1120 4230100 1,454.17 STATIONARY PRNTD MA P.O. Shift Calendars Inc. OUR INVOICE DATE: 9 -4 809 N. Glendora Avenue Covina, CA 91724 OFFICE USE ONLY EMAIL; dsnyder @carmel.in.gov Ph, (626) 967 -9021 Fox (626) 967 -6649 www.shiftcolendars.com Check here for BILLED TO: Carmel Fire Department SHIP TO: Same as billing residential delivery 2 Carmel Civic Square (NO P.O. BOX) Carmel, Indiana 46032 ATTN: Denise Snyder TELEPHONE: 317- 571 -2622 10% DISCOUNT ALLOWED ON ORDERS PAID FOR INDICATE SHIFT COLORS AND EACH DAY AND RECEIVED BY JULY 31St Shift Colors EACH SHIFT WORKS FOR JAN. 2010 NOT APPLICABLE TO P.O.'S WITHOUT PAYMENT. (Red, Blue, Green) SHIFT DATES FOR ALL JANUARY 2010 A Red 3, 5, 7, 12, 14, 16, 21, 23, 25, 30 NOT ALL SHIFT SCHEDULES OR PRODUCTS ARE AVAILABLE B Blue 1, 6, 8, 10, 15, 17, 19, 24, 26, 28 ORDERS RECEIVED AFTER NOV. 13th 2009 WILL BE FILLED FROM AVAILABLE STOCK ON HAND C Green 2, 4, 9, 11, 13, 18, 20, 22, 27, 29, 31 SINGLE SHEET APPOINTMENT STYLE 276 SINGLE SHEET 1.25 345.00 SHIFT CALENDARS SHIFT CALENDARS LAMINATED WALLETS* .35 ea. 1-50 $2.09 ea. 1 9 $8.99 ea. 40 APPOINTMENT STYLE 6.29 251.60 51 100 $1.79 ea. 10-24 $7.69 ea. 29 101-250 $1.49 ea. 25-50 $6.29 ea. SHIFT POSTERS 11.49 333.21 43 DESK PADS 18.69 803.67 251 Up $1.25 ea. 51 Up $5.79 ea. SHIFT POSTERS SHIFT DESK PADS SINGLE SHEET IMPRINT* 45.00 1 10 $14.69 ea. 1 5 $32.99 ea. SUBTOTAL 1733.48 11 25 $11.99 ea. 6-10 $26.49 ea. LESS 10% DISCOUNT -173.34 26-50 $11.49 ea. 11 15 $22.69 ea. TOTAL 1560.14 51 Up $9.99 ea. 16 Up $18.69 ea. (CA ONLY) Sales Tax 9.75% We can laminate the wallets on the bottom of your single Packaging 4.50 sheets for $.70 a sheet (2 wallets per single sheet) Wallets only sold in multiples of 2 w /purchase of single sheet. Shipping 10% of TOTAL 156.46 *CUSTOMIZE YOUR $45.00 SINGLE SHEET IMPRINT TO READ (OPTIONAL) GRAND TOTAL 1721.10 Return white and yellow copies with payment. Pink and gold copies are your invoice. 4 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER r 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)) $1,454.17 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 t Calendars, Inc. W:` IN SUM OF 809 N. Glendora Avenue Covina, CA 91724 $1,454.17 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 42- 301.00 $1,454.17 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 REP I f s Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund