176433 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC
0 CHECK AMOUNT: $283.50
CARMEL, INDIANA 46032 460 VIRGINIA AVE
v uK INDIANAPOLIS IN 46203.1779 CHECK NUMBER: 176433
CHECK DATE: 8119/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DE
1205 4230100 2821 283.50 STATIONARY PRNTD MA
f
11.E V VMCE
Date Invoice Number
ENGRAVING CO.. INC.
OFFICE STATIONERY 8/14/2009 2821
PRINTING
460 Virginia Avenue Indianapolis, IN 46203
317 6344084 Fax 317- 685 -2524
Shelly Lingelbaugh We accept
City of Carmel Mastercard,
Department of Human Resources VISA
One Civic Square
Carmel, IN 46032 American
Express
PO Number Ship Date Ship Via Terms Job Ticket
8/1412009 Net 30 08 -141
Quantity Description Rate Amount
1500 Printed Envelopes from Plate 273.00 273.00
Shipping Charge 10.50 10.50
Subtotal $283.50
Contact Phone Fax number
Shelly Lingelbaugh 571 -2465 Fx. 571 -2409 Sales Tax (7.0 $0.00
Email: shirleyengraving @aol.com Total---- $283.50
www.shirleyengraving.com
Letterheads Envelopes Business Cards Announcements Pocket Folders Marketing Materials
Engraving Foil Stamping Thermography Embossing 4 Color Offset Printing
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Shirley Engraving Co., Inc. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08114109 282 1 1,500 Printed nve ones
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 N NO.
ALLOWED 20
Shirley Engraving Co., Inc.
IN SUM OF
460 Virginia Avenue
Inc- IN 46203
$283.50
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby that the attached invoice or
DEPT.# Y certi f y t
bill(s) is (are) true"and correct and that the
1205 2821 301 $283.50 materials or services itemized thereon for
which charge is made were ordered and
received except
20
�Signap. re i.j�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund