174047 06/24/2009 0 �y,� CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC
CARMEL, INDIANA 46032 460 VIRGINIA AVE INDIANAPOLIS IN 46203 -1779 CHECK AMOUNT: $975.00
„�o CHECK NUMBER: 174047
CHECK DATE: 6/2412009
D EPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
902 4230100 1029 975.00 BUSINESS CARDS
05'�t�12009 06:51 3176852524 SHIPLEY ENGRAVIiIG PAGE 01101
Date Invoice Number
ENGRAV /NG 00, 1NC. 3130/2009 1029
460 Virginia Avenue Indianapolis, IN 46203 -1779
317.634.4084 Fax 317.6$5.2524
www.shirleyengraving.com
Ship To
City of Carmel /Redevelopment
Arts Design District Office
30 West Main Street, Suite 220
Carmel, Indiana 46032
PO. Number Ship Ue Ship'Vla Terms Job Tlckei Salesperson
313012.009 Net 30 03 -230 DJ 1 Linda
Quantity Description Rate Amount
1250 4 -up Thermographed Business Card Base and 975.00 97
plates
Subtotal 975.00
Contact Phone 1 Fax Number Sales Tax (7.0 0.00
Sherry Mielke 71 -2787 FX: 844 .3498
IF ppYIHG BY MAStERCAIRD OR VISA, FILL OUT BELOW to t a l 78f L.i�
CHECK CARD USING Fold PAYMENT
K] lo C.1 VISA the event l to not Umety mad?. of not commhnann at the rata per nnum,
MAST =fit e mn
Iog9ih6f Wp spurt c osts, CQtlrt C0919, fl1[ornay'a fn09 el not f ees tha 4wentyflva rwrcn"n ant (2G76) o the
CAnr) NumBSa AMOUNT unpsld amolrnt of principal and intoreat nnis any other costa o{ camctlon incurred by
8hl0? Engmving Comparrn Inc. ft hnroby certify that thma goods were producr+rl In
giaNnTUfrC rxr, ortE campllenca with e9f appliCnbte requimmonu of Sections 9, 7 and 12 of the Pnlr f,ntrar Sinndards
I d Act, as amended. end of mquInflons and ordpr� of tho United Stems Dnpenment of labor
lnnund under Section 1411heroof.
After 20 davS past due balancer are subject to a charge 1.50% per month (18% per annum).
P[ascribed 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 /1
i F' C'41 ow I I'1 6). I n L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 30 U�J �Zq ►,ivr� (,c O( a 975, v�
D
Total 975, �C3
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in a cordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
w
ALLOWED 20
S�� fLc�G ✓i nc, Q.
Inc IN SUM OF
(OU a ?4je
w (0203 )77q
q75 Uo
ON ACCOUNT OF APPROPRIATION FOR
Lf) 301 o0
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 U Zq l/ 30)ob 1, 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 0
Sig ture
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund