207432 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1
j ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $612.50
CARMEL, INDIANA 46032 8200 HAVERSTICKE ROAD, SUITE 260
loN �o INDIANAPOLIS IN 46240 CHECK NUMBER: 207432
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4345000 32886 612.50 PRINTING (NOT OFFICE
8200 Hav stick Road, Suite 260 Indianapolis, diana 46240
hone: (317) 254 -8668 Fax: (317 4 -0801
p C5313 BV
3119/241,2 32886
MAR 2 0 2012
BILL TO SHIP TO
BY..........
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Monon.G6Kn� "unitVIC- lrnterlVLESS SPECIFIED
1411 E. 116th Street 1236 Central Park Drive, East Street
Carmel, IN 46032 Carmel, IN 46032
Attn: Paula Schlemmer. Attn: Lindsay Labas
30526 .Net 20. JG," 1 3/1 312012 UPS Ground M 030812
QUANTITY "-ITEWdodit, DESCRIPTId AMOUNT
Og Annual Reparts 612.50 I Lot 612.50
�66ntity:100. s
I�
Purchase
Description Q 011 14 l P i E']!fh s
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Budget.
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Purchaser I- Date i.
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Approval (pate
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1097
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Thank you for your. business TQ$a I $612.5
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
365814 Diversified Business Systems, Inc. Terms
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3119/12 32886 2011 Annual report 30526 612.50
Total 612.50
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
365814 Diversified Business Systems, Inc. Allowed 20
8200 Haverstick Road, Ste 260
Indianapolis, IN 46240
In Sum of$
612.50
I
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1091 32886 4345000 612.50 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
22 -Mar 2012
�Qlt1�l1G Z
Signature
612.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund