208260 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $298.96
CARMEL, INDIANA 46032 8200 HAVERSTICKE ROAD, SUITE 260
INDIANAPOLIS IN 46240 CHECK NUMBER: 208260
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4239045 32900 298.96 RETAIL GOODS
=8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254 -8668 Fax: (317) 254 -0801
MAR 2 3 2012
3/22/2012 32900
BILL TO SHIP TO
BY:
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices MOnon CSWn nU SPECIFIED
1411 E. 116th Street 1235 Central Park Drive, East Street
Carmel, IN 46032 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Lindsay Labas
-TERMS REP
30547° Net 20. JC 3/19/2012 UPS Ground 031112
I* AMOUNT t
PRICE
DESCRIPTION
IMEASURE
4
1 09 Gift _Cards 290.75 Le, 290.75
Quantity: 2000
1 99 Freight 8.21 Lot 8.21
.Purchase;,
`t fl scription MCC. Cpl ETC
P.O. I I Po
i I
Lino secr
Purchaser Date
'Approva Daze
'AP..
M
19 20
p
TO
Thank you for your business T $298.96
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
3/22/12 32900 MCC Gift cards 30547 298.96
Total I 298.96
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
298.96
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1092 32900 4239045 298.96 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
19 -Apr 2012
Signature
298.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund