209206 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS STAR CHECK AMOUNT: $624.00
CARMEL, INDIANA 46032 PO BOX 677553
DALLAS TX 75267 -7553 CHECK NUMBER: 209206
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4341991 833397 624.00 MARKETING PROMOTION
INDIANAPOLIS ���lll 111 APOLIS STAR 1 BILLING PERIOD 2 ADVERTISER CLIENT NAME
C 11v� ®1,JB ^\J 01- APR -12 TO 30- APR -12 CARMEL CLAY PARKS RECREATION
IND C STMR�COI V 1 23 TOTAL DUE 26 UNAPPLIED AMOUNT 3 TERMS OF PAYMENT
624.00 0.00 NET 15
21 CURRENT DUE 22 30 DAYS 60 DAYS I OVER 90 DAYS
Advertising Invoice Statement 1 624.00 0.00 0.00 0.00
4 PAGE 5 BILLING DATE 8 BILLED ACCOUNT NAME AND ADDRESS 9 REMITTANCE ADDRESS
1 30- APR -12 CARMEL CLAY PARKS RECREATION
6 BILLED ACCOUNT NUMBER 1411 E 116TH
CARMEL, IN 46032 INDIANAPOLIS STAR
12921 P.O. BOX 677553
7 ADVERTISER/ CLIENT NUMBER
DALLAS, TEXAS 75267 -7553
47682
0129210000008333970006240015329
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE 1 NEWSPAPER 2 13 DESCRIPTION THER 5 SIZE 7 TIMES RUN 19 GROSS AMOUNT 20 NET AMOUNT
REFERENCE 4 COMMENTS CHARGES 6 BILLED UNITS 8 RATE
16 -Apr 207920 Payment Received Thank you! 624.00 CR
22 -Apr 2374054 CARMEL CLAY PARKS 3 x 4.00 1
Sunday 5912492.1 CARMEL CLAY PARKS 12.00
SUNDAY MAGAZINE 624.00
f
Purchase me flry5 rr
DescriptionAd P
P.O. l
G.L. \UPS i 4 l� 9012
Budget
Line Descr
Purchaser e'
Approval Date
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 22 30 DAYS 60 DAYS I OVER 90 DAYS 126 UNAPPLIED AMOUNT 3 TOTAL DUE
624.00 0.00 0.00 0.00 0.00 624.00
INDIANAPOLIS STAR
307 N. PENNSYLVANIA ST. TEL: (317) 444-8484 FAX: (317) 444-8300
P.O. BOX 145, INDIANAPOLIS, INDIANA 46206 -0145 FED. I.D. 13- 2599556
24 INVOICE NUMBER 25 ADVERTISER INFORMATION
1 BILLING PERIOD 6 BILLED ACC NU MBER 7 ADVERTISER/ CLIENT NUMBER 2 ADVERTISER I CLIENT NAME
833397 01- APR -12 TO 30- APR -12 12921 47682 CARMEL CLAY PARKS RECRE
LEGEND
The 25 elements of the Standard Advertising Invoice (SAI)
1. BILLING PERIOD 14. OTHER CHARGES OR CREDIT
"FROM" "TO" DATES FOR THIS STATEMENT. ALL INFORMATION RELATING TO AD INCLUDING PURCHASE ORDER NUMBER.
DETAIL OF ALL DISCOUNTS /CHARGES RELATING TO AD.
2. ADVERTISER CLIENT NAME
NAME OF ADVERTISER (IF AGENCY, CLIENT NAME). 15. SAU SIZE
STANDARD ADVERTISING UNIT AD SIZE.
3. TERMS OF PAYMENT
WHEN PAYMENT IS DUE. 16. BILLED UNITS
MEASUREMENT OF AD (COLUMNS X DEPTH).
4. PAGE NUMBER
PAGE STATEMENT FOR MULTI -PAGE STATEMENTS. 17. TIMES RUN
NUMBER OF INSERTION DAYS FOR THIS AD.
5. BILLING DATE .a..
DATE STATEMENT WAS PREPARED. 18. RATE
APPLICABLE NEWSPAPER ASSIGNED RATE.
6. BILLED ACCOUNT NUMBER
NEWSPAPER ACCOUNT NUMBER 19. GROSS AMOUNT
CORRESPONDING TO ELEMENT 8. CALCULATING OF AD PRICING.
EXTENSION OF TO rAL BILLED AMOUNT AT APPLICABLE RATE.
7. ADVERTISER CLIENT NUMBER BEFORE AGENCY COMMISSION.
BILLED ACCOUNT NUMBER CORRESPONDING TO ELEMENT 2.
20. NET AMOUNT
8. BILLED ACCOUNT NAME AND ADDRESS FINAL COST OF AD DUE FOR ADVERTISER (ELEMENT 2).
COMPANY RECEIVING INVOICE.
21. CURRENT NET AMOUNT DUE
9. REMITTANCE ADDRESS SUM OF ELEMENT 20.
RETURN PAYMENT ADDRESS.
22. 30/60 /OVER 90 UNAPPLIED AMOUNT
10. DATE AGING OF PAST DUE BALANCES FOR ADVERTISER.
INSERTION DATE OF AD OR TRANSACTION DATE.
23. TOTAL AMOUNT DUE
11. NEWSPAPER REFERENCE SUM OF ELEMENTS 21 AND 22.
NEWSPAPER'S INTERNAL REFERENCE NUMBER.
24. INVOICE NUMBER
12. DESCRIPTION, OTHER COMMENTS NEWSPAPERS INVOICE/ DOCUMENT NUMBER.
1 25. ADVERTISER INFORMATION
3. PRODUCT /SERVICE CODE
(1) BILLING PERIOD, (6) BILLED ACCOUNT.
(7) ADVERTISER CLIENT NUMBER, (2) ADVERTISER CLIENT NAME.
The elements shown above appear on the face of the invoice and are identified by number.
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.
358657 Indianapolis Star Terms
P.O. Box 677553
Dallas, TX 75267 -7553
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/30/12 833397 ESE summer camp series ad Apr'12 Indy Moms 30278 624.00
Total 624.00
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.
358657 Indianapolis Star Allowed 20
xP O Box 677553
Dallas j TX 75267 7553 zj
In Sum of
624.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -99 833397 4341991 624.00 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
17 -May 2012
fi)j n vl n rw
Signature
624.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund