HomeMy WebLinkAbout209758 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC
CARMEL, INDIANA 46032 8200 HAVERSTICKE ROAD, SUITE 260 CHECK AMOUNT: $626.10
"w; INDIANAPOLIS IN 46240
CHECK NUMBER: 209758
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 33078 296.22 GENERAL PROGRAM SUPPL
1091 4345000 33112 164.94 PRINTING (NOT OFFICE
1091 4345000 33113 164.94 PRINTING (NOT OFFICE
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8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254 -8668 Fax: (317) 254 -0801
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BILL TO SHIP TO
Carmel Clay Parks &"Recreation Carmel Clay Parks &Recreation
Administrative Offices Monon Co C #er
1411 E. 116th Street UL CO SPECIFIED
1195 Central Park_ Drive West
Carmel, IN 46032 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Eric Mehl
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30759, Nit0�4C��'S114/2012 tJPS Ground
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1 09 Afl Pr��rate Sw� .ssons f 144 54 Lot 1`44.501"
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Description
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Purchaser Date
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Approval n
Y 17
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9 92012
lhank�j�u for jtouriasins 6
Total X296.22
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8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254 -8668 Fax: (3 17) 254 -0801
5122/2012 33112
BILL TO SHIP TO
Carmel Clay Parks Recreation Carmel Clay Parks &Recreation
Administrative Offices Monon Community, SPE CIFIED
1411 E. 116th Street C 7 T�I� 1195 Central Park Drive West
Carmel, IN 46032 MAY 8 2017 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Lindsay !Millard
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30773 Not-20' JC 4511.8/2012 UPS Ground` 052812;
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1 09 Personal Training Brochures 1 fi0 00 Lot 160.06
500
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1 99 Freight 4 94 Lot �4 94
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�Thank�you for yourb' sines i� TOtal $164 94
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8200 Haverstick Road, Suite 260 Indianapolis, Indiana 46240
Phone: (317) 254 -8668 Fax: (317) 254 -0801
5/22/2012 33113
RF CLEI�T�D
BILL TO SHIP TO
MAY 2 8 2012
Carmel Clay Parks Recreati y_ Carmel Clay Parks Recreation
Administrative Offices Monon Co OM L n4jCenteFJVLESS SPECIFIED
1411 E. 1,16th Street
1195 Central Park Drive West
Carmel, IN 46032 Carmel, IN 46032
Attn: Paula Schlemmer Attn: Lindsay Willard
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30773 Net 20. 1. JC 5/18/2012 UPS Ground 052912
QUANTITY, o o r 'MO
MEASURE
1 09 "FitLinxx Brochures 160.00 Lot 160.00
Quantity: 500
1 99 Freight 4.94 Lot 4.94
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Approval Dat
Date
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Thank you:for your business Total $1 fi,4 94
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
5/16/12 33078 Swim lesson punch pass cards 30759 296.22
5/22/12 33112 Personal trainer brochures 30773 164.94
5122112 33113 Fitlinxx brochures 30773 164.94
Total 626.10
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
626.10
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 33078 4239039 296.22 1 hereby certify that the attached invoice(s), or
1091 33112 4345000 164.94 bill(s) is (are) true and correct and that the
1091 33113 4345000 164.94 materials or services itemized thereon for
which charge is made were ordered and
received except
14 -Jun 2012
Signature
626.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund