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210325 07/05/2012 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: $138.90 INDIANAPOLIS IN 46240 CHECK NUMBER: 210325 CHECK DATE: 7/512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 33173 138.90 GENERAL PROGRAM SUPPL 8200 Flaverstick Road, Suite 260 Indianapolis, Indiana 46240 Phone: (317) 254 -8668 Fax: (317) 254 -0801 m" L1L0 ©Lh e SUN 0 2012 6/fi12012f 33173 BILL TO BY:_ ====J SHIP TO Carmel Clay Parks Recreation Carmel Clay Parks Recreation Administrative Offices Monon CommunityiC enteiriVLESS SPECIFIED 1411 E. 116th Street 1235 Central Park Drive, East Street Carmel, IN 46032 Carmel, IN 46032 Attn: Paula Schlemmer Attn: Lindsay Leber IVIC002985._ Ne4 20: JC 6!412012 UPS `Ground 05fi012` .r Ivdi6e R sensation Cards m 130 00 Lot 130 00� Quantity 2000 a t 1 e 99 Feeight -w 8 90 Lot 8 90 n w pu Purchase 4 4 Ir Dcriptfort 4 Bud et g Lens, 6scr, t w 'Purchaser L Yr Da4e Ap{iroval 7� -Date a s k, r 0H 3 4, a r; a. 2012 j w y y ,qq j x G i s m N tThank =you for'your�business TO #alp .$138.90 B ,Y -•3:� i�l�: .:F ;..i a��.r �S ifl ti:� Rl i i j l� a It�i4� t .�t !'a ��`I 1? i ��R> S :4 S'�f a.+' r f ;MITOs {d }�'t yFi t'•=4 i '�i S,1 r C e,.n �..5 '.F S3...?'. C�L it i a� -'i.t ::��'j i:ia `'rs t i `r 4...>e... i !6 ?L 1 Arirrl S 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 6/6/12 33173 Kidzone reservation cards 138.90 Total 138.90 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 138.90 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members Dept 1096 33173 4239039 138.90 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 28 -Jun 2012 �hh L) M/ A-Pjb Signature 138.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund