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210542 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 357221 Page 1 of 1 ONE CIVIC SQUARE SHIFT CALENDARS, INC CARMEL, INDIANA 46032 809 N GLENDORA AVE CHECK AMOUNT: $1,403.25 o COVINA CA 91724 CHECK NUMBER: 210542 CHECK DATE: 7/512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4230100 17620 1,403.25 STATIONARY PRNTD MA Shift Calendars. Inc. Invoice 809 A. Glendora Rye. Date Invoice Covina. OR 91724 6/25/2012 17620 Bill To Carmel Fire Dept. Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 P.O. No. Terms Rep Project Due on receipt MB Item Description Qty Rate Amount 1100 BGR *RBG13 Single Sheet 180 1.35 243.00 1100 BGR *APPS 13 Appointment Style 33 5.60 184.80 1100 BGR POST 13 Poster 30 10.19 305.70 1100 BGR *DESK... Desk Pad 41 16.57 679.37 Subtotal 1,412.87 Discount Discount 10.00% 141.29 Shipping Shipping 127.17 127.17 Packaging Fee Packaging Fee 4.50 4.50 Thank you for your business. Subtotal $1,403.25 Sales Tax $0.00 Total $1,403.25 Payments /Credits $0.00 Customer Total Balance Balance Due $1,403.25 Phone Fax E -mail Web Site 626 967 -9021 626 967 -6649 brenda @shiftcalendars.com www.shiftcalendars.com VOUCHER NO. WARRANT NO. ALLOWED 20 Shift Calendars, Inc. IN SUM OF 809 N. Glendora Avenue Covina, CA 91724 $1,403.25 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 I 17620 I 42- 301.00 I $1,403.25 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 JUN 2'9 2012 l e Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 17620 $1,403.25 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