213719 10/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00350498 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS NEWSPAPERS,INC CHECK AMOUNT: $223.03
'o CARMEL, INDIANA 46032 307 N.PENNSYLVANIA STREET
a reN, PO BOX 145 CHECK NUMBER: 213719
INDIANAPOLIS IN 46206-0145
CHECK DATE: 10110/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355200 IS0578982 223 . 03 IS0578982 10/31/13
THE NDIANAP®LIS STAR CURRENTLY PAID THROUGH: 11/17/2012
INDYSTAR*COM
307 N.Pennsylvania St.
Indianapolis,IN 46206-0145 Account number: IS0578982
Amount Due: 223.03
Payment Deadline: Due Upon Receipt
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CLERK TREASURERS OFF T-3
1 CIVIC SQ
CARMEL, IN 46032-2584
SUBSCRIPTION STATEMENT
Balance Fonr:ard— 189.10CR
01107/12 Serving Our Subscriber 3.27CR
01/05/12 Missed Del C Dly: 1 Sun: 0 .36CR All home delivery subscribers,
01/07/12 Missed Del C Dly: 1 Sun: 0 .36CR regardless of scheduled delivery days,
01/01/12-10/31/13 Service 416.12 are delivered and charged for the
Amount Due 223.03 Thanksgiving edition in accordance to
the Published Sunday newsstand rate,
currently $1.75. This charge will be
reflected in the November subscription
invoice.
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev 1995)
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.
�'/I /1�� Payee
V
` "�/U rs Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
S �o
Total
I 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.
ALLOWED 20
r� IN SUM OF $
66)04�-
o�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCbT#'FIDTLE AMOUNT
DEPT.# I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund