214076 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC
4 CHECK AMOUNT: $88.87
CARMEL, INDIANA 46032 4026 WEST 10TH STREET
v o� INDIANAPOLIS IN 46222 CHECK NUMBER: 214076
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4230100 1005112S 88 . 87 STATIONARY & PRNTD MA
Invoice
Date Invoice#
5H/RL E
10/16/2012 1005112S
ENGRAVING CC, INC
4026 West 10th Street Indianapolis, IN 46222
317.634.4084 Fax 317.685.2524
www.shirleyengraving.com We accept
Mastercard,
City of Carmel VISA,
One Civic Square
Carmel,IN 46032 American
Express
P.O. No. Due Date Terms Rep Customer Contact
Karen G 11/16/2012 Net 30 JE
Qty Description Price Each Amount
500 business card-James Brainard 0.158 79.00
shipping charges 9.87 9.87
Thank You for your Business!
A Division of Priority Press Subtotal $88.87
contact Phone/ Fax Number Sales Tax (7.0%) $0.00
DJ Margason 634-4084 FX: 685-2524
Email: shirleyengraving @aol.com Total $88.87
www.sbirleyengraving.com
Letterhead Envelopes Business Cards Announcements Pocket Folders Marketing Materials
Engraving Foil Stamping Thermography Embossing 4 Color Offset Printing
This invoice is subject to a late charge of 1.2%per month on all amounts not paid within 30 days of the invoice date.
Purchaser agrees to pay resonable attorney fees and other costs incurred for collection.
Priority Press Inc. Packing List
4026 West 10th Street
PRIORITY PRESS Indianapolis, IN 46222 Pack n L st No. 24510
Seacirc von Is our I m PxmwiY'
Company Priority Press Inc. Company City of Carmel
4026 West 10th Street One Civic Square
Indianapolis IN 46222 Carmel IN 46032
Attention Attention Karen Glaser
Tel (317)241-4234 Tel 317-571-2401
Dater 10/9/2012 Carrier: UPS Our Job Number: 1005112
Code F No ;of Weight M �A'mo�unt Odd �Totald'
Job , iUl 5 � PO Number
� y��3 Units � perk � ; per "�� Pcs��� Quanta .
x
"Thermo Business Card 2 Lots 2 CTN 500 1,00
James Brainard, Sharon Kibbe CTN
T) Z ry--�a tle 5 C)
C,A qJc�-- 0q0
Skid Information Total Weight Total No.
of Units
0 2
Signature
I
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))
10/16/12 1005112S $88.87
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.
ALLOWED 20
Shirley Engraving Co., Inc.
IN SUM OF $
4026 West 10th Street
Indianapolis, IN 46222
$88.87
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 1005112S 42-301.00 $88.87 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
Friday, October 19, 2012
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund