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214661 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 362219 Page 1 of 1 0 ONE CIVIC SQUARE GUIDE BOOK PUBLISHING CARMEL, INDIANA 46032 PO BOX 240430 CHECK AMOUNT: $727.88 BALLWIN MO 63024 CHECK NUMBER: 214661 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341991 727 . 88 661CARM432012 STATEMENT GUIDE BOOK. PUBLISHING P.O. Box 240430 Ballwin, Missouri 63024 St. Louis Area (636) 391-2121 Other Areas (800) 597-3037 October 24, 2012 Terms: Payable Upon Receipt CARNIEL CLAW PARKS & RECREATION LINDSAY LABAS Account Number: 661 - CARM43- 2012 1235 CENTRAL PARK DR. E Sales Date: March 31, 2011 CARNIEL , IN 46032 Sales Representative: CjW Book Name: Holy Spirit At Geist Parish - Fishers Ad Size: 1/4 Page Ad Location: Inside Back Cover Ad Layout: Horizontal COLOR Your advertisement to run for 1 year in the Guide Book and Directory $727.88 Payments Made Date Received $0.00 0.00 Total Fees Paid Total Paid $0.00 Finance Charge (30 days or more past due) 0.00 BILL Cap PUB Total Balance Due X5727.88 Cut here and return lower portion with payment. Please make check payable to: GUIDE BOOK PUBLISHING P.O. Box 240430 Ballwin, MO 63024 Please reference your Account Number on your check: 661 - CARA143- 2012 THANK YOU - WE APPRECIATE YOUR BUSINESS! Purchase .�,7��T Description Ml6 04d Pf! 'AT �r P.O.# 21467 �r F NOV 0 6 2012 G.L.# /091.4 q4l/ Budget Line Descr ��C> A B .. -.__ -----� Purchaser Date Approval Date 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. 362219 Guide Book Publishing Terms P.O. Box 240430 Ballwin, MO 63024 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10124/12 661 CARM432012 MCC ad Holy Spirit at Geist 28367 $ 727.88 Total $ 727.88 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. 362219 Guide Book Publishing Allowed 20 P.O. Box 240430 Ballwin, MO 63024 In Sum of$ $ 727.88 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members Dept# 1091 661CARM432012 4341991 $ 727.88 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 15-Nov 2012 Signature $ 727.88 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund