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215615 12/18/2012 a CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1 ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $138.90 y �o CARMEL, INDIANA 46032 8200 HAVERSTICKE ROAD,SUITE 260 INDIANAPOLIS IN 46240 CHECK NUMBER: 215615 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 33954 138 . 90 GENERAL PROGRAM SUPPL �L/ '. t�'VuJ'(i/(rC/J:I �[�%JTiF%//UJ'; CJ/rrc: •. .. _ - 8200 Haverstick Road, Suite 260— Indianapolis, Indiana 46240 Phone: (317)254-8668 Fax: (317),254-0801 fly®©C��L 7_: 3 1/21/2012 , 54 Y BILL TO SHIP TO Carmel Clay Parks & Recreati Carmel Clay Parks & Recreation Administrative Offices C F-1 7T'7 Monon CoMMUhity CenterM- 5 sP` IF' r 1411 E. 116th Street- �qt� 1� 1235 Central Park Drive, East Street Carmel, IN 46032 �. Carmel, IN 46032 Attn: Paula Schlemmer ;:`�w -_-u— Attn: Lindsay Leber MC003489 Net 20. JC :11/19/2012 UPS ; 1.14012- I s 1 09 KidZone Reservation Cards 130.00 Lot 130.00 1 99 i Freight,, 8.90 I Lot 8.90 III t r r' ly Jk 's i I • t. Description�ltf�;ZUllf✓ CeSEr�'.I"l0?'1 Cb-r�dS P.o.#_I'YlC 003�18q —Po , I G.L.# 41-L nq audt Lin'T escry, Purchaser(i..Leber� e II( Approval Date ` E _ Total—you for our business $1,38.90 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invol''te 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 11/21/12 33954 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 1 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#/TITLE AMOUNT Board Members Dept# 1096-41 33954 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 13-Dec 2012 i Signature $ 138.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund