216164 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00351006 Page 1 of 1
ONE CIVIC SQUARE PRESTIGE PERFORMANCE II INC
li 0 4 CHECK AMOUNT: $272.76
CARMEL, INDIANA 46032 326 JOHN STREET
y3uh CARMEL IN 46032 CHECK NUMBER: 216164
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4355100 26395 5680 272 . 76 PENCILS
Invoice
326 John St. DATE INVOICE#
Carmel,IN 46032-1215
PRIES 0* RF20RnMANCE 11, INC. 317/848.2950 12/19/2012 5680
romoonal Marketing 8 Corporate Apparel Fax 317/848.0911
BILL TO SHIP TO
City Of Carmel
One Civic Square
Carmel IN. 46032
Attn: Sharon Kibbe
P.O. NUMBER TERMS REP DATE SHIP VIA
Kibbe Net 30 BAS 12/17/2012 UPS
DESCRIPTION QUANTITY UNIT PRICE AMOUNT
City Of Carmel Pencils 1,000 0.26 260.00
Shipping Charge 1 12.76 12.76
Best Wishes For A Happy Holiday Season!
Total $272.76
Make all checks payable to Prestige Performance II, Inc.
A Finance Charge of 1.5% (18%APR)will be assessed on unpaid balances beyond established
terms.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Prestige Performance II, Inc.
IN SUM OF $
326 John Street
Carmel, IN 46032
$272.76
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Prior Year 1 hereby certify that the attached invoice(s), or
26395 5680 43-551.00 $272.76
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, January 04, 2013
ayor
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))
12/19/12 5680 $272.76
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