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216677 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1 ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC ` CARMEL, INDIANA 46032 8200 HAVERSTICK ROAD,SUITE 260 CHECK AMOUNT: $340.55 INDIANAPOLIS IN 46240 CHECK NUMBER: 216677 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4345000 34105 340 . 55 PRINTING (NOT OFFICE �L/ i �L���Z�/I�C/iU' VGZ�J✓I�E�//UJ'j �/[/Ci. - . 8200 Haverstick Road, Suite 260— Indianapolis, Indiana 46240 Phone: (317)254-8668 Fax: (317)254-0801 ©GOD • 1 34105 BILL TO 1=B'L:--- Monon SHIP TO Carmel Clay Parks & RecreatioCarmel Clay Parks & Recreation Administrative Offices COmmunitybCenteriVLESS SPECIFIED 1411 E. 116th Street 1235 Central Park Drive, East Street Carmel, IN 46032 Carmel, IN 46032 Attn: Paula Schlemmer Attn: Lindsay Willard TERMS6- SHIP DATE— VIA • . 29159 Net 20. JC 12/21/2012 1 UPS Ground 122212 UNIT OF"' . . . - NT v-7 IMEASURE, 1 09 FitLinxk Brochures '` 160.00 Lot 160.00 Quantity: 500 1 09 Personal Training Brochures 160.00 Lot 160.00 Quantity: 500 1 99 Freight 20.55 Lot 20.55 4 rr,'ri Pur�ila e , Description T Ss P.0 # err - �g15�i t r Une�Deacr Purchaser Date Approval Date _ a o Thank you for your business Total $340.55 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. 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 12/28/12 34105 Fitness brochures 29159 $ 340.55 I I Total $ 340.55 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. 365814 Diversified Business Systems, Inc. Allowed 20 8200 Haverstick Road, Ste 260 Indianapolis, IN 46240 --<< In Sum of$ $ 340.55 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#fTITLE AMOUNT Board Members Dept# 1091 34105 4345000 $ 340.55 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 24-Jan 2013 Signature $ 340.55 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I