216858 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 361527 Page 1 of 1
ONE CIVIC SQUARE REGAL PRINTING CHECK AMOUNT: $521.80
CARMEL, INDIANA 46032 485 GRADLE DR
CARMEL IN 46032 CHECK NUMBER: 216858
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4230000 34327 521 . 80 OFFICIAL FORMS
INVOICE
0 0 34327 01/2612013
0 0 485 Gradle Drive Sales Rep: House Acct. 1
a a Carmel,IN 46032 Customer#: 2287
[Ab-* 317.844.1723
Rrg Page : 1 of 1
arketing design print mail sig 317.844.3621 fax
ns
regal printing.net
Tax Exempt:0031201550-020
BILL TO: SHIP TO:
City of Carmel City of Carmel
Building and Code Services Building and Code Services
1 Civic Square 1 Civic Square
Carmel,IN 46032 Carmel, IN 46032
Attn: Ref/PO#
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Net 10 (317)571-2288 (317)571-2499 Pam Lux Dave
1,000 Forms-Commercial permit application 260.90
3 Part Carbonless
8.5000 x 11.0000 Printed 1/Side
1,000 Forms-Residential permit application 260.90
3 Part Carbonless
8.5000 x 11.0000 Printed 1/Side
Will Call 521.80 0.000 0.00 0.00 Is 521.80
Thank You for your order!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Regal Printing
IN SUM OF $
485 Gradle Drive
Carmel, IN 46032
$521.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1192 42-300.00
bill(s) is (are)true and correct and that the
1192 34327 42-300.00 $521.80
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, Janu ry 28 2013
Y
1
Directo
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))
01/26/13 34327 Commercial/Residential Applications $521.80
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