217115 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1
ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS, INC CHECK AMOUNT: $1,789.32
ye,�•�o CARMEL, INDIANA 46032 8200 HAVERSTICK ROAD,SUITE 260
INDIANAPOLIS IN 46240 CHECK NUMBER: 217115
CHECK DATE: 2113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4345000 34188 1, 562 . 70 PRINTING (NOT OFFICE
1091 4345000 34230 226 . 62 PRINTING (NOT OFFICE
8200 Haverstick Road, Suite 260—Indianapolis, Indiana 46240
Phone: (317)254-8668 Fax: (317)254-0801 >
Lq •
1 3 4188.
,
JAN 2 2 2013
BILL TO ( SHIP TO
Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation
Administrative Offices 1235 Central RarkaDrive,East-:ss SPECIFIED
1411 E. 116th Street Carmel, IN 46032
Carmel, IN 46032 Attn: Ben Johnson
Attn: Paula Schlemmer
• • o • •
29311 Net 20. JC 1/7/2013
• . . •
1 . 09 Camp Series Guide Books 1,533.25 Lot , 1,533.25
Quantity: 2500
1 99 Freight 29.45 Lot 29.45
cy
Purchase
Description 4 Z I
P.o.# 9.�/(- P 1
G.L.#
Bud Descr�
Purchaser Date
Approval Date
i
Thank you for your business i} Total $1,562.70
8200 Haverstick Road, Suite 260— Indianapolis, Indiana 46240
Phone: (317)254-8668 Fax: (317)254-0801
• p�ooc�c ' ' '
1/28/2013 34230
BILL TO SHIP TO
Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation
Administrative Offices 1235 Central Park Drive`)E'a's`t=Ss SPECIFIED
1411 E. 116th Street Carmel, IN 46032
Carmel, IN 46032 Attn: Brooke Taflinger
Attn: Paula Schlemmer
I '
JAN 2 9 2013
'SHIPDATE T_
MC003710 Net 20. j A; 1/24/2013 UPS Ground/ 012513
UNIT OF
DESCRIPTION: ]MEASURE
QUAN .D
1 09 Adaptive Cams 217.00 Lot , 217.001
Quantity: 1000 1
1 99 Freight 9.62 Lot 9.62
Purchase
Description -
' P.O.# PorFa
Budget
Line Descr
Purchaser. Date
.
Approval_1 Date a
Total
Thank you for your business l $226.62°
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
1/18/13 34188 ESE Summer camp guide 2013 29311 $ 1,562.70
1128113 34230 Adaptive cards $ 226.62
Total $ 1,789.32
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$
$ 1,789.32
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE & 109 Monon Center
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1082-99 34188 4345000 $ 1,562.70 1 hereby certify that the attached invoice(s), or
1091 34230 4345000 $ 226.62 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
7-Feb 2013
49&"4�
Signature
$ 1,789.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund