217865 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $1,013.70
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CARMEL, INDIANA 46032 305 SOUTH POST ROAD
INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 217865
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4345002 0234480 1, 013 . 70 PROMOTIONAL PRINTING
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Invoice Data In o cep No.
305 south Bost Rood 01/30/2013 0234480
Indianapolis, IN 46219-7900 certified as o
Women Business Enterprise
(317)895-9708 by t k°'°"1ndim,and dw
City of imanopoGs MUBE Programs Terms
www.worrellcorp.com Net 30 Days
Sold To Shipped To
WCO
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES MARK HEISER - COC Insert
760 3RD AVE SW 305 S POST RD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
I�I��I�Il�t ll�t���llr ttl�lll�trll���llt�tlltt��l�l�l SCOTT CAMPBELL
Sates �n r Customer Job Ship Shipped
Person J Worrell P.O.No. 2012 IN REVIEW INN, 085832 (Date .01/25./2013 aw BESTAVAILABLE
COC-IN003 27,500 Insert - 2012 Year In Review I 33.77 M 928.68
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Freight: I 85.02
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Sales Tax: ! .00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 1,013.70
All,claims or returns must be made within 30 days of receipt and require,a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
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))
01/30/13 0234480 $1,013.70
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.
ALLOWED 20
Worrell Corporation
IN SUM OF $
305 South Post Road
Indianapolis, IN 46219-7900
$1,013.70
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 0234480
I I 43-450.02 I $1,013.70 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
Sunday, February 24, 2013
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund