218397 03/25/2013 CITY OF CARMEL INDIANA VENDOR: 003000 Page 1 of 1
ONE CIVIC SQUARE BOYCE INC CHECK AMOUNT: $181.55
CARMEL, INDIANA 46032 P.O.BOX 669
DALEVILLE IN 47334-0669 CHECK NUMBER: 218397
CHECK DATE: 312512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4230000 0430833-IN 181 . 55 OFFICIAL FORMS
Pape 1 of 1
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Boyce Forms / Systems 800-382-8702 Invoice
Boyce P.O. Box 669 317-664-7400 (Ph)
0 Daleville, IN 47334-0669 317-664-7401 (Fx) 0430833-IN
3/18/2013
B S
I CARMEL CLAY COMMUNICATIONS CTR H CARMEL CLAY COMMUNICATIONS CTR
L 31 1STAVE NW I 31 1STAVE NW
L CARMEL, IN 46032 P ATTN: JANET
T CARMEL, IN 46032
T
O O
CUSTOMER CUSTOMER PO TERMS SALES ORDER ORDER DATE SALESMAN SHIP VIA FOB
0765470 JANET Net 10 0107812 03/07/13 0007 UPS-COM
ITEM / DESCRIPTION UM ORDERED I SHIPPED 1BACKORDERED1 UNIT PRICE EXTENDED PRICE
FM352-2-BK BK 3.00 3.00 0.00 174.30
352 GEN RCPTS 2PT WHI/CAN
CBNLS 30N BKS, #17200- 17649
X1156 Y0986
Net Invoice Less Discount Freight Sales Tax Invoice Total Less Deposit Invoice Balance
174.30 0.00 7.25 0.00 181.55 1 0.00 181.55
VOUCHER NO. WARRANT NO.
ALLOWED 20
Boyce Forms/Systems
IN SUM OF $
P.O. Box 669
Daleville, IN 47334
$181.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 0430833-IN I 42-300.00 I $181.55 'l 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
Wednesday, March -0,`2013
✓Direc or
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))
03/18/13 0430833-IN $181.55
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