219244 04/24/2013 „*f CITY OF CARMEL, INDIANA VENDOR: 003000 Page 1 of 1
�tONE CIVIC SQUARE BOYCE INC
o CARMEL, INDIANA 46032 P.O.BOX 669 CHECK AMOUNT: $50.19
DALEVILLE IN 47334-0669 CHECK NUMBER: 219244
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4230100 0428081 50 . 19 STATIONARY & PRNTD MA
I:M1
Paae 1 of 1
Boyce Forms /Systems 800.382-8702 Invoice
Boyce P.O. Box 669 317-664-7400 (Ph)
Daleville, IN 47334-0669 317-664-7401 (Fx) 0428081-IN
12/18/2012
B S
I CARMEL REDEVELOPMENT COMM H CARMEL REDEVELOPMENT COMM
L 30 W MAIN ST STE 200 I 30 W MAIN ST STE 200
L CARMEL, IN 46032 P CARMEL, IN 46032
T T
O O
CUSTOMER ICUSTOMER POI TERMS I SALES ORDER I ORDER DATE I SALESMAN I SHIP VIA FOB
0745487 DON Due On 0105194 12/10/12 0007 UPS-COM
Receipt
ITEM/DESCRIPTION I UM I ORDERED I SHIPPED 1BACKORDERED1 UNIT PRICE EXTENDED PRICE
AEB203/217 BK 1.00 1.00 0.00 34.3500 34.35
RECEIPTS;150 PER BOOK IN
DUPLICATE FOR CITY AND TOWN
/PROCESS06 EACH 1.00 1.00 0.00 9.5000 9.50
NUMBERED#1001 -#1150
Net Invoice Less Discount Freight Sales Tax I Invoice Total I Less Deposit I Invoice Balance
43.85 0.00 6.34 0.00 1 50.19 1 0.00 j 50.19
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995)
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.
N. Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
namberej rc i r du s LC24161 54.
Total 50.11
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rows FoW — IN SUM OF $
VjJL& L&V-?3q---060
$ sy<<9
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
04 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
�}- 2 2013
Si nature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund