219372 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 00350498 Page 1 of 1
+ ` ONE CIVIC SQUARE INDIANAPOLIS NEWSPAPERS, INC
i + CHECK AMOUNT: $624.00
p CARMEL, INDIANA 46032 601 N PENNSYLVANIA srNeer
_ PO eox 145 CHECK NUMBER: 219372
INDIANAPOLIS IN 46206-0145
CHECK DATE: 412 412 01 3
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4341991 860795 624 . 00 MARKETING & PROMOTION
THE INDIANAPOLIS STAR P BILLING PERIOD 2 ADVERTISER IG NAME
,1 01-MAR-13 TO 31-MAR-13 CARMEL CLAY PARKS S & RECREATION
INDYSTAR*COM 23 TOTAL DUE 25 UNAPPLIED AMOUNT 3 TERMS OF PAYMENT
624.00 0.00 NET 15
21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS
Ad ve rb s sin Invoice & Statement 624.00 0.00 0.00 0.00
4 PAGE I 5 BILLING DATE 8 BILLED ACCOUNT NAME AND ADDRESS 9 REMITTANCE ADDRESS
1 31-MAR-13 /
CARMEL CLAY PARKS&RECREATION
6 BILLED A C BER 1411 E 116TH �j �y'T4 ,— y-� INDIANAPOLIS STAR
CARMEL, IN 46032 L11'
12921 P.O. BOX 677553
7 ADVERTISER ICLIENT NUMBER APR 0 4 2013 DALLAS,TEXAS 75267-7553
47682
0129210000008607950006240015320
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE 1- N 13 D= IP ION/OTHER 5 SIZE I IMES RUN 19 GROSS AMOUNT 20 NET AMOUNT
REFERENCE 4 COMMENTS ICHARGES 6 BILLED UNITS 8 RATE
21-Mar 218102 Payment Received-Thank you' 62400 CR
10-Mar 2457817 CARMEL CLAY PARKS 3 x 400 1
Sunday 60335091 CARMEL CLAY PARKS 1200
SUNDAY MAGAZINE 62400
:'J�C!laSe lL'M//G/�Iw' l�/J �jL(GQ
P.O.# 02 P r F
LlnDbe_...
PL:rchaser Date
;1?rcrl Date
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 122 30 DAYS 6u DAYS I OVER 90 DAYS 126 UNAPPLIED AMOUNT 3 TOTAL DUE
624.00 0.00 0.00 0.00 0.00 624.00
INDIANAPOLIS STAR
307N PENNSYLVANIA ST TEL (317)644-0484 FAX:(317)444-8300
P.O.BOX 145,INDIANAPOLIS,INDIANA 46206-0145 FED. I D. 13-2599556
24 INVOICE NUMBER 25 ADVERTISER INFORMATION
1 FILLING PERIOD 16 BILLED ACCOUNT NUMBER 17 ADVER115ER/CLIENT NUMBER 12 ADVERTISER/CLIENT NAME
860795 01-MAR-13 TO 31-MAR-13 12921 47682 CARMEL CLAY PARKS& RECRE
LEGEND
The 25 elements of the Standard Advertising Invoice (SAI)
1. BILLING PERIOD 14. OTHER CHARGES OR CREDIT
"FROM' 'TO'DATES FOR THIS STATEMENT ALL INFORMATION RELATING TOAD INCLUDING PURCHASE ORDER NUMBER
DETAIL OF ALL DISCOUNTS/CHARGES RELATING TOAD
2. ADVERTISER /CLIENT NAME
NAME OF ADVERTISER(IF AGENCY CLIENT NAME) 15. SAU SIZE
STANDARD ADVERTISING UNIT AD SIZE
3. TERMS OF PAYMENT
WHEN PAYMENT IS DUE 16. BILLED UNITS
MEASUREMENT OF AD(COLUMNS X DEPTH)
4. PAGE NUMBER
PAGE STATEMENT FOR MULTI-PAGE STATEMENTS - 17. TIMES RUN
NUMBER OF INSERTION DAYS FOR THIS AD
5. BILLING DATE
DATE STATEMENT WAS PREPARED 18. RATE
APPLICABLE NEWSPAPER ASSIGNED RATE
6. BILLED ACCOUNT NUMBER
NEWSPAPER ACCOUNT NUMBER 19. GROSS AMOUNT
CORRESPONDING TO ELEMENT 8 CALCULATING OF AD PRICING
EXTENSION OF TOTAL BILLED AMOUNT AT APPLICABLE RATE
7. ADVERTISER/CLIENT NUMBER BEFORE AGENCY COMMISSION
BALLED ACCOUNT Ni GORFEbPONDINO TO ELEMENT 2
20. NET AMOUNT
8. BILLED ACCOUNT NAME AND ADDRESS FINAL COST OF AD DUE FOR ADVERTISER(ELEMENT 2)
COMPANY RECEIVING INVOICE
21. CURRENT NET AMOUNT DUE
9. REMITTANCE ADDRESS SUM OF ELEMENT 20
RETURN PAYMENT ADDRESS
22. 30/60/OVER 90 UNAPPLIED AMOUNT
10. DATE AGING OF PAST DUE BALANCES FOR ADVERTISER
INSERTION DATE OF AD OR TRANSACTION DATE
23. TOTAL AMOUNT DUE
11. NEWSPAPER REFERENCE SUM OF ELEMENTS 21 AND 22
NEWSPAPER'S INTERNAL REFERENCE NUMBER
24. INVOICE NUMBER
12. DESCRIPTION, OTHER COMMENTS NEWSPAPERS INVOICE/DOCUMENT NUMBER
13. PRODUCT/SERVICE CODE 25. ADVERTISER INFORMATION
(1)BILLING PERIOD,(6)BILLED ACCOUNT
(7)ADVERTISER/CLIENT NUMBER,(2)ADVERTISER/CLIENT NAME
The elements shown above appeal on the face of the invoice and are identified by number
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.
358657 Indianapolis Star Terms
P.O. Box 677553
Dallas, TX 75267-7553
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/31/13 860795 Summer camp ad Mar'13 29362 $ 624.00
Total $ 624.00
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.
358657 Indianapolis Star Allowed 20
P.O..Box 677553
Dallas;TX 75267-7553
In Sum of$
$ 624.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept# INVOICE NO 6,CCT#/TITLE AMOUNT
1082-99 860795 4341991 $ 624.00 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
18-1A/pr2��0,,1_3��
Signature
$ 624.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund