221055 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367110 Page 1 of 1
ONE CIVIC SQUARE GOLDSTREET DESIGNS CHECK AMOUNT: $1,514.00
CARMEL, INDIANA 46032 PO BOX 1972
o� BEND OR 97709 CHECK NUMBER: 221055
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1857 1, 514 . 00 OTHER EXPENSES
6 �) GDLDSTREET INVOICE
D E S I G N S Invoice Number 00001857
Payment Terms Net 15 Days
Due Date 6/19/2013
Client
Account Name Carmel,City of P.O.# S03035
Bill To 760 Third Avenue SW Suite#110
Carmel,IN 46032
Invoice Line Items
Final-Specifications Line Item Total
i Status Description - Price Shipping/install
FOG Commercial Qty: 1000
Completed Brochures: 11x17,Half Fold then Tri Fold, 100LB Book,Gloss UV, $1,490.00 $1,490.00 $24
Brochures
4:4(Color Front,Color Back), Bleed,Scored
Subtotal
Project Setup $0.00 Shipping/Handling $24.00
Completed Projects $1,490.00
Current Amount Due
Current Amount Due$1,514
Payment Methods
Electronic Checks(EFT's),Paper Checks&Credit Card'(Visa, MasterCard,American Express,etc).'Add 4% Processing Fee for credit card
transactions.
Goldstreet Design Agency,inc P.O. BOX 1972 BEND,OR 97709
WWW.GOLDSTREETDESIGNS.COM (866)742-8287
3 '54"
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367110
GOLDSTREET DESIGNS Purchase Order No.
PO BOX 1972 Terms
BEND, OR 97709 Due Date 6/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/5/2013 1857 $1,514.00
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
Date 610cer
VOUCHER # 135680 WARRANT # ALLOWED
367110 IN SUM OF $
GOLDSTREET DESIGNS
PO BOX 1972
BEND, OR 97709
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1857 01-7360-01 $1,514.00
Voucher Total $1,514.00
Cost distribution ledger classification if
claim paid under vehicle highway fund