222842 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367116 Page 1 of 1
ONE CIVIC SQUARE BELMONT GRAPHICS LLC CHECK AMOUNT: $1,872.00
�4+a CARMEL, INDIANA 46032 6529 WEST 350 SOUTH
`o PORTLAND IN 47371 CHECK NUMBER: 222842
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
853 5023990 30075 3928 1, 872 . 00 WOODLAND GARDENS SIGN
r
EL T 65BELMONT GRAPHICS
29 3
WES 50 SOUTH LC Invoice
®1 GRAPH I C S PORTLAND, IN 47371
765-620-5900 Date Invoice No.
07/23/13 3928
AUG - 6 2013
Bill To: - -- -- --_.Ship To
CARMEL CLAY PARKS & RECREATION CARMEL CLAY PARKS &RECREATION
ATT. DAWN KOEPPER ATT. DAWN KOEPPER
1411 E. 116TH STREET 1411 E. 116TH STREET
CARMEL, IN 46032 CARMEL, IN 46032
i
P.O. Number Terms Ship Via
30075
Item Description Quantity Price Each Amount
1000-5 Woodland Garden Signs 2 936.00 1,872.00T
Sign face - 12mil pvc w/ radius corners
Dibond backer
Flush surface - laminated face
Size of sign face: 11" tall c 17" wide
4"x4"x66" aluminum post
Powder coat paint - RAL6017
Flat cap on top
institution/museum/cultural center 0.00 0.00
Wood land &arm .ors
306 75 F
562?3I90
Total $1,872.00
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.
Terms
367116 Belmont Graphics LLC
Date Due
6529 West 350 South
Portland, IN 47371
Invoice Invoice Description # Amount
note attached invoice(s) or bill(s))
Date Number (or no 30000 75 $ 1,872.00
7/23/13 3928 Woodland garden signs
I
Total $ 1,872.00
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
i
Voucher No, Warrant No.
367116 Belmont Graphics LLC Allowed 20
6529 West 350 South
Portland, IN 47371
In Sum of$
$ 1,872.00
ON ACCOUNT OF APPROPRIATION FOR
853 Gift Fund
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
30075 F 3928 5023990 $ 1,872.00 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
8-Aug 2013
I
Signature
$ 1,872.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund