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223449 08/27/2013 - CITY OF CARMEL, INDIANA VENDOR: 365814 Page 1 of 1 ONE CIVIC SQUARE DIVERSIFIED BUSINESS SYSTEMS,INC CHECK AMOUNT: $139.42 s4�?a CARMEL, INDIANA 46032 8200 HAVERSTICK ROAD,SUITE 260 INDIANAPOLIS IN 46240 CHECK NUMBER: 223449 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 35006 139 .42 GENERAL PROGRAM SUPPL - 8200 Haverstick Road, Suite 260— Indianapolis, Indiana 46240 Phone: (317)254-8668 Fax: (317)254-0801 ©G�ODGL� "8/14/201 AUG 15 2013 35006 BILL TO BY: SHIP TO Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation Administrative Offices 1235 Central Park-_Drive,,East� 1411 E. 116th Street ss ��cr�«a Carmel, IN 46032,., Carmel, IN 46032 Attn: Lindsay Leber Attn: Paula Schlemmer mg 1; 'SHIP DATE _PROJEg Pg, MC00447, I Net 20. JC 8/12/2013 UPS , 080913 UANTIT ITEM CODE'- OESCRIPTION 1 09 KidZone Reservation Cards 130.00a Lot I 130.00 Quantity: 2000 1 99 Freight 9.42 Lot 9.42 I i Thank you for your business Total $139.42 ; 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. 365814 Diversified Business Systems, Inc. Terms 8200 Haverstick Road, Ste 260 Indianapolis, IN 46240 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO # Amount 8/14/13 35006 Kidzone reservation cards $ 139.42 Total $ 139.42 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. 365814 Diversified Business Systems, Inc. Allowed 20 8200 Haverstick Road, Ste 260 Indianapolis, IN 46240 In Sum of$ $ 139.42 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or Board Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1096-41 35006 4239039 $ 139.42 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 22-Aug 2013 Signature $ 139.42 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund