HomeMy WebLinkAbout224545 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1
1f� ONE CIVIC SQUARE INDIANAPOLIS STAR
CARMEL, INDIANA 46032 PO BOX 145 CHECK AMOUNT: $140.28
INDIANAPOLIS IN 46206-0145 CHECK NUMBER: 224545
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4346000 872358 140 . 28 CLASSIFIED ADVERTISIN
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE 1'. NEW PAP R 2 13 DESCRIPTION/ HER 5 SIZE 7 TIME RUN 19 R AMOUNT 20 NET AMOUNT
REFERENCE 4 COMMENTS/CHARGES 6 BILLED UNITS 8 RATE
08-Aug 2494156 NTB SHAIPROS RFP 13.7143 9 140.28
Thursday 6089385 MATTHEW WORTHLEY 13.7143 0.08
CLASSIFICATION 0-CLASSIFIED 14028
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 22 30 DAYS 60 DAYS OVER 90 DAYS 126 UNAPPLIED AMOUNT 3 TOTAL DUE
140.28 216.26 0.00 0.00 0.00 356.54
INDIANAPOLIS STAR
307 N.PENNSYLVANIA ST. TEL:(317)444-8484 FAX:(317)444-8300
P.O.BOX 145,INDIANAPOLIS,INDIANA 46206-0145 FED. I.D. 13-2599556
24 INVOICE NUMBER 125 ADVERTISER INFORMATION
1 BILLING PERIOD 16 BILLED ACCOUNT NUMBER 17 ADVERTISER/CLIENT NUMBER 2 ADVERTISER/CLIENT NAME
872358 05-AUG-13 TO 01-SEP-13 83533 44230 CARMEL REDEVELOPMENT CG
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 TO AD INCLUDING PURCHASE ORDER NUMBER.
DETAIL OF ALL DISCOUNTS/CHARGES RELATING TO AD.
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.
BILLED ACCOUNT NUMBER CORRESPONDING 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.
1 25. ADVERTISER INFORMATION
3. PRODUCT/SERVICE CODE
(1)BILLING PERIOD,(6)BILLED ACCOUNT.
(7)ADVERTISER/CLIENT NUMBER,(2)ADVERTISER/CLIENT NAME.
The elements shown above appear on the face of the invoice and are identified by number.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form 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
h I Qh polls �r Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
72 35S Sh i s /W1
2
Total 2
I 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.
ALLOWED 20
T ��inAballf Sir IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
e0l Z' 3� 6 060
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
Q �3 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
�— 2013
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund