224650 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00350519 Page 1 of 1
ONE CIVIC SQUARE SHIRLEY ENGRAVING CO INC CHECK AMOUNT: $218.38
CARMEL, INDIANA 46032 4026 WEST 10TH STREET
INDIANAPOLIS IN 46222 CHECK NUMBER: 224650
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4230100 13080452S 218 . 38 STATIONARY & PRNTD MA
®® Invoice
®® Date Invoice#
8/28/2013 130804525
ENGRAVING CO., INC.
4026 West 10th Street Indianapolis, IN 46222
317.634.4084 Fax 317.685.2524
www.shirleyengraving.com We accept
Mastercard,
Shelly Lingelbaugh VISA,
City of Carmel
Department of Human Resources American
One Civic Square Express
Carmel,IN 46032
P.O. No. Due Date Terms Rep Customer Contact
9/28/2013 Net 30 DJM
Qty Description Price Each Amount
2.000 410 regular envelope 0.1005 201.00
shipping charges 17.38 17.38
DQa
5L ' 2 3 [113
By
Thank You for your Business!
A Division of Priority Press Subtotal $218.38
contact Phone/ Fax Number Sales Tax (7.0%) $0.00
DJ Margason 634-4084 FX: 685-2524
Email : shirleyengravingCaol.com Total $21838
,A�xw.shirleyengraving.com
Letterhead Envelopes Business Cards Announcements Pocket Folders Marketing Materials
Engraving Foil Stamping Thermography Embossing 4 Color Offset Printing
This invoice is subject to a late charge of 1.2%per month on all amounts not paid within 30 days of the invoice date.
Purchaser agrees to pay resonable attorney fees and other costs incurred for collection.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shirley Engraving Co., Inc.
IN SUM OF $
4026 West 10th Street
Indianapolis, IN 46222
$218.38
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20 13080452S 42-301.00 $218.38
I hereby certify that the attached invoice(s), or
_ 1. .5 I I
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
Mond y, September 23, 2013
Director, Administrati
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/28/13 13080452S $218.38
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