224844 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 072950 Page 1 of 1
ONE CIVIC SQUARE DAY TIMERS INC. CHECK AMOUNT: $46.98
�o CARMEL, INDIANA 46032 PO BOX 27013
`o LEHIGH VALLEY PA 18002-7001 CHECK NUMBER: 224844
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4230200 DT61792257 46 . 98 OFFICE SUPPLIES
■
*DAY-TIMER Renewal Form
Diana Cordray
❑ Yes,please renew my Day-Timer®Planner.I have enclosed a check or entered my credit card information below.
PROMO CODE RMFSX935PC
INV# DT61792257 CUST# D325176282
Diana Cordray
City of Carmel
City Treasure
1 Civic Sq
Carmel, IN 46032-2584
Include Your Phone#/E-Mail Address ❑Yes, I would like to receive order confirmation and notification
Day# ( ) of special e-mail offers from Day-Timer.
Evening# ( ) E-Mail Address
These are the Day-Timer®products you ordered last year.
Qty. Product#. Description Start Date(year/month) Color Price Each
1 96011 2-PAGE-PER-DAY INDEXED COMPACT SIZE PLANNER REFILL2014/01 VWHT $37.99
FREE SHIPPING when you order $50 or more by 10/18/13. Renew at
www.daytimer.com/renew Enter your last name & INV # listed above.
Imprint Personalize your cover or pen for$4.99.Pnnt your name(up to 20 characters)or up to 3 initials in the spaces
below.Circle your choice of letter style to the right.One letter type per item,please. -
Instructions DMR(aiocx, DMx,aoma., I 1)IMR(Seri D vL (Scoot)
• Go to www.daytimer.com/renew • Mail in envelope provided
Ca RENEW YOUR PLANNER PAGES M DAY! • Mood$OO-u998AM30 M(Er) Fax order 800-452-7398
Shi
r, r
Payment ❑ Ship By: Ground Check or Money Order: $ Enclosed Personalization $
Up to$10.00 $3.99
Options ❑Credit Card: _Amex _Discover MasterCard _Visa $10.01-$20.00 $5.99 Subtotal $ !!,,
Security Code: $20.01-$30.00 $6.99 Shipping&Handling $ n
$30.01-$50.00 ($
Card#: I ( I I I I ( I I ( $50.01-$75.00 $9.99 Sales Tax $
Signature Exp.Date Over$75.00 Please Call Total $
Expedited shipping available.Call for details.
PAYMENT REQUIRED: You must select a payment Day-Timer is required by law to collect and remit sales or use taxes in all states except
method above to ensure your order is processed. C7464 DE,MT,NH,and OR.Please compute tax based on the applicable state/local rate.
■ ■ III
40973 D2-1401-04
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
TA(A Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or fbill(s))
f �L A
i
Total
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.
-7101 M ALLOWED 20
IN SUM OF $
Imo( ti V cd . Uc
ON ACCOUNT OF APPROPRIATION FOR
qh U "L'm
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
M(-� r 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund