224941 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 358657 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS STAR
CARMEL, INDIANA 46032 PO BOX 145 CHECK AMOUNT: $809.00
INDIANAPOLIS IN 46206-0145 CHECK NUMBER: 224941
CHECK DATE: 10/812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4346000 873678 809 . 00 CLASSIFIED ADVERTISIN
DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE
10 DATE 11 NEWSPAPER 2 13 DESCRIPTION/OTHER 5 SIZE 7 TIMES RUN 19 GROSS AMOUNT 20 NET AMOUNT
REFERENCE 4 COMMENTS/CHARGES 6 BILLED UNITS 8 RATE
09-Sep 223529 Payment Received-Thank you! 1,213.50 CR
26-Sep 224268 Payment Received-Thank you! 809.00 CR
15-Sep 2503172 FACILITATOR PTMAKE A DIFFERENCE WITH KIE 1.2857 2 404.50
Sunday 6080301 FACILITATOR PTMAKE A DIFFERENCE WITH KII 1.2857
CLASSIFICATION 590-CLASSIFIED 404.50
29-Sep 2506135 FACILITATOR PTMAKE A DIFFERENCE WITH KIE 1.2857 2 404.50
Sunday 6080302 FACILITATOR PTMAKE A DIFFERENCE WITH KII 1.2857
CLASSIFICATION 590-CLASSIFIED 404.50
-FIN ESE CM,-- i�ed 0-6 NI,5, q[aq
P
OCT 0 12013 I(D2)l-qq- 4-x(,coo
I
BY:
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
21 CURRENT DUE 122 30 DAYS 1 60 DAYS OVER 90 DAYS UNAPPLIED AMOUNT 3 TOTAL DUE
809.00 0.00 0.00 0.00 26 0.00 809.00
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 25 ADVERTISER INFORMATION
1 BILLING PERIOD 6 BILLED ACCOUNT NUMBER 7 ADVERTISER/CLIENT NUMBER 2 ADVERTISER/CLIENT NAME
873678 02-SEP-13 TO 29-SEP-13 749416 945360 CARMEL CLAY PARKS&RECRE
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.
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.
358657 Indianapolis Star Terms
P.O. Box 677553
Dallas, TX 75267-7553
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/29/13 873678 ESE Classified ads 9/15, 9/29 30029 $ 809.00
Total $ 809.00
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
Voucher No. Warrant No.
358657 Indianapolis Star Allowed 20
PLO Bok�67753
�Dallasy X, 7526777553
In Sum of$
$ 809.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 873678 4346000 $ 809.00 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
3-Oct 2013
1/1& 1�44"
Signature
$ 809.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund