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236557 08/27/14 %' \� CITY OF CARMEL, INDIANA VENDOR: 313000 ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $'""••'102.72" :9 �_�, CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. CHECK NUMBER: 236557 ,,��TON�° INDIANAPOLIS IN 46202 CHECK DATE: 08/27/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4356004 469701 102.72 STAFF CLOTHING I. 1927 N.CAPITOL AVE. INDIANAPOLIS,IN 46202 THE 8/8/2014 TELE:317-926-4467 POR ivv� Page 1 of 1 FAX:317-926-4460 = P.O.NUMBER: XX-925 www.uniformhouse.com - - T�Tr CE 9 INC CLERK: Mike O. AUG 0 8 2014 Invoice 000469701 BILL TO: c L SHIP TO: Carmel Clay Parks & Recreation Dawn Koepper Administration Office Carmel Clay Parks & Recreation 1411 E. 116th Street MIKE DEL BOX Carmel, IN 46032 Carmel IN 46032 Part Number Descnptlon - �`� �� � Ordered� Shipped Price Total J701-RED-M Men's PA Successor Jacket 1 1 34.24 34.24�� L701-RED-S Women's PA Successor Jacket 1 1 34.24 34.24 L701-RED-M Women's PA Successor Jacket _ 1 1 34.24 34.24 logo-Carmel Clay Carmel Clay Parks and Recreaction 3 3 0.00 0.00 Mike's Mike's Delivery Box 1 1 0.00 0.00 Y_ �s Sub Total $102.72 IN 7% $0.00 Total $102.72 Paid $0.00 Balance $102.72 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 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. 313000 Uniform House, Inc., The Terms 1927 N. Capitol Ave Indianapolis, IN 46202 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 8/8/14 469701 Employee uniform purchase xx925 $ 102.72 Total $ 102.72 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 iI Voucher No. Warrant No. I 313000 Uniform House, Inc., The Allowed 20 1927 N. Capitol Ave Indianapolis, IN 46202 In Sum of$ $ 102.72 I ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1094 469701 4356004 $ 102.72 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 r received except I I I j 21-Aug 2014 --at Signature $ 102.72 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund