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Home My WebLink About238013 10/08/14 CITY OF CARMEL, INDIANA VENDOR: 368715 G. ONE CIVIC SQUARE YOUR IMAGE WORKS INC CHECK AMOUNT: $*******327.00* s. ,. CARMEL, INDIANA 46032 4353 W 96TH ST,STE 100 CHECK NUMBER: 238013 INDIANAPOLIS IN 46266 CHECK DATE: 10/08/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356001 43250 131.00 UNIFORMS 1120 4356001 43251 196.00 UNIFORMS 4353 W.96th St.,Suite 100 Invoice: 43251 Your+� Indianapolis,11 1211 Image Works PH: 317.396.2647 Date Ordered: 3/4/14 ? Inc. FX: 317.396.2652 p V E R D U E• 1. • • Date Invoiced: 3/7/14 ! _ www.yiworks.com Date Due: 3/7/14 Ordered BY Phone Fax Email Jim Buttler I jbuttler@carmel.in.gov SHIP TO: CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CARMEL, IN 46032 Customer# PO Number Terms Salesperson Ship Method 2270 Recruit Academy Bryan Watson Pickup Design ID Design Title Type 24014 Fishers Fire Department Recruit Academy Shirts Screenprint Backorder of original Order ID 43239 Youth S M L XL OTHER Unit Total Qty Part Number Color Description Adult S M LG XL XXL OTHER Price Price 24 G500 Sport 5.3 Oz.Heavy Cotton T-Shirt—Carmel 20 4 8.00 192.00 Grey 24 Subtotal 192.00 Sales Tax Shipping 4.0 Note: Total 196.00 PRICE-Based on payment via cash or check. RETURNED CHECKS-A$25.00 fee will be Paid charged for returned checks. PAST DUE-Past due invoices are subject to a 2% monthly Balance 196.0 charge. SPOILAGE-Industry standards are 2-3% spoilage per item. If an exact quantity is needed it is advisable to order additional product. Customers will not be charged spoilage. OVERRUNS-2-3% under/overruns= Industry standards. If exact quantities are needed, please advise. SIZING-Sizing based on national standards. Returns not accepted. Report Date:10/1/2014 Page# 1/1 4353 W.96th St.,Suite 100 Invoice: 43250 (on r�, Indianapolis,IN 46268 ima�m-)fioiks PH: 317.396.2647 Date Ordered: 3/4/14 € Inc. FX: 317.396.2652 OVERDUE! ! ! ! Date Invoiced: 3/7/14 v -- �- www.yiworks.com Date Due: 3/7/14 Ordered By Phone Fax Email Jim Buttler I jbuttler@carmel.in.gov SHIP TO: CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CARMEL, IN 46032 Customer# PO Number Terms Salesperson Ship Method 2270 Instructor Shirts Bryan Watson Pickup Design ID Design Title Type 24016 Fishers Fire Department Academy Instructor Shirts Screenprint Backorder of original Order ID 43240 Youth S M L XL OTHER Unit Total Qty Part Number Color Description Adult S M LG XL XXL OTHER Price Price 6 G500 Navy 5.3 Oz.Heavy Cotton T-Shirt-Carmel 4 2 8.00 48.00 8 G500_2x Navy 5.3 Oz.Heavy Cotton T-Shirt-Carmel 8 10.00 80.00 14 Subtotal 128.0 Sales Tax Shipping 3.00 Note: Total 131.0 PRICE-Based on payment via cash or check. RETURNED CHECKS-A$25.00 fee will be Paid charged for returned checks. PAST DUE-Past due invoices are subject to a 2% monthly Balance 131.0 charge. SPOILAGE-Industry standards are 2-3%spoilage per item. If an exact quantity is needed it is advisable to order additional product. Customers will not be charged spoilage. OVERRUNS-2-3% under/overruns= Industry standards. If exact quantities are needed, please advise. SIZING-Sizing based on national standards. Returns not accepted. Report Date:10/1/2014 Page# 1/1 Fang W-9 Request for Taxpayer aim tam to the RM.OrtaW2007) LMeltar.Do not No"."N"Nur nrparonN.d d ew Identification Number end Certification nq n"a'Y serKt to I*IRS. nla'rrr Nana pa siroraaa en Ww beam Inc rd&my Horne,a baron ebms _ ••••�•••i` g 4 Cr1 r rnRad Y bob LAq�orwwn U 0 Aarrnorrtrolp NNi,snmp ry.Fr�rrta�ataxaWn(t:at.am�MWdad ftft..C.Corporanon,p pWj rahrp)►_.._... ❑ °t tl cow'(WMrkvotWW b. y A&%=Jwfft ar,drat.WW opt or cats nn.) 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The number shottn on tills ram;is my carroct laalrayer khat ffllon nutubw(or I am waaVmg for a number io.be Irauad to ane),anrf 2. 1 am not eubjecrl to hookup wlthhaldYtp bacauas:(4 1 sm wasmpt hum WawItup withhoidGp,or(b)I hens not torus ro naKed byft internal Rswnus$Woo ORS)tint i am subject to bWWO withho ding as a wA of a Mure to report all interest or divic ends,or(c)rho iRS sus noWied fMa that I am no longer subject to backup*rAhhokiinp,arxt 3, i am■US-ottisprt or other U.S.person W*&4d b.iow). Crrtlricapma iMVUOUorw.You Must Oros*out item 2 above 9 you two loan riotftkd by the iRS shat you ars crasser s to withhehft heoausa you here feted ro report all Inttarest and dwjdotids on your tax talons.Formal estate trensedlor l.ke 2m Griot apply. 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IRS rnud Obtain your censer 1000 ar idgttifloation number(TIN) •An estates(other than A foreign ealotrr,or to moon,far srampie,ittoortre paid to you,roof nisto a A d9meetla trust(M definod in Ragu abate section vansgpt(aase,rnart((ape Interest you paid,aoqulsklan or 30T.7701-7} abandortntsrrt of secured property,canoetlotion of debt,or contributilcraa you MA&to an Rk special i do for iowlinetahlps Partnerehlps that Conduct a Use Fikm W-9 only tt you are a U.S.pparson(inck,ding 8 tWe or�1now In the LWted 5tstse rolls garmaily required to rasidetll silen*,to provide ytarr corset TiN to the person OWa withholding fern on any foreign plrtnarr'ehta+e of bourne requpating it(the requesW and,v*m applteable,to: Norn such_busmeea, Further,In OWsht comes wham a Fame W-9 .._ hei:not been rec&W,a partnership is rsgtalr- to prestarn that 1.Certify that the TIN Veru we pprtfina is correct(Of you rare a Partner to a foreign person,and perry the wlthhoidtrsp tax, waiting for a umbar to be Isaiuwa Thordfore,if you ase a UA pomm deed is a partner in a 2.Certify that you ace not subject to backup withha)ding,or Partnership candua*Q a trade or buslr mors In fhtt United States. provide Holm W-g to eta hip tc eartablsh your UA 3.081m axWWIorl frons WOO wi tftld!npg if you are a U.S. statm and avoid wIWA*NhV on your slwre of partnership exempt pitym.It t�pplkzbie,Vora ora naso Cartlfytng thin at a Ina", U.S.__ppv�asaanrt.Volar alcOsbla sltsfat cd any nartnerahiD irtcOrtaa front a U.S trade or business is not subject to the wkhhOWm Wa an T1sa person who gives Farm W 9 to Ilia partnership to purposes of estabiishinp its U.S.status and avoiding withhddtng 1ttrOl(pt paAhsa share at effedHeiy oaenaotad iesOCntb. ora Ite alloeabia share of net 1,s",re fro-n the pwinershtp Nola,It a requester gMm you a hirm other-than Form W-8 to conducting a trade or buomoss In ties 6 inked Stales In in the regtraat ya.r T1N,you must rtes the requeMaes tam N It is following Carse: ikubatandelly s mUt,to thla FQrn1 W-g. is The U.S.&came of a diaegan:1 d anti ry and not the lenity, Co.No,iusix Form - .(Flev.io-tenon VOUCHER NO. WARRANT NO. ALLOWED 20 Your Image Works, Inc. IN SUM OF$ 4353 W. 96th Street, Ste. 100 Indianapolis, IN 46268 $327.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43250 43-560.01 $131.00 1 hereby certify that the attached invoice(s), or 1120 43251 43-560.01 $196.00 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 OCT - 6 201 c ' Fire Chief II Title I 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)) 43250 $131.00 43251 $196.00 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