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Home My WebLink About238218 10/15/14 a or,caFM vY CITY OF CARMEL, INDIANA VENDOR: 313000 /� ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $*******198.13* s9 ,,_� CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. CHECK NUMBER: 238218 .p,�TON�. INDIANAPOLIS IN 46202 CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4356004 473910 42.69 STAFF CLOTHING 1081 4356004 473910A 33.14 STAFF CLOTHING 1091 4356004 473910A 10.34 STAFF CLOTHING 1125 4356004 473910A 8.54 STAFF CLOTHING 1091 4356004 474162 103.42 STAFF CLOTHING i f 1927 N CAPITOL'AVE. INDIANAPOLIs, IN as202 TH. E -1 0/1/2014 TELE 317.9264467: RM Page 1 of 1 FAX:317-926-4460 P.O NUMBER: XX-11521 www.uniform house.com - lu HOUSE INC. CLERK: Mike O. R,EC EIVEL) OCT 0 12014 �Involce 000473910A BILL TO: lu S IP TO: Carmel Clay Parks& Recreation wn Koepper Administration Office Carmel Clay Parks & Recreation 1411 E. 116th Street MIKE DEL BOX Carmel, IN 46032 Carmel IN 46032 Part Desc Number nnptloOrdered Shipped Price Total M600-FB-XL Harriton men's long sleeve oxford 1 1 20.35 20.35 88095-NV-S Mens Microfleece Unlined Jacket 1 1 31.67 31.67 logo-Carmel Clay Carmel Clay Parks and Recreaction 2 2 0.00 0.00 Mike's Mike's Delivery Box 1 1 0.00 0.00 ft2 x,54 I ►`25-�,-al ; 3,81 x.,02- - - - ---- - -- Sub Total $52.02 IN 7% $0.00 Total $52.02 Paid $0.00. Balance $52:02. No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N CAPITOL AVE. e� INDIANAPOLIS,IN 46202 THE :10/1/2014 TELE.317-926-4467 " Pag@"1 Of 1 FAX:317-926460 R O.NUMBER:11FV P XX-1169www.uniformhouse.com .HOUSE, INC. CLERK: Mike O. RECEIVED F rwolce 000474162 BILL TO: OCT Q 12014 SHIP TO: - Carmel Clay Parks& Recreati n l Dawn Koepper Administration Office I Carmel Clay Parks & Recreation 1411 E. 116th Street MIKE DEL BOX Carmel, IN 46032 Carmel IN 46032 Part Numeax ber [?escnptiort Y` Ordered Shipped Price To#ai' L520-NV XL Ladies Silk Touch Interlock Polo 3 3 14.23 42.69 88095-NV S Mens Microfleece Unlined Jacket 1 1 31.67 31.67 040-NAVY 007-XL MISSES' CORPORATE PERFORMANCE 1 1 29.06 29.06 JEWEL NECK CARDIGAN logo-Carmel Clay Carmel Clay Parks and Recreaction 5 5 0.00 0.00 Mike's Mike's Delivery Box COMPLETE SE 1 1 0.00 0.00 f oq� Sub Total $103.42 IN 7% $0.00 Total $103.42 Paid $0.00- Balance $103.42--'-_-) No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. i 1927 W.CAPITOL AVE:: `INDIANAPOLIS';IN as2o2 THE 10/212014 TELE:317-926-4467 RM Page 9 of 1 FAX:317-926.4460 = o• P.O.NUMBER: www.uniformhouse.com XX-1152 W o HOUSE,_'INC. CLERK: Mike O. RECE - ED— OCT 0 rnvoice:000473910 .` BILL TO: ti SHIP TO: Carmel Clay P ecreatlon 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 Sttlpped Price Total r , Tax K520-NV M Silk Touch Interlock Polo 1 1 14.23 14.23 L520-NV-S Ladies Silk Touch Interlock Polo 2 2 14.23 28.46 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 3 Sub Total $42.69 IN 7% $0.00 Total $42.69 Paid $0.00__ Balance $42.69 No returns on altered,washed,wom garments. Items can be returned within 30 days of purchase with receipt. ° j INDIANA RETAIL TAX EXEMPT PAGE 1 CERTIFICATE NO.003120155 002 0 C� 'of ��/// t'' r FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER jj„ a 1. XX-1152 35-60000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P i. ?.{ s..INDIAN-` VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9/17/2014 09/22/14 2957 Uniform Inventory Uniform House,The Administration Office 1927 N. Capitol Avenue 1411 E. 116th Street VENDOR Indianapolis, IN 46202 TOIP Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT —--QUANTITY — UNIT OF MEASURE — DESCRIPTION UNIT PRICE EXTENSION 1.000 each #K520 Men's Polo- M $ 14.2300 $ 14.23 2.000 each #L520-Women's Polo-S $ 14.2300 $28.46 1.000 each #M600- Men's Oxford-XL $20.3500 $20.35 1.000 each #88095 Men's Fleece Jacket $31.6700 $31.67 GLAccount#1125102-4356004 = )p y .r(3,A /D V-ql = I q �d �h 3.03 jog jMAM, L42.LV1 r - /lZ54" Send Invoice To: $94.71 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION • SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper k q I( -7 11 q • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE CLERK-TREASURER DOCUMENT CONTROL NO. XX-1152 VENDOR COPY 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 10/1/14 473910A Uniform inventory xx1152 $ 8.54 10/1/14 473910A Uniform inventory xx1152 $ 33.14 10/1/14 -473910A- ---- Uniforrri_inventory- _ _ xx1152 $ 10.34 10/1/14 474162 Employee uniform purchase xx1169 $ 103.42 10/2/14 473910 Uniform inventory xx1152 $ 42.69 Total $ 198.13 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. 313000 Uniform House, Inc., The Allowed 20 1927 N. Capitol Ave Indianapolis, IN 46202 In Sum of$ $ 198.13 ON ACCOUNT OF APPROPRIATION FOR 101 General /108 ESE/109 Monon Center PO#orBoard Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1125 473910A 4356004 $ 8.54 1 hereby certify that the attached invoice(s), or 1081-99 473910A 4356004 $ 33.14 bill(s) is (are)true and correct and that the 1091 473910A 4356004 $ 10.34 materials or services itemized thereon for 1091 474162 4356004 $ 103.42 which charge is made were ordered and 1091 473910 4356.004 $ 42.69 received except 9-Oct 2014 Signature $ 198.13 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund