241077 1 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 365421
® 3j ONE CIVIC SQUARE MAC DESIGNS INC CHECK AMOUNT: $*******865.50*
;. i,; CARMEL, INDIANA 46032 1009 3RD AVE SW CHECK NUMBER: 241077
9M�.__._, CARMEL IN 46032 CHECK DATE: 01/13/15
��ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 13652 865.50 UNIFORMS
MacDesigns, Inc.
Omacdeseigns Invoice
More than Just Ink on a shirDate Invoice No.
11/07/2014 13652
Terms Due Date
Net 30 12/07/2014
Bill To
Amy Lunn
CARMEL STREET DEPARTMENT
3400 W 131ST ST
CARMEL, IN 46074
Amount Due Enclosed
$865:50
Please detach top portion and return with your payment_
------------------------------------------- ------------------------------------ - ------------------------------------
Ship Date Ship Via P.O. Number
10/30/2014 Delivery Sweatshirt Embroidery 2014
Activity Quantity Rate Amount
• EMBROIDERY 70 6.45 451.50
Street Dept logo 5739 stitches per garment
• EMBROIDERY 69 6.00 414.00
Individual Names
Total $865.50
All Contract Printing is subject to a 4%credit card payment processing fee Remit Payment to: 1009 3rd Ave SW,Carmel Indiana 46032
I
VOUCHER NO. WARRANT NO.
Mac Designs, Inc. ALLOWED 20
I IN SUM OF$
1009 3rd Ave. S. W.
Carmel, IN 46032 1 I
I
$865.50
S
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#rrlTLE AMOUNT Board Members
2201 13652 1 43-560.01 $865.50 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
e
015
I
I
r reP e9 eet olone
r
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund j
I
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))
11/07/14 13652 $865.50
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