249817 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 363378
ONE CIVIC SQUARE NAME DROPPERS INC CHECK AMOUNT: $"******486.50*
_, as CARMEL, INDIANA 46032 11248 BLACKWALNUT POINT CHECK NUMBER: 249817
INDIANAPOLIS IN 46236 CHECK DATE: 09/23/15
<TON G
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4350900 1863 486.50 OTHER CONT SERVICES
22-coo— �-(35o� O�
NameDroppers
11248 Blackwalnut Point NAME Invoice
Indianapolis, IN 46236 DROPPERS
Date Invoice#
317-585-1815 —
9/4/2015 1863
JIM
Embroidery,Screen Printing E-mail
Ad Specialties
Bill TO namedroppersinc@gmaii.com
gmaii.com
Engineering Dept.
Attn:Katie Neville
One Civic Square
Carmel, IN 46032
Terms
Due on receipt
Quantity Description Rate Amount
77. 75 District Threads Short Sleeve Tee,Athletic Heather,DT5000,screen printed in 4.50 337.50T
Neon Orange ink on the front and back.
25 District Threads Short Sleeve Tee,Neon'Green,.DT5000,screen printed in Navy 5.00 125.00T
ink on front and back.
1 Art Charge for new design. 24.00 24.00T
3
1�
Thanks for your continued business and support!
Sales Tax (0.0%) $0.00
Balanced Due $486.50
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
Name Droppers Purchase Order No.
11248 Blackwalnut Point Terms
Indianapolis, IN 46236 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
9/4/2015 1863 White River Clean-up Shirts $ 486.50
Total $ 486.50
I 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.
Name Droppers ALLOWED 20
11248 Blackwalnut Point IN SUM OF $
Indianapolis, IN 46236
$ 486.50
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PD#orINVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 1863 2200-4350900 $ 486.50 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
1
r �
9/21/2015
Sig ature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund '