HomeMy WebLinkAbout249930 09/23/15 u.c�qM
t� CITY OF CARMEL, INDIANA VENDOR: 313000
® '; ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $""""107.76'
,. ?� CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. CHECK NUMBER: 249930
�.y__oH,�, INDIANAPOLIS IN 46202 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 33023 498407 107.76 ADJUSTABLE HATS
1927 N.CAPITOL AVE.
TF
INDIANAPOLIS, IN 46202 lie 111411 8/21/2015
TELE: 317-926-4467 i JE IF
UPage 1 of 1
FAX: 3`17-926-4460 L) HOUSE P.O. NUMBER: 33023
www.uniformhouse.com Your i-nage if-, Our RuSi
CLERK: Heath C.
lnv6ice 000498407
BILL TO: SHIP T0:
Carmel Police Department Pat Young
3 Civic Square CARMEL POLICE DEPARTMENT
Carmel IN 46032 HEATH TO DELIVER
IN
Part NuMber '.Descriotion write I '
rr�sre� �,Shapprinj Iota,
C800-NV-0SFA Port Authority Fine Twill Cap 6 6 8.98 53.88
C800-NV-0SFA Port Authority Fine Twill Cap 6 6 8.98 53.88
logo-CarmelPD-G Carmol PD Gold for Hats 6 6 0.00 0.00
Hat
logo-CarmelPD-S Carmel PD Hat Logo Silver 6 6, 0.00 0.00
Hat
HEATH Heath's Delivery Box DK 1 1 0.00 0.00
Sub Total $107.76
IN-7% $0.00
Total $107.76
Paid $0.00
Balance $107.76
No returns on altered,washed,wo,r.,grrritw:-ts. can be returned
within 30 days of purchase with receipt.
INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
I
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARETHIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
`ho UnWarm low% Inc. Comol P®Ilce DGp€dmoM
VENDOR SHIP 3 CIVIC aqum
IM N. Cc@pl$ol Av(nuo TO Camol, IN 4
indian2p®lls, IN 4 (317)579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Accowit 43 .09
92 Each C800 adjustable bat $8.98 $907.76
Sub Total: $907.76
411
5 ' as
V
Send Invoice To: ��=J 0 �f_�
Cumol Police Mpartmant
Atte: Pali:Young
3 CIVIC aqum
Camel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. t`aj PAYMENT 001.15
0 . 5
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT!THERE IS AN UNOBLIGATED BALANCE IN
A"I
THIS APPROPRI TIO ,SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. f Chid Q#Polleo i
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.' I V I
®�� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _ WARRANT
ALLOWED 20
IN THE SUM OF$
G)
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#(TITLE AMOUNT
DEPT.# I 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_
20
- ----------- -----------------_ - ---------
Signature
-- --- ----- ----- Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
t
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))
09/01/15 000498407 Hats $107.76
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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Uniform House, Inc.
IN SUM OF $
1927 N. Capitol Avenue
Indianapolis, IN 46202
$107.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
L 33023 000498407 43-560.01 $107.76
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
Monday, Se ember 14, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund