252627 1 2/1 5/1 5 (9,
CITY OF CARMEL, INDIANA VENDOR: 369217
ONE CIVIC SQUARE GEAR WASH CHECK AMOUNT: $********23.05*
CARMEL, INDIANA 46032 657 SOUTH 72ND STREET CHECK NUMBER: 252627
MILWAUKEE WI 53214 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 11353-1 23.05 OTHER CONT SERVICES
2015-12-11 10:07 GEAR WASH 4149184727» P 2/2
Gear Nash INVOICE
Invoice# 11353-1
657 S. 72nd Street Invoice Date 12110/2015
Milwaukee,WI 53214 Invoice Terms Net 30
Phone: 866-657-0111 Due Date 01/09/2016
Fax:414-918-4727 Reference# 24703
www.gearwash.com Project#
h BILL TO LOCATION
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
2600 _
317-571- _
317 571 2600
_ ITEM ID ,DESCRIPTION _QTY UNIT PRICE. AMOUNT
FAP500 Alteration -Trouser. Shorten inseam, 1-2 Inches: 1.0 $124,70 $124.70 T
FROM 33 TO 32
F0053 Option-Open/Close Seam for Repair, Each: TRIM 2.0 $13.95 $27,90 T
E0902 Option-Size/Name Label, Each: _ 1.0 $7.20 $7.20 T
F0051-- — -- tion Cift7Reattach a or Re air;Each::,_:�..J 1.0 (---$23.05-— r�_`'$23�05.;T1�c
F'AJ502 �`"Alteration-Jacket, Lengthen Sleeves, 1-2 Inches: 1.0 $175.80 $175.80 T
FROM 34 TO 35
F0053 Option-Open/Close Seam for Repair, Each:TRIM 2.0 $13.95 $27.90 T
F0902 Option-Size/Name Label, Each: 1.0 $7.20 $7.20 T
F0055 Option-Remove Existing Option, Each: 1.0 $17.90 $17.90 T
FNP001 Name Patch-Style A,4 x15 inch, One Line, Standard 1.0 $15.80 $15.80 T
Fabric, Each:
FL001 Sewn Letters-Scotchlite, 31nch, LimeNYellow, Sewn, 8.0 $3,60 $28.80 T
Each:"S. SUTTON'
FNP100 Name Patch-Sew Name Patch to OS, Each: 1.0 $15.25 $16.25 T
Thank you for your business. Sub-Tota! 4i}5:@1- '�.QS
Service Charge
Tota)Sates Tax
Total Invoice Charge
Invoice Balance
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gear Wash
IN SUM OF $
657 South 72nd Street
Milwaukee, WI 53214
$23.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 11353-1 43-509.00 $23.05 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
DEC 2015
r
Fire Chief
Title
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))
11353-1 $23.05
�I
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