304673 10/31/16 `�u����p`'"' CITY OF CARMEL, INDIANA VENDOR: 366321
`� CHECK AMOUNT: $*******309.42*
.�;® ONE CIVIC SQUARE LOGO USA SPORTSWEAR
CARMEL, INDIANA 46032 320 PARKWAY CIRCLE CHECK NUMBER: 304673
9� Via' WESTFIELD IN 46074 CHECK DATE: 10/31/16
9j�[rUN�.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 125525 309.42 OTHER EXPENSES
VOUCHER# 163106 WARRANT# ALLOWED
366321 IN SUM OF $
LOGO USA SPORTSWEAR
320 PARKWAY CIRCLE
WESTFIELD, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
125525 01-6200-03 309.42
1041 /� /J
3, ems• 401
Voucher Total 309.42
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366321
LOGO USA SPORTSWEAR Purchase Order No.
320 PARKWAY CIRCLE Terms
WESTFIELD, IN 46074 Due Date 10/24/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/24/201( 125525 309.42
hereby certify that the attached invoice(s), or bill(s) is(are)true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
QUSA my , . , shopxom
&44mod.11 myour online spiritwear solution DATE INVOICE#
1 -000-844-S348 320 PARKWAY CIDCLE-WESTFIELD,IN 46074
9/19/2016 125525
BILL TO SHIP TO
Carmel Utilities
3450 W. 131st St.
Carmel,IN 46074
P.O. NUMBER TERMS REP DONE BY SHIP VIA ROUTE CC
On Delivery ARS-c 9/27/2016 e
ITEM: QTY DESCRIRTION COLOR SIZES PRICE AMOUNT
REORDER#124650
ms 5 #pc61p s/s tee 100% navy 5x1 10.00 50.00
ms 2 100%cotton Ils tee navy 2x1 13.00 26.00
3cLH=royal,green,white--Carmel Utilities
logo
0.00
me 1 0 0 S/Slrpol& navy , 1x1 20 00 20 00
b
me 1 crew sweatshirt navy lxl 20.00 20.00
me 3 #g18500 hoodie sweatshirt m T navy 3x1 4L25.00 75.00
me l full zip thermal hoodie = navy°" 1x1 49 00 49 00
a 4 ,..,,
.... .:::
i
me 2 054X(Hanes)s/s polo It blue 2Lg 14.00_ 28.00
.1Lg_-
me 1 054x(Hanes)s/s polo ash 1Lg 14.00 14.00
l:MB LH#116355
s shipping charges 13.42 13.42
�3
Total $309.42
f f.
Ken Rhodes 2016
Qty Item # Description
_,. Color Size
Zea. O54X �� _�
Hanes-Polo O54X Short Sleeve 5.6 oz. 50/50
1 ea. O54X _Hanes Polo O54X Short Sleeve 5.6 oz. 50/50
Ash. A L A_
1 rea. O54X I ' Hanes Polo O54X Short Sleeve 5.6 oz. 50/50
LU t Cp
Clt Of
Utilities
�e (-La('
�Faine: �t6 1�L' �jcArz�-�. I'lz+�iYe A; 3 1'1�si`1 �5�5°1. Eiliail.:_�n1 �
• A . . , , # # PRICE QTY TOTAL
1. Short Sleeve"T-Shirt I.
XLkXL rXL
$10S C}
2. Short Sleeve T-Shirt wl Pocket
504570 r"W6K =ff res�rr: Cc z, UIt_lY
3. Zoii "Sleeve T-Sh P"t S 41 L tI_. ?s L 31L l I.
5t?P yI os� a r s,neni Ce^a : GMIY $13
. -Low;Slee.ve'T'-Shirl rvlPb kit S I M I L I XL IXXLI 3XL 4.1'L
C,' CLE TYPE fIF A,.. ;cixra f. 33i ICY
SU:S Pa+;:Co-v f 00%r?r`I'le 1.CO.-z--n C.RAY
S. Three littttott.eyyle lG- G'Mon P'e"4:ranfi S' 3I (<. .XL kXl: Al—
6. Shot-t Sleeve Pblo 60%Corton:4006':Fbty "�_ .51 1. t:1, XXL 3XI. \1
GRAY
WHITE
7. Short Sleeve Polo t-vl Parker 65%Cntcvr,33^Sa pts S 11 L XL: ?XXL AL. 4XI,
NAVY
i
WHITE _
13:
Lotyl Sleeve Polo 65 Cotton,3s%Pct. SAll
WAVY
9. Lvtt S.IVe V .Polo Ivl POCICet os%Cocmrt 35;0 11 L XL iXL 3V_ 4KI
$26
10. short Sleeve Palo rill Tr ttt 65-rra¢ron,35%Pt,, S M L XL 1X1. �1L 4XL
.25
For questions,please,contact: Jaimie Foreman SUBTOTAL
Email:jforeman@carmel.in.gov add ? tor each? L.
Add$3 for eacli IN'L
Add$4 for eaeb 4X
:add 3 for each TALL
TOTAL PAGE 1. �CQ
Calculate Grand Total on Reverse Side
City.
of
rMel U.
-tilities
Pliojie�9: '�J;�j -5 11.-sot bo� Email.
� dJ . � 9. � � F►d'bl^s� iyl QOV
11.•:Crew Neck S"Iegrrs�ix'rt � 1'IzfCE
s a:5tr ; q.. tI L 1f 1:1L: I: �T TOTAL
i*
I2. H71077 Srt t
5
13-1151,111,170
l�f 1'�a112i 3t1r.�rrrFl Hntiri b! Ccza�.4G° fiJK aw
S Al I.
i11Z'T .
IS SL 014 5lec ril SlFirl 6543K,
:1! XL Al
IVIIITEIBLUE STRIP_I:
:.
For questions,.Please.contact:.Jaimie Foreman
Emadl:.jfore nan@carmei.in.gov UBTOTAL PAGt?
:add 2 f9r each 2,KL
Add:$3 for e ich M
Add 4 for each M.
Add$3 for each T-JLL
TOTAL PAGE)
TOTAL PAGE 1 Q
GRAND TOTAL