308520 02/28/17 CITY OF CARMEL, INDIANA VENDOR: 00350432
CHECK AMOUNT: $****18,426.50*
.;; ONE CIVIC SQUARE EMBROIDERY PLUS
. �; CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET CHECK NUMBER: 308520
vMRTON' INDIANAPOLIS IN 46241 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 115062 471.00 UNIFORMS
1120 4356001 115080 355.50 UNIFORMS
1120 R4356001 24933 115088 17,600.00 JOB SHIRTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00350432 IN SUM OF$ CITY OF CARMEL
EMBROIDERY PLUS
5514 W. WASHINGTON STREET 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.
INDIANAPOLIS, IN 46241
Payee
$826.50
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
115062 43-560.01 $471.00 1 hereby certify that the attached invoice(s),or 2/16/17 115062 $471.00
1120 101 1120 101
115080 43-560.01 $355.50 bill(s)is(are)true and correct and that the 2/16/17 115080 $355.50
1120 1 1 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Friday, February 17, 2017
David Haboush
Fire Chief
hereby certify that the attached invoice(s),or bill(s)js(are)true and correct and I have
audited same in accordance with IC 5-11-10-1,6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
2/3/2017 115062
Bill To
CARMEL FIRE DEPT
2 CIVIC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Gary Carter Net 30
I Item Qty Description Rate Amount
I T-SHIRTS 72 M-XL 5.25 378.00T i
T-SHIRTS 6 XLT 7.50 45.00T
T-SHIRTS 6 XXXXL 8.00 48.00T
Sales Tax 0.00% 0.00
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Total $471.00
Embroidery Plus Invoice
5514 W Washington St i --F--------
Indianapolis, IN 46241 Date Invoice#
2/3/2017 115080
Bill To
CARMEL FIRE DEPT
2 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Gary Carter Net 30
Item Qty Description Rate Amount
T-SHIRTS 24 Navy t-shirts XL 5.25 126.00T
T-SHIRTS 36 gray t-shirts M-XL 5.25 189.00T
i T-SHIRTS 6 gray t-shirts XXL 6.75 40.50T
Sales Tax 0.00% 0.00
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T �
-- - - —_1 otal----- — —
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00350432
EMBROIDERY PLUS IN SUM OF$ CITY OF CARMEL
5514 W. WASHINGTON STREET 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.
INDIANAPOLIS, IN 46241
Payee
$17,600.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
24933 115088 43-560.01 $17,600.00 1 hereby certify that the attached invoice(s),or 2/16/17 115088 $17,600.00
1120 Encumbered 101 1120 101
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
Friday, February 17,2017
David Haboush
Fire Chief
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Embroidery Plus Invoice
5514 W Washington St -
Indianapolis, IN 46241 Date Invoice#
2/8/2017 115088
Bill To
CARMEL FIRE DEPT
12 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
JOB SHIRT 34 S navy 50.00 1,700.00T
JOB SHIRT 22 M navy 50.00 1,100.00T
JOB SHIRT 60 L navy I 50.00 3,000.00T
JOB SHIRT 68 XL navy 50.00 3,400.00T
JOB SHIRT 44 XXL navy 50.00 2,200.00T
JOB SHIRT 10 XXXL navy 50.00 500.00T;
JOB SHIRT 2 XXXXL navy 50.00 100.00T;
JOB SHIRT 10 LT navy 50.00 500.00T I
JOB SHIRT 32 XLT navy 50.00 1,600.00T
JOB SHIRT 14 XXLT navy 50.00 700.00T
j JOB SHIRT 8 XXXLT navy 50.00 400.00T
JOB SHIRT 2 XXXXLT navy 50.00 100.00T
JOB SHIRT 12 black 50.00 600.00T I
JOB SHIRT 10 gray 50.00 500.00T
JOB SHIRT 7 navy 50.00 350.00T
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Shipping&Handl... 850.00 850.00
Sales Tax 0.00% 0.00
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Total $17,600.00