318998 11/22/17 *' CITY OF CARMEL, INDIANA VENDOR: 00350432
d ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $*****1,329.00*
as, CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET CHECK NUMBER: 318998
INDIANAPOLIS IN 46241 CHECK DATE: 11/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4356001 24951 111539 1,329.00 UNIFORMS
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
vendor# 00350432 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
EMBROIDERY PLUS IN SUM OF$ 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
$1,329.00
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
24951 111539 43-560.01 $1,329:00 I hereby certify that the attached invoice(s),or 11/16/17 111539 $1,329.00
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
Thursday, November 16,2017
David Haboush 1
Fire Chief
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