319191 11/30/2017 CITY OF CARMEL, INDIANA VENDOR: 371714
:j1 d ONE CIVIC SQUARE J. HUNTER ROGOWSKI CHECK AMOUNT: S********26.99*
?� CARMEL, INDIANA 46032 510 PONDEROSA PINE DRIVE CHECK NUMBER: 319191
9M�roN. WHITELAND IN 46184- CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 26.99 UNIFORMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371714 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
J. HUNTER ROGOWSKI IN SUM OF$ CITY OF CARMEL
510 PONDEROSA PINE DRIVE 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.
WHITELAND, IN 46184
Payee
$26.99
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
0 43-560.01 $26.99 I hereby certify that the attached invoice(s),or 11/20/17 0 beanie $26.99
1110 101 1110 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
Wednesday, November 29,2017
ac'-_' las. A.w
Jim Barlow
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
THE 11/20/2017
L%1 UN�FOR SERVICE ORDER Page 1 of 1
Your Image Is Our Business P.O.Number:
CLERK: Aviva T.
441 S.Rangeline Road
CARMEL,IN 46032
TELE:317-926-4467 x304
FAX:317-926-1460
Work Order. UHCPD
Carmel Police Department m -ROM-01-
3 Civic Square "PICK`UP CARMEL
Carmel IN 46032 Carmel IN 46032
Part Number Description Ordered Shipped. Price Total
- — -- - -- — ---
—�;.Tax---
Embr-131K-11-1L Embroidery Line(s)`~ 1 _ 0 4.50 4.50
Lettering:CPD
Mixed or all caps: All caps
Color:White
1219736-BLK Under Armour Tac Stelth Beanie 1 0 22.49 22.49
in 1 inch white letters
CPD
..�� ,.� � �
Iy20/207a`iterCtdfxcx�o25 �f} :. $26.99 Sub Total $26.99
_ IN 7% $0.00
Total $26.99
Paid $26.99
Balance $0.00
No returns on altered,washed,wom garments. Items can be returned within
30 days of purchase with receipt.