319932 12/21/17 i
-
�i" CITY OF CARMEL, INDIANA VENDOR: 00350432
d ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $*`*"***362,00*
CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET CHECK NUMBER: 319932
INDIANAPOLIS IN 46241 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4356001 100988 115579 362.00 STAFF CLOTHING
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350432 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
EMBROIDERY PLUS IN SUM OF$ 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
$362.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering
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
100988 115579 43-560.01 $362.00 I hereby certify that the attached invoice(s),or 12/6/17 115579 Department Clothing $362.00
2200 2200 2200 2200
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, December 12,2017
1
Jeremy Kashman
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Embroidery PlusInvoice
5514 W Washington St -----------------
Indianapolis,IN 46241 Date Invoice
,#
' 12/6/2017 115579 !.
t I
Bill To
Carmel Engineering
].Civic Square
Carmel.IN 46032 I
Attn:Katie Nevill 'P.G I O Oq$a
2200 — y3C;:- 001
P.O.No. Terms Project.
Net 30
Item Qty Description Rate Amount
HATS 1889302 S/M mesh back hat(Jeremy) 20.00 _ 20 OOT
HATS 1 i CP78 Twill Cap(Dan) 8.00 8.00T
SHIRTS 1 j 373749 L Polo.(Shane) 29.00 29.00T
1 SHIRTS 1 i K514 M Polo(Jarrod) 2200. 22:001
SHIRTS I 'K510 M Polo(Jarrod) ]6.50 16.SOT
i JACKET 11 ST238 XXXL Hooded jacket(Caleb) r 33.00 33.00T.i
SHIRTS I SP17 XXXL Twill Shirt(Caleb) 25..00 I 25:00T
SHIRTS I SP 18 XXXL Twill Shirt(Caleb) ( 25.00 I 25.00T
SHIRTS 2 ST860 L Zip Pullover(Aaron) 25,00 ( SO.00T
SHIRTS 1 474231 XL Polo(Kurt) i 45.00 45.00T
SHIRTS 1 363807 XL Polo(Kurt) 32.00 e 32:60T
1 SHIRTS I OE500 M Zip Pullover(Josh) 5.6.50 i 56.50T
Sales Tax 0.00%i 0.00
I
i
1 {
i
! I i
j
I
I
I
;
lTotal $362.00