181880 02/03/2010 \i CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
i•i: ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $77.00
*4,� CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET
i.,, INDIANAPOLIS IN 46241 CHECK NUMBER: 181880
CHECK DATE: 2/3 /2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 112322 77.00 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
1/12/2010 112322
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
JACKET #M980 1 -ied 1 dhtuLudl 0 C?�� ao�oR —ter: Mr 4ercleT
JACKET 1 #L794 graphite fleece 48.00 48.00T
JACKET 1 4LP77 winter white 29.00 29.00T
Sales Tax 0.00% 0.00
Total $117.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$77.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 112322 43- 560.01 $77.00 I hereby certify that the attached invoice(s), or
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
FEB 1 2010
t
11,:a."(
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
112322 $77.00
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
Clerk- Treasurer