182009 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363833 Page 1 of 1
ONE CIVIC SQUARE MCBETH'S EMBROIDERY SILKSCREEN
CARMEL, INDIANA 46032 1015 3RD AVE SW CHECK AMOUNT: $12.00
k� i I O q:, CARMEL IN 46032 CHECK NUMBER: 182009
r N
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4356001 21413 20100019 12.00 SHIRTS
McBeth's Embroidery Silkscreen Invoice
1 105 3rd Avenue SW
Carmel, IN 46032 Date Invoice
1/15/2010 20100019
Bill To Ship To
Carmel Street Dept
P.O. Number Terms Rep Ship Via F.O.B. Project
1/15/2010
Quantity Item Code Description Price Each Amount
4 Embroidery names added 3.00 12.00
Sales Tax 7.00% 0.00
Total $12.00
Phone Fax
317- 848 -7313 317 -848 -7315
VOUCHER NO. WARRANT NO.
ALLOWED 20
McBeth's Embroidery Silkscreen
IN SUM OF
1105 3rd Ave. S. W.
Carmel, IN 46032
$12.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACC AMOUNT Board Member:
21413 20100019 43- 560.01 $12.00 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
/1 Thursday, January 282010
Str rr
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))
01/15/10 20100019 $12.00
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