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182124 02/03/2010 ,,,(5 -;..t.,, CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1 r i ONE CIVIC SQUARE THE UNIFORM HOUSE INC. k.; CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. CHECK AMOUNT: $102.96 'r p INDIANAPOLIS IN 46202 CHECK NUMBER: 182124 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356001 297958A 102.96 UNIFORMS t THE UNIFORM HOUSE 1927 N. CAPITOL Invoice 297958A INDIANAPOLIS, IN 46202 317 -926 -4467 1/15/2010 www.uniformhouse.com PO No. 297958 HOURS: ENTERED BY: Faye Y. Mon -Fri: 8am -6pm Sat: 9am -3pm Paae1of1 Charge Sale SHIP TO: BILL TO: Carmel Police Department 3 Civic Square Carmel, IN 46032 Part Number Description SHP Price Total TX J59- GOLD -SMSGT SERGEANT BAR 6 4.95 29.70 J61- GOLD -STAND SMALL LT BARS 6 4.95 29.70 J66- GOLD -LMAJ MAJ.LEAVES- EMBOSSED 3 4.32 12.96 J65- GOLD- SM.MAJ SM.MAJ.LEAVES- EMBOSSED 3 4.32 12.96 J68- GOLD -LGCOL EAGLES 2 4.32 8.64 J67- GOLD -SMCOL SM.COLONEL EAGLES 2 4.50 9.00 S RETURNS MUST BE WITHIN 30 DAYS SUB -TOTAL $102.96 NO RETURNS OF ITEMS WORN, IN TAX $0.00 LAUNDERED, ALTERED, TOTAL $102.96 EMBROIDERED, OR ON CLEARANCE. PAID $0.00 RECEIVED BY: BALANCE $102.96 Prescribed t 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 The Uniform House Purchase Order No. 1927 N. Capitol Terms Indianapolis, IN 46202 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1/15/ 10 297958A payment for bars and chevrons 102.96 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 7Th e Uniform House IN SUM OF 1927 N. Capitol Indianapolis, IN 46202 102.96 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PT n INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110! 297958A 560 -01 102.96 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except January 27 20 10 Signature Chief of Pollee- Title Cost distribution ledger classification if claim paid motor vehicle highway fund