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183784 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1 ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $386.96 CARMEL, INDIANA 46032 5514 W WASHINGTON STREET •v,. INDIANAPOLIS IN 46241 CHECK NUMBER: 183784 CHECK DATE: 3129/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356001 112340 246.96 UNIFORMS 1120 4356001 112341 140.00 UNIFORMS Z Embroidery Plus Invoice 5514 W Washington St Indianapolis, IN 46241 Date Invoice 3/12/2010 112341 Bill To CARMEL FIRE DEPT. 2 CIVIC SQ. CARMEL, IN 46032 P.O. No. Terms Project Net 30 Item Qty Description Rate Amount SWEATSHIRTS 3 MAINTENANCE 14.00 42.00T SWEATSHIRTS 6 OFFICER 14.00 84.00T SCREENPRINI' 7 NAME AND TITLE ONLY 2.00 14.00T Sales Tax 0.00% 0.00 Total $140.00 J Embroidery Plus Invoice 5514 W Washington St Indianapolis, IN 46241 Date invoice 3/12/2010 112340 i Bill To CARNE L FIRE DEPT. 2 CMC SQ. CARMEL,1N 46032 P.O. No. Terms Project Net 30 Item Qty Description Rate Amount CARMEL LADIES JACKET 1 C6114 FLEECE 33.00 33.00T JACKET 3 13V0527 XL FLEECE 26.34 79.02T JACKET 1 LSW280 FLEECE 35.98 35.98 "r JACKET 1 D780 FLEECE 38.98 38.98T JACKET 1 1,779 59.98 59.98T Sales Tax 0.00% 0.00 Total $246.96 VOUCHER NO. WARRAN NO. ALLOWED 20 Embroidery Plus IN SUM OF 5514 West Washington Street Indianapolis, IN 46241 $386.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 112340 43- 560.01 $246.96 1 hereby certify that the attached invoice(s), or 1120 112341 43- 560.01 $140.00 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 MAR 2 6 2010 n 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) r 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)) 112340 $246.96 112341 $140.00 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