186286 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
0 ONE CIVIC SQUARE EMBROIDERY PLUS
z� CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET CHECK AMOUNT: $3,740.00
�M., RON GOB INDIANAPOLIS IN 46241 CHECK NUMBER: 186286
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 112416 40.00 UNIFORMS
1120 4356001 112417 3,700.00 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
6/2/2010 112416
Bill To
CARMEL FIRE DEPT.
2 CIWC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
CONTRACT EMB. 20 Back of hats for HONOR GUARD 2.00 40.00T
Sales Tax 0.00% 0.00
E TOtal $40.00
Embroidery Plus Invoice
5514 W Washington, St
Indianapolis, IN 46241 Date Invoice
6/2/2010 112417
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T- SHIRTS 459 #20230 M -XL S/S 6.75 3,098.25T
T- SHIRTS 101 XXL 7.75 782.75T
T- SHIRTS 12 XXXL 8.75 105.00T
DISCOUNT 572 x.50 286.00 286.00
Sales Tax 0.00% 0.00
Total $3,700.00
VOUCHER NO, WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$3,740.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 112416 43- 560.01 $40.00 1 hereby certify that the attached invoice(s), or
1120 112417 43- 560.01 $3,700.00 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
JUN 2010
o ./P
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bilf 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))
112416 $40.00
112417 $3,700.00
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
1 20
Clerk- Treasurer