189095 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET CHECK AMOUNT: $1,113.86
INDIANAPOLIS IN 46241 CHECK NUMBER: 189095
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 112502 1,113.86 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
8/6/2010 112502
Bill To
CAR.MEL FIRE DEPT-
2 CIVIC SQ,
CARMEL, IN 46032
P.O. No. Terms Project
Ladies order Net 30
Item Qty Description Rate Amount
T- SHIRTS 7 4652 XL Anvil tees 8.00 56.00T
SHRTS 1 #D1.50W cotton polo 17M 17.00T
SHIRTS I #D475 Mens v -neck 33.98 33.98T
SHIRTS 2 DP450W ladies cardigans 29.98 59.96T
SHIRTS 2 #HY129 sheer cotton tee 10.50 2LOOT
SHIRTS 1 #M57OW ladies camp shirt 29.98 29.98T
SWEATSHRTS 1 #M990 full zip fleece 21.98 21.98T
SHIRTS 1 #6094 ladies polo 24.70 24.70T
JACKET l #J712 blk/wh 31.98 31.98T
JACKET 1 #J788 Adventure Jkt 79.98 79.98T
JACKET 5 #L221 flatback zip 30.00 150.00T
SWEATSHIRTS I #L253 114 zip 23.98 23.98T
SHIRTS 1 #L526 Ladies dry polo 29.98 29.98T
SHIRTS 1 #L6001) ladies denim 25.98 25.98T
SHIRTS 1 #L628 blouse 29.98 29.98T
SHIRTS 3 #L629 3/4 sleeve blouse 29.98 89.94T
SWEATSHIRTS 1 #LP77 r -tek fleece 37.98 37.98T
sweater 2 #LSW280 35.98 71.96T
SHIRTS 4 420 cardigans 28.00 112.00T
SWEATSHIRTS 1 #3051 poly fleece zip 21.00 21.00T
SWEATSHIRTS 1 4031 ITC white zip hood 1.5.00 15.00T
JACKET 1 4C2740 micro fleece zip 32.00 32.00T
COATS I #WM5416 columbia 58.00 58.00T
SHIRTS 2 #D140W polos 19.75 39.50T
Sales Tax 0.00% 0.00
F T®ta I $1,113.86
VOUCHER NO. WARRANT NO.
Embroidery Plus ALLOWED 20
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$1,113.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
P0#! Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 112502 43- 560.01 $1,113.86 1 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
AUG 16 2010
7
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Hoard 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))
112502 $1,113.86
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