189317 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET CHECK AMOUNT: $425.50
INDIANAPOLIS IN 46241
CHECK NUMBER: 189317
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 112512 425.50 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
8/11/2010 112512
Bill To
CARNIEL FIRE DEPT.
2 CIVIC SQ.
CARN EL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T- SHIRTS 18 #20230 XL officer 6.75 121.50T
T- SHIRTS 12 XXL Firefighter 8.50 102.00T
T- SHIRTS 12 XXXL 8.50 102.00T
SHIRTS 1 OCS410 New polo XL 1 location 23.75 23.75T
SHIRTS 1 XXL 24.75 24.75T
SHIRTS 2 XXXL 25.75 51.50T
Sales Tax 0.00% 0.00
Total I $425.50
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$425.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 112512 43- 560.01 $425.50 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 302010
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)
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))
112512 $425.50
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