189551 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
ONE CIVIC SQUARE THE UNIFORM HOUSE, INC.
1927 NORTH CAPITOL AVE. CHECK AMOUNT: $480.00
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46202 CHECK NUMBER: 189551
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 27002 298258 480.00 HAT BADGES
1927 N. CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE 7/1912010
TELE: 317-926-4467 RIM Page I of 1
FAX: 317-926-4460 1 Iro P.O. NUMBER: 29825
HOUSE, INC. CLERK: Faye Y.
Invoice 298258
BILL TO: SHIP TO:
Carmel Police Department ROBERT ROBINSON
3 Civic Square 3 Civic Square
Carmel, IN 46032 3 CIVIC SQUARE
CARMEL, IN 46032
Part Number Description,. O r d ered Shipped
6720 Badge 6 6 60.00 360.00
B720 Badge 2 2 60-00 120-00
COMMENT SENT BACK TO BLADKINGTON 515/10 SE 1 1 0.00 0.00
UPS FREIGHT 1z0151050304782593 1 1 0.00 0.00
Sub Total $480,00
IN 7% $0.00
Total $480.00
Paid $0.00
Balance $480.00
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
0 INDIANA RETAIL TAX EXEMPT PAGE
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CR Y (U rmei CERTIFICATE N0.003120155 d02 fl lus. �S.r �i PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3= CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.' VENDOR NO. DESCRIPTION
kugugt 18, 203C L hat b
VE NDOR The Uniform House SHIP Cltq of Cammel Police Department
1927 N. Capitol Avenue TO 3 Civic Square
Indianapolis, IN 46202 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
S B720 hat badges 60000 480.00
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Send Invoice To: j
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PLEASE INVOICE IN DUPLICATE
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DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
1110 560 -01 uniform PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY t
PURCHASE ORDER NUMBER MUST APPEAR ON ALL C'4� j
SHIPPING LABELS. C y
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief o f Poli e
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 7 0 Q 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# o
INVOICE NO. ACCT #1TITlE AMOUNT
EPT PT. I 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
20
Signature_...—
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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, Inc. Purchase Order No. 27002F
1927 N. Capitol Avenue Terms
Indianapolis, IN 46202 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/19/10 298258 payment for hat badges 480.00
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
T he Uniform House, Inc.
IN SUM OF
1927 N. Capitol Avenue
Indianapolis, IN
480.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
27002 299258 560-01 490.00 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
August 19 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund