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190508 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1 ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. CHECK AMOUNT: $46.80 INDIANAPOLIS IN 46202 CHECK NUMBER: 190508 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356002 321790 46.80 UNIFORM ACCESSORIES 1927 N. CAPITOL AVE. INDIANAPOLIS, IN 46202 THE 9/10/2010 TELE: 317- 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 000321790 HOUSE, INC. CLERK: Faye Y. Invoice 000321790 BILL TO: SHIP TO: Carmel Police Department ROBERT ROBINSON 3 Civic Square PICK UP 571 -2500 Carmel„ IN 46032 Part Number x DescriptEOn 3 r y w a s f y 7 `n ss^ r Ordered Shipped Price a Tot61Tax A10074-HI- GLO COMMENDATION BAR 4 4 11.70 46.80 UPS FREIGHT 1z8r115v0357392600 1 1 0.00 0.00 Sub Total $46.80 IN 7% $0.00 Total $46.80 Paid $0.00 Balance $46.80 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. 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 The Uniform House Purchase Order No. 1927 N. Capitol Avenue Terms Indianapolis, IN 46202 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/10/10 321790 payment for 25 year commendation bars 46.80 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' UniformHouse IN SUM OF 1927 N. Capitol- Avenue Indianapolis, IN 46202 46.80 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 1110 321790 560 -02 46.80 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except September 21 20 10 D Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund