191621 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page I of 1
0 ONE CIVIC SQUARE EMBROIDERY PLUS
CARMEL, INDIANA 46032 5514 W WASHINGTON STREET CHECK AMOUNT: $3,181.35
INDIANAPOLIS IN 46241
CHECK NUMBER: 191621
CHECK DATE: 1 111 0/201 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 112559 1,508.50 UNIFORMS
2200 4356001 112559 729.10 UNIFORMS
1120 4356001 112575 493.75 UNIFORMS
1120 4356001 112576 450.00 UNIFORMS
e
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
10/21/2010 112576
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 24 420230 XL OFFICER/PARAMEDIC 6.75 162.00T
SWEATSHIRTS 6 11F260 XL OFFICER/PARAMEDIC 14.00 84.00T
T- SHIRTS 12 #20230 XXL FIREFIGI -ITER 8.50 102.00T
T- SHIRTS 1.2 XXL FIREFIGffrER/PARAMEDIC 8.50 102.00T
Sales Tax 0.00% 0.00
Total $450.00
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
10/21/2010 112575
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
HATS 25 VELCRO BLACK 6.50 162.50T
I4ATS 25 #CP96 BLACK 6.75 168.75T
HATS 25 NAVY VELCRO 6.50 162.50T
Sales Tax 0.00% 0.00
T Total $493.75
Embroidery Pius Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
10/21/2010 112559
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 2 corner stone polos for Chief 2715 54.50T
SWEATSI-IIRTS 55 4F260 S -XL 14.00 770,OOT
SWEATSHIRTS 36 XXL 15.00 540.00T
SWEATSHIRTS 9 XXXL 16.00 144.00T
Sales Tax 0.00% 0.00
Total $1,508.50
VOUCHER NO. WARRANT NO.
Embroidery Plus ALLOWED 20
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$2,452.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 112559 43- 560.01 $1,508.50 1 hereby certify that the attached invoice(s), or
1120 112575 43- 560.01 $493.75 bill(s) is (are) true and correct and that the
1120 112576 43- 560.01 $450.00
materials or services itemized thereon for
which charge is made were ordered and
received except
NOV 2010
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))
112559 $1,508.50
112575 $493.75
112576 $450.00
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
20
Clerk- Treasurer
Embroidery Plus
Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
10/21/2010 112556
Bill To
Carmel Engineering
1 Civic Square
Carmel, IN 46032
Attn: Katie Nevill
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 2 #267020 M L (nike) 30.50 61.00T
SI -IIRTS 4 XXL 31.50 126.O0T
SHIRTS 1 #K497 M (stone) 23.75 23.75T
S1 ARTS 1 #4680 XL Ladies) 11.00 11.00T
SHIRTS 1 #875 XL (turq hoody) 17.00 17.00T
SHIRTS 3 #K459 L (Shadow stripe) 21.00 63.00T
SHIRTS 3 A7600 L (anvil) 11.00 33.00T
SHIRTS 1 #L487 L (soft touch 17.50 17.50T
SHIRTS 1 #L50OLS L (long sleeve) 17.50 17.50T
SHIRTS 2 #M265W XXL easy blend ladies) 13.00 26.00T
SHIRTS 1 #56800 M (van Heusen) 23.00 23.00T
SHIRTS 1 #M550 M (denim) 15.00 15.00'f
SHIRTS 1 #.M520 M (twill) 15.00 15.007'
SHIRTS I #5606 XL (classic oxford) 19.00 19.00T
SHIRTS 2 #CH365 L &XL (tech performance) 21.00 42.00T
SHIRTS 1 #T474 L (dri mesh polo) 21.00 21.00T
SHIRTS 1 0777 XL (3 in 1 jkt) 67.75 67.75T
SHIRTS 4 #5614 XL (1 /s pattern) 21.00 84.00T
SHIRTS 2 #138103 I; &XL (scoop knock) 12.00 24.00T
SHIRTS 1 #652 xl (v -neck tee) 9.00 9.00T
SHIRTS 1 #LST253 XXL (1/4 zip) 21.00 21.00T
SHIRTS 1 #P170 XXL hooded 23.75 23.75T
SHIRTS 1 #319966 L (dri fit classic) 31.85 31.85T
Sales Tax 0.00% 0.00
Total $792.10
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
Embroidery Plus
Purchase Order No.
5514 W Washington St
Terms
Indianapolis, IN 46241
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/21/10 112556 Uniform Shirts $729.10
Total
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
Ernbroidery Plus IN SUM OF
5 514 W Washington St
Indianapolis, IN 46241
$729.10
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
nla 112559 200 4356001 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund