192570 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $1,569.17
;a CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE.
ory INDIANAPOLIS IN 46202 CHECK NUMBER: 192570
CHECK DATE: 12!712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 27083 330508A 944.52 UNIFORMS /ACCESSORIES
1110 4356002 27083 330508A 624.65 UNIFORMS /ACCESSORIES
1927 N. CAPITOL AVE. g�
INDIANAPOLIS, IN 46202 THE HE 11/29/2010
TELE: 317 926 -4467 I ralrolim Page 1 of 2
FAX: 317 9264460 s� INC. .O. NUMBER: 000330508
HOUSE
CLERK: Faye Y.
Invoice 000330508A
BILL TO: SHIP TO:
Carmel Police Department JOHN GOVIN
3 Civic Square GIVE TO FAYE
Carmel„ IN 46032
Part Number Description Ordered Shipped Price TotalTax
PR -4801 Peerless Hinged Cuff (801 -N) 1 1 38.66 38.66
90H-4 Sflnd Hinge BW Cuff Case Flap 1 1 35.67 35.67
65-4 -4 Keeper,2 Snap Silv,4 -Pack 1 1 10.35 10.35
52611 F -26 -6 BLACK CHROME BATON 1 1 70.61 70.61
35- F26 -4(BW) Exp. Baton Hldr Sflnd Blk 1 1 33.30 33.30
33-4V Surgical Glove Pouch Blk BW Velcro 1 1 18.21 18,21
38 -3-4 OC Spray Hldr w /Flap Sflnd 1 1 35.58 35.58
NY903 Police Duffel Bag 1 1 42.08 42.08
SA- 12201 -CH -4811 CITATION HOLDER, KROLL 1 1 20.47 20.47
SA -21017 CM -8512 CRUSIER MATE 81/2X12 1 1 27.90 27.90
$313016 3 Cell D Mag -Lite Black 1 1 22.95 22-95
ASX- D07B -S MAG LITE TRAFFIC WAND 1 1 3.15 3.15
B666 -RHOD -Blue Nametag 1 1 15.30 15.30
HL- S- 3200X -LE PROTECTIVE EYE WEAR 1 1 9.23 9.23
HL- 1010926 EAR MUFFS QM25 1 1 15.75 15.75
GG -B- 627 -7W DBL.MAG POUCH BLK -BW 1 1 28.04 28.04
M505L Orange Orlon Glove 1 1 15.54 15.54
HAT- MF -50N Metal Floral Silver Hat Band 1 1 9.90 9.90
269 -clear raincover Clear raincover for caps 1 1 3.78 3.78
E8875 -NV -38 Cargo Pocket Trouser NV Mens 3 3 48.71 146.13
Z314 -35 -17.5 Tex -Trop L/S shirt w/ zipper NV 3 3 42.84 128.52
Z3314 -NV -17.5 Tex -Trop S/S shirt w/ zipper NV 3 3 38.48 115.44
6582 BLK -BW-40 Belt 1.5" 1 1 15.30 15.30
6504 -3- BLK- 40 -SLV 2 1/4 in Sam Brown BW 4 Row Stitch 1 1 48.60 48.60
Tie Clip- 20 -DKNVY 45045 w /Bttn Holes 2 2 5.99 11.98
48017 -NV -XL 5 -in -1 Jacket 1 1 215.25 215.25
447RSCIP004 -XL -R Raincoat Blk /Org w /Police on Org 1 1 54.47 54.47
942 -E -12 Bates Lites Uniform Oxford Hi Gloss 1 1 84.66 84.66
42980 -12 -EE Striker II GTX Boot 1 1 158 12 158.12
1400 BLACK -XL 10" WORK BOOT (RUBBER) 1 1 27.83 27.83
Continued Next Page
11/29/2010
The Uniform House, Inc.
1927 N. Capitol Ave. Page 2 of 2
Indianapolis, IN
46202
800 -949 -4467
317 -926 -4460 000330508A
Carmel Police Department JOHN GOVIN
3 Civic Square GIVE TO FAYE
Carmel„ IN 46032
Part Number Description Ordered Shipped Price TotaITax
1417- NV -XL -R INSULATED COVERALL 1 1 61.58 61.58
5 STAR- IMPD -7 112 5 Star Hat 1 1 44.82 44.82
UPS FREIGHT 1 Z8R1 15VO357510866 1 1 0.00 0.00
UPS FREIGHT 1ZSR115VO358826676 1 1 0.00 0.00
Sub Total $1,569.17
IN 7% $0.00
Total $1,569.17
Paid $0.00
Balance $1,569.17
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
INDIANA RETAIL TAX EXEMPT PACE 1 Of 1
City of C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 27083
M 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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
November 17, 2010 uniforms /accessories
VENDOR Uniform Rouse SHIP City of Carmel. Police Department
1927 N. Capitol Avenue To 3 Civic SquSee
Indianapolis, IN 46202 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
uniforms and accessories for Officer John Govin 1,612.71
wa�
560-01 C $944 1
560 -02 $668.19 k
VA
SA
Send Invoice To: 7
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJE T PROJECT ACCOUNT AMOUNT
1110 560 -01 uniforms
1110 560 -02 uniform accessories 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
THIS AP R PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Ch ie f of olic
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS #945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Uniform House, Inc.
IN SUM OF
1927 N. Capitol Avenue
Indianapolis, IN 46202
$1,569.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO ACCT #IT'ITLE AMOUNT Board Members
27083 330508A 43- 560.01 $944.52 I hereby certify that the attached invoice(s) or
IRZAQ33- 330508A 43- 560.02 $624.65
bill(s) is (are) true and correct and that the
67 7 Of,'-5 materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, December 01, 2010
-b gzw&t
Chief o f P olice
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))
11/29/10 330508A Uniforms Officer John Govin $944.52
11/29/10 330508A Uniform accessories for Officer John Govin $624.65
1 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