192427 12/07/2010 f CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
r' CHECK AMOUNT: $16,011.25
CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET
INDIANAPOLIS IN 46241 CHECK NUMBER: 192427
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 24137 112592 4,031.00
1120 4356001 112593 435.00 UNIFORMS
1120 4356001 24131 112594 8,388.00
1120 4356001 112595 3,010.50 UNIFORMS
1120 4356001 112596 68.75 UNIFORMS
1120 4356001 112597 78.00 UNIFORMS
03/27/2010 16:00 3172432444 DOC PAGE 06
Embroidery Plus invoice
5514 W Washington St
Indianapolis, IN 46241 Dote Invoice
11/30/2010 112597
Bill To
CARmF-L FaE DEPT.
2 CIVIC SQ.
cARWL, N 46032
P.O. No. terms Project
Net 30
Item Qty Description Rate Amount
S 6 420230 Large (maintenance) 6.75 40-50T
SWEATSKRTS 3 0260 Large 14-00 42.00T
MCOUM 9 X,50 4,50 A-50
Sales Tax 0.00% 0-00
Tot, t—a $78.00
03/27/2010 16:00 3172432444 DOC PAGE 07
Embroidery Plus Invoice
5 514 W Washington St
IndianapoUs, IN 46241 Date Invoice#
11130/2010 112596
Bill To
CARMEL FIRE DEPT,
2 CMC sq.
CARLMEL, IN 46032
P.O. No- Terms Project
Net 30
Item Qty Description Rate Amount
T�Sl3IR7 S 11 #20230 XI, fkefightm 6.75 74,25T
DISCOUNT 11 X'50 -5.50 -5-50
Sales Tax 0,00
Total $69.75
03/27/2010 16:00 3172432444 DOC PAGE 02
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, YN 46241 Date Invoice
11/30/2010 112593
IBM To
CAF,NEL TIRE
2 civic SQ-
CARhEl, IN 46032
P.O. No. Terms Project
Net 30
Item city Descripbon Rate Amount
COATS 3 J-4athcy I -XXL 2- XXL tall 145.00 435.00T
Sales Tax 0,00
Total $435.00
03/27/2010 16 :00 3172432444 DOC PAGE 04
Embroidery Plus Invoice
5514 W Washington St
ludianapolis, IN 46241 Date Invoice
I, 1/30/2010 112595
Bill To
CARMEL. FIRE DEPT.
2 C1'VTC $Q.
C„yltWL, IN 46032
P.Q. No, Terms Project
Net 30
Item Qty Description Rate Amount
r
T -SHIRTS 378 1120230 med x1 screen
printed 6.75 2,551.50T
T -S I 75 xx1 8.50 637.50T
T- SHIRTS 6 xxxl 8 -50 51,OOT
DISCOUNT 459 x 50 229.50 4229.50
Sales Tax 0.00/0 0.00
Total $3,010.50
03/27/2010 16:00 3172432444 DOC PAGE 03
Embroidery Plus Invoice
5514 W Wasbington St
Indianapolis, IN 46241 Date Invoice
11/30/2010 112592
Bill To
CARMEL FIRE DEPT.
2 CMC SQ.
CARUML, IN 46032
P.Q. No. Terms Project
Net 30
Item Qty Description Rate Amount
236 OF260 Sma. 1 1 )G.arge 14.[}0 3,304-OOT
SVVFATSHRTS 54 XXLarge 15-00 810.00T
SWEATSIRKYS 4 XX7KL 16-00 64,OOT
DISCOUNT 294 x 50 -147M -147.00
Sales Tax 0.00% 0,00
Total $4,031.00
03/27/2010 16:00 3172432444 DOC PAGE 05
Embroidery Plus I nvo i ce
5514 W Washington St
Indianapolis, IN 44241 Date Invoice
11/30/2010 112594
Bill To
CARMEL FME D EFT. _...M..._
2 CIVIC SQ.
CAl2WL, IN 46032
P.O. No. terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 288 S -XL Tact Squad White aiad Navy polos 24.00 6,912.00T
SHIRTS 72 XXL 8t X)DM 25.50 1,836 -OOT
DISCOUNT 360 x 1.00 360.00 360 -00
Sales Tax 0.00% 0.00
Total $8,388-00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$16,011.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept INVOICE NO. ACCT /TITLE AMOUNT Board Members
24160 112593 43- 560.01 $435.00 1 hereby certify that the attached invoice(s), or
24160 112597 43 560.01 $78.00 bill(s) is (are) true and correct and that the
24160 112595 43- 560.01 $3,010.50
24131 1 12594 43- 560.01 $8,388.00
materials or services itemized thereon for
24160 112596 43- 560.01 $68.75 which charge is made were ordered and
24137 112592 43- 560.01 $4,031.00 received except
DEC 6 2090
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))
112593 $435.00
112597 $78.00
112595 $3,010.50
112594 $8,388.00
112596 $68.75
112592 $4,031.00
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