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HomeMy WebLinkAbout193411 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1 ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $446.75 CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET INDIANAPOLIS IN 46241 CHECK NUMBER: 193411 CHECK DATE: 1/5/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 R4355100 27588 122632 446.75 LEATHER COAT /SHIRTS Embroidery Plus Invoice 5514 W Washington St Indianapolis, IN 46241 Date Invoice 12/21/2010 112632 Bill To Carmel Law Dept. 1 Civic Square Carmel, IN 46032 Attn: Elaine Bass P.O. No. Terms Project Net 30 Item Qty Description Rate Amount SHIRTS 2 #RH37 XXL Button up with logo 40.00 80.00T SHIRTS 1 41,615 ladies button up 26.00 26.00T SHIRTS 1 4K449 XXL Pima Polo 22.25 22.25T SHIRTS 1 4K526 XXL dry zone polo 26.50 26.50T SHIRTS 1 #266998 Nike polo 35.00 35.00T SHIRTS 1 #244612 Nike polo 48.00 48.00T sweater 1 #SW275 v -neck 29.00 29.00T COATS 1 0780 Leather 180.00 180.00T Sales Tax 0,40% 0.00 Total $446.75 [4•W Wa.shingEon Si.. TUB Fix: Oi6napo)is, IN 46241 Callsd In ®y Dips Plornlssd 7 24 -3445 Im q AuthWli*d ®y I LD SNIP 0 TO I ATM ChargO Pajd Collett COD Mdse. Rtd. Credi!' Epchange' Sample Sr�:e an No. Phone No. A ;TY :QTY OTY LOT NO SIZE DESCRIPTION TO PRICE EXTENSION 100 SO' SHPD G:I. tnox 614hn 00 Kvw-- q�ma- fir'© a bcq zone_ oU r i �I(k- Pa l o,vo i er iMAT URE- WEIGHT CHARGE NO.. CTNS., c.ah Wlien SUB Read V.. TOTAL ECIAL INSTRUCTIONS CPU TAX I)PS ship 0�ei T..OiAL L 0 INDIANA RETAIL TAX EXEMPT PAGE C of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER D 6 �lT T j 6 /T FEDERAL EXCISE TAX EXEMPT v g IT I •/V 35- 60QdD972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584' VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION SHIP VENDOR n TO f CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION �r '41 .mom z p Send I nvoice To:: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT c1 PAYMENT 1 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 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER 1SSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE �L AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v f�� CLERK TREASURER DOCUMENT CONTROL NO. 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 /mil C.r1 IN THE SUM OF W 014 ACCOUNT OFPROPRIATION FOR i PO# or Board Members INVOICE NO, ACCT #/TITLE AMOUNT 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 Si Title Cost distribution ledger classification if claim paid motor vehicle highway fund