198636 06/22/2011 CITY OF CARMEL, INDIANA VENDOR. 365421 Page 1 of 1
ONE CIVIC SQUARE MAC DESIGNS INC
CARMEL, INDIANA 46032 10093RD AVE SW CHECK AMOUNT: $2,825.00
CARMEL IN 46032 CHECK NUMBER: 198636
CHECK DATE: 612 212 011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 10217 2,825.00 UNIFORMS
F a V.. 1009 13171580 9390 Invoice
E10 N 3rd Ave SW Date Invoice
NNN! /NNN J9$f /NN NN A., Carmel, IN 46032
6/16/2011 10217
Bill To Ship To
CARMEL STREET DEPARTMENT
BONNIE CALLAHAN
3400 N 131ST ST
CARMEL. IN 46074
P.O. Number Terms Rep Ship Via
Net 30 MARTY 6/16/2011 UPS
Quantity Item Code Description Price Each Amount
100 S/S SHIRT SHORT SLEEVE SHIRT ASH 5 50 55000
35 S/S SHIRT SHORT SLEEVE SHIRT' ASH XXL 7 50 26250
30 S/S SHIRT SHORT SLEEVE SHIRT ASH XXXL 8.50 255.00
45 S/S SHIRT SHORT SLEEVE SHIRT ASH 7.50 337.50
30 S/S SHIRT SHORT SLEEVE SHIRT ASH XXL 7.50 225 00
50 POLO POLO ASH 18 00 900.00
10 POLO POLO ASH XXL 19.00 190.00
5 POLO POLO ASH XXXL 21 00 10500
Total $2.825 00
If you have a question or dispute regarding an invoice please call us at 317580 -9390 or
800 -953 -9939. Accounts past due will be charged 1.5% tnterst I M" annual rate Balance Due $2,825.00
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))
06/16111 10217 $2,825.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mac Designs, Inc.
IN SUM OF
1009 3rd Ave. S. W.
Carmel, IN 46032
$2,825.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 10217 43- 560.01 $2,825.00 1 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
Fri June 17, 2011
x-44
Street Commisspner
ssioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund