161603 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 354377 Page 1 of 1
ONE CIVIC SQUARE U.S. UNIFORM SUPPLY INC
CARMEL, INDIANA 46032 815 N DELAWARE ST CHECK AMOUNT: $179.85
INDIANAPOLIS IN 46204 CHECK NUMBER: 161603
CHECK DATE: 7/1112008
D. _TPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 37515 179.85 UNIFORMS
l)S UNIFORM SUPPLY Invoice
InV �5 N. Delaware St.
ianapolis, IN 46204 Transaction 37515
317 822 -8166 Account CARMEL
317 822 -8167 Page: 1 of 1
Date: 6/30/2008
Time: 11:17:14 AM
Cashier: 6
Register 1
Bill To: ACCOUNTS PAYABLE Ship To: STORE ORDER
CARMEL POLICE DEPARTMENT DEPARTMENTAL BILLING
3 CIVIC SQUARE
CARMEL, IN 46032
317.571.2500
Reference: ASHLEY WILLIAMS
Comment: STORE PU
Rep ,,,Item t ookup Codes Description; Quantity Price.; p Extended
CC E8876 10 ELBECO PANT E8876 NAVY 10 3 $59.95 $179.85"
100% POLY NAVY
�,,T� Sub Total $179.85
Thank you for shopping Sales Tax $0.00
0 Total $179.85
Please come again!
Store Account $179.85
Change Due $0.00
37515
Pres� 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
vtrhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
US Uniform Supply Purchase Order No.
815 N. Delaware Street Terms
Indianapolis, IN 46204 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6./30/OE 37515 payment for uni56rm pants for Officer Ashley Williams 179.85
Total
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
VOUCHER NO. WARRANT NO.
r
ALLOWED 20
U S Uniform Supply IN SUM OF
815 N. Delaware Street
Indianapolis, IN 46204
179.85
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 37515 560 -01 179.85 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
July 2 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund