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HomeMy WebLinkAbout198984 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1 ONE CIVIC SQUARE EMBROIDERY PLUS CARMEL, INDIANA 46032 5514 W WASHINGTON STREET CHECK AMOUNT: $1,266.00 INDIANAPOLIS IN 46241 CHECK NUMBER: 198984 CHECK DATE: 7/612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356001 112775 924.00 UNIFORMS 1180 4355100 27424 112787 342.00 SHIRTS Embroidery Plus Invoice 5514 W Washington St Indianapolis, IN 46241 Date Invoice 6/21/2011 112787 Bill To Carmel Law Dept. 1 Civic Square Carmel, IN 46032 Attn: Elaine Bass P.O. No. Terms Project 27424 Net 30 Item Qty Description Rate Amount SHIRTS 2 #RH60 XXL Lt. Pink, Lt. Blue 38.00 76.00T SHIRTS 3 #RH38 XXL Winter Green, Insigna Blue, Clay 38.00 114.00T SHIRTS 4 #RH37 XXL Slate Blue, Celery, Black, Med. Blue 38.00 152.00T Sales Tax 0.00% 0.00 Total $342.00 INDIANA RETAIL TAX EXEMPT PAGE C-I o C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT r� t�k7��� A 35- 60000972 tJ< f ONE 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR j r1' SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION I �A 4pl I Q A I ,tom` _a. z Send Invoice To: a PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Q C A „j.'� /O 10 PAYMENT �.3 7o�• DT 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. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. �i CLERK- TREASURER DOCUMENT CONTROL NO. 2 7 4 9- 4 A•P•V COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER WARRANT ALLOWED 20 IN THE SUM OF M ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT#/TITLE AMOUNT Eeff �_l I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1 K17 materials or services itemized thereon for which charge is made were ordered and received except 2011 Si ire Title Cost distribution ledger classification if claim paid motor vehicle highway f und Embroidery Plus Invoice 5514 W Washington St Indianapolis, IN 46241 Date Invoice 6/21/2011 112775 Bill To CARN EL FIRE DEPT. 2 CIVIC SQ. CARN EL, IN 46032 P.O. No. Terms Project Net 30 Item Qty Description Rate Amount SHIRTS 30 Small- Marge 28 -white 2 -navy 24.00 720.00T SHIRTS 8 XXL white 25.50 204.00T Sales Tax 0.00% 0.00 I 5 Total $924.00 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)) 112775 $924.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Embroidery Plus IN SUM OF 5514 West Washington Street Indianapolis, IN 46241 $924.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 I 112775 j 43- 560.01 I $924.00 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 of n 11 2011 e Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund