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