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166627 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00351577 Page 1 of 1 1 0� ONE CIVIC SQUARE CIRCLE CITY EMBROIDERY CHECK AMOUNT: $481.75 CARMEL, INDIANA 46032 P 0 BOX 3127 CARMEL IN 46082 CHECK NUMBER: 166627 CHECK DATE: 12/1012008 DEPARTMENT ACCOUNT PO NUMB INVOICE N UMBER AMOUNT DESCRIPTION 2201 4356001 47182 481.75 UNIFORMS I i F Div. of WDM Group Inc. P.O. Box 3127 Invo Carmel, IN :46082 r Embroidery 317- 846 -7157 o Fax 317-84&51011 DATE INVOICE NO 1 /19/2008 47182 BILL TO SHIP TO Carmel Street Department 3400 W. 131 St Westfield, 1N 46074 Attn: Bonnie P O':. N TERMS REP SHIP DATE SHIP VIA FOB PROJECT QTY ITEM DESCRIPTION RATE `AMOUNT 7 Embroidery EImbroidery Charges logo on customer jackets 5.25 246.75 7 Embroidery mbroidery Charges First name last name first 5.00 235.00. nitial on customer jackets afety Green Thread Thank you for your business. We appreciate it very much!! Total $48.1.75 A FINANCE CHARGE OF 1.5% PER MONTH WILL BE CHARGED ON BALANCES OVER 30 DAYS OLD. VOUCH NO. WARRANT NO. ALLOWED 20 Circle City Embroidery IN SUM OF P. O. Box 3127 'Carmel, IN 46082 $481.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member 2201 47182 43- 560.01 $481.75 l 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 Thursday, December 04, 2008 1, Street 5 f nissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 11/19/08 47182 $481.75 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