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165178 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00351577 Page 1 of 1 ONE CIVIC SQUARE CIRCLE CITY EMBROIDERY CARMEL, INDIANA 46032 P 0 BOX 3127 CHECK AMOUNT: $50.00 CARMEL IN 46082 CHECK NUMBER: 165178 rae CHECK DATE: 10/29/2008 D EPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4355100 47167 50.00 PROMOTIONAL FUNDS Al Pli s, C g 3 s Div. of WDM Group, Inc e �If Gl P.O. Box 3127 I n v oice d Em roi Carmel, INA60k w de 317 715 -846 -7 a Fax 317-$46 5101E :r x ©ATE INVOICENO. fir..,...,, v F 'ice j t 10/16/2008 47167 BILL TO SHIRTO City of Carmel Govt Channel One Civic Square Carmel, In 46032 Attn: Nancy Heck TERMS R .;�:_._..:T.:..�..� ...�._._..�.A ''FOB �:,-.r EP SHIP DATE SHIP VI PROJECT WDN 10/16/20- QTY ITEM DESCRIPTION' RATE AMOUNT 5 Embroidery Embroidery Charges Govt Channel garments 10.00 50.00 Indiana Sales Tax 7.00% 0.00 Thank you for your business. We appreciate it very much!! Total $50.00 A FINANCE CHARGE OF 1.5% PER MONTH WILL BE CHARGED ON BALANCES OVER 30 DAYS OLD. v Prescribed by :state Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL t.�,10/27/08 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 Circle City Embroidery Purchase Order No. P. 0. Box 3127 Terms Carmel IN 46082 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/16/08 47167 Embroider charges Government Channel g arments $50.00 Total $50.00 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. 10/ */08 ALLOWED 20 Circle City Embroidery IN SUM OF P. 0. Box 3127 Carmel IN 46082 50.00 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayor 4355100 Promotional Funds Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 47167 4355100 50.00 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 20 A, ture Cost distribution ledger classification if Title claim paid motor vehicle highway fund