167597 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 00351577 Page 1 of 1
ONE CIVIC SQUARE CIRCLE CITY EMBROIDERY
CARMEL, INDIANA 46032 P o BOX 3127 CHECK AMOUNT: $385.22
CARMEL IN 46082
CHECK NUMBER: 167597
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
2200 R43`56001 19791 47191 385.22 4 INSPECTOR JACKETS
I 7Fr�
e
A
Div. of WDM Group, Inc.
P.O. Box 3127 Invoice
1 rc1� Carmel, IN 46082
ty EmbrOidery 317- 846 -7157 Fax 317 846 -5101
DATE INVOICE NO.
12/12/2008 47191
BILL TO SHIP TO
City of Carmel... Engineering
One Civic Square
Carmel, IN 46032
Attn: Judy Stohler
P.O. NO. TERMS REP SHIP DATE SHIP VIA FOB PROJECT
1977'
QTY ITEM DESCRIPTION RATE AMOUNT
4 Apparel J 792 PA Nootka jackets with City of Carmel lol o 92.50 370.00
and engineering dept embroidered
Freight Freight Inbound 15.22 15.22
Thank you for your business. We appreciate it very much!! .rotas
$385.22
A FINANCE CHARGE OF 1.5% PER MONTH WILL BE CHARGED ON BALANCES OVER 30 DAYS OLD.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
s Payee
'Circle,City Embroidery
Purchase Order No.
P.O. Box 3127
Terms
Carmel, IN 46082
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/12/08 47191 4 Jackets for Inspectors $385.22
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.
ALLOWED 20
C C ty E m b rid o9Y IN SUM OF
P.O. Box 3127
Carmel, IN 46082
$385.22
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the.attached invoice(s), or
bill(s) is (are) true and correct and that the
19791 47191 M00- $3 85.22 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sig at
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund