169394 03/04/2009 �ew CITY OF CARMEL, INDIANA VENDOR: 003&1577 Page 1 of 1
ONE CIVIC SQUARE CIRCLE CITY EMBROIDERY CHECK AMOUNT: $123.00
CARMEL, INDIANA 46032 P 0 BOX 3127
CARMEL IN 46082 CHECK NUMBER: 169394
CHECK DATE: 3/412009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
2201 4356001 47197 123.00 UNIFORMS
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qtr P.O. Box 3127
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Carmel, IN 46082
Embro dery 317 -846 -7157 Fax 317 -846 =5101 DATE INVOICE NO.
2/25/2009 47197
BILLTO SHIP TO
Carmel Street Department
3400 W. 131 St
Westfield, IN 46074
Attn: Bonnie
P.O. NO. TERMS REP SHIP DATE SHIP VIA FOB PROJECT
Nnt 20 WD 2/25/2009
QTY1 ITEM DESCRIPTION RATE AMOUNT
12 Embroidery Logo embroidered right crest in Lime Green thread 5.25 63.00
12 Embroidery Name embroidered left crest in Lime green threal 6 5.00 60.00
P. Parks -6 C. Edmondson
Thank you for your busiriess. We appreciate it very much!!
Total
$-123:00..
A FINANCE CHARGE OF 1.5% PER MONTH WILL BE CHARGED ON BALANCES OVER 30 DAYS OLD.
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))
02,/25/09 47197 $123.00
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. WAR RAN T N
ALLOWED 20
Circle City Embroidery
IN SUM OF
P. O. Box 3127
Carmel, IN 46082
$123.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 47197 43- 560.01 $123.00 1 hereby certify that the attached invoice(s), o::
bill(s) is (are) true and correct and that the
materials or services itemized thereon for r
which charge is made were ordered and
received except
/J Friday; Febnu, ry 27, 2009
Street Commissi
Street Cowissloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund