205625 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
ONE CIVIC SQUARE THE UNIFORM HOUSE, INC.
CHECK AMOUNT: $340.21
CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE.
INDIANAPOLIS IN 46202 CHECK NUMBER: 205625
CHECK DATE: 1/1712012
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 340.21 UNIFORMS
1/4/2012
The Uniform House, Inc.
1927 N. Capitol Ave. Page 1 of 1
Indianapolis, IN
46202
800- 949 -4467
317- 926 -4460
STATEMENT
Carmel Fire Dept
Fire Station 1
2 Carmel Civic Square
Carmel IN 46032
Date Recei t Descr:i tion... Arrioun
Balance Forward 53.76
New Purchases 286.45
Payments Received 0.00
New Balance Due 340.21
Date Invoice Amounf Paid Balance Aging Purchase:
Order
12/8/2011 000377012 ($89.10) $0.00 ($89.10)30 Days 000374470
12/6/2011 000376207 V $44.86 $0.00 $44.8630 Days 000376207
12/6!2011 000376208 V $98.00 $0.00 $98.0030 Days 000376208
1!312012 1000379036 V 26.85 $0.00 $26.85Current 000379036
1/312012 000378969 V $0.00 $129.80Current 000378969
1/3/2012 000378970 V$129.80 $0.00 $129.80Current 000378970
TOTAL DUE CURRENT 0 Days 60 Days 90+ Days
$340.21 $286.45 $53.76 $0.00 $0.00
1927 N. CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE 12/8/2011 E APF&W%M
TELE: 317-926-4467 Page 1 of 1
FAX: 317-926-4460 P.O. NUMBER: 000374470
www.uniformhouse.com IN
H 0 U J SE X I N C. CLERK: Faye Y.
Invoice 000377012
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
'Shipped::::', j. �icel
Ordeted:'
t 76talTa'x
:Part umb&: e ion:
58 78- Interceptor 8.0 SZ WP 89.10 -89.16
Sub Total ($89.10)
IN 7% $0.00
Total ($89.10)
Paid $0.00
Balance ($89.10)
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
1927 N. CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE 12/6/2011
TELE: 317-926-4467 IRM Page 1 of 1
FAX: 317-926-4460 P.O. NUMBER: 000376207
www.uniformhouse.com Iro
HOUSE, INC. CLERK: Faye Y.
Invoice 000376207
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station I GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
vr
D ion Order Price.'.. Tbtaffax
Part Num!J4., escrip,t' Ordered
pp-Al-
5953-NV-2X 2X2 Ribbed Commando 1 1 40.86 40.86
Alter-Emblem Saw Emblem Sewing 2 2 1.00 2.00
Alter-Badge Tab Add Badge Tab LF or RF (Each) 1 1 2.00 2.00
Sub Total $44.86
IN 7% $0.00
Total $44.86
Paid $0.00
Balance $44.86
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
1927 N. CAPITOL AVE. 12/6/2011
INDIANAPOLIS, IN 46202 THE mmm AVI& oft M
TELE: 317-926-4467 do in tz—%JJM Page 1 of I
FAX: 317-926-4460 Tj P.O. NUMBER: 000376208
www.uniformhotise.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000376208
BILL TO: SHIP TO:
Carmel Fire Dept KEITH SMITH
Fire Station 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
0 di d� S P :TotalTax
Part:Nbh�ber Description...
r. e ippp Price
White US Shirt Poplin w/Mil.Crs 2 2 48.00 96.00
Alter-Emblem Sew Emblem Sewing 2 2 1.00 2.00
Sub Total $98.00
IN 7% $0.00
Total $98.00
Paid $0.00
Balance $98.00
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt,
1927 N. CAPITOL AVE. AISM6 1/3/2012
INDIANAPOLIS, IN 46202 THE 111MM
TELE: 317-926-4467 Page I of I
FAX: 317-926-4460 P.O. NUMBER: 000379036
www.uniformhouse.com 11
U EX I N C
H 0 CLERK: Faye Y.
Invoice 000379036
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Totaffax
Ordered Shipped, Price
Part Number,:,,, Description i
NAM ETAG-GOLD-3-ONELINametag 2 2 8.95 17.90
NAMETAG-SILVER-3-ONE Nametag 1 1 8.95 8,95
Sub Total $26.85
IN 7% $0.00
Total $26.85
Paid $0.00
Balance $26.85
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
1927 N. CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE 1/3/2012
TELE: 317 926 -4467 Tjjjqjjr01K1W Page 1 of 1
FAX: 317 926 -4460 P.O. NUMBER: 000378970
www.un!formhouse.com
L
HOUSE, INC. CLERK:
Faye Y.
Invoice 000378970
BILL TO: SHIP TO:
Carmel Fire Dept TIM FAGIN
Fire Station 1 P/U GARY CARTER
2 Carmel Civic Square 46032
Carmel IN 46032
Part Number Description Ordered Shipped Price TotalTax
5913OWP- LAPD -L Ultra Duty Jkt w /Liner Water -proof 1 1 127.80 127.80
Alter Emblem Sew Emblem Sewing 2 2 1.00 2.00
Sub Total $129.80
IN 7% $0.00
Total $129.80
Paid $0.00
Balance $129.80
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
1927 N. CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE --mmo 0031mh 1/3/2012
10 dMI M
TELE: 317-926-4467 It k 000 w Page 1 of 1
FAX: 317-926-4460 P.O. NUMBER: 000378969
www.uniformhouse.com HOUSE, INC. CLERK: Faye Y.
Invoice 000378969
BILL TO: SHIP TO:
Carmel Fire Dept RICK DECRASTOS
Fire Station 1 P/U GARY 571-2667
2 Carmel Civic Square 46032
Carmel IN 46032
t Ordered Price TatalTax
Part,Numbe'r D'es rip ion
5913OWP-LAPD-XL Ultra Duty Jkt w/Liner Water-proof 1 1 127.80 127.80
Alter-Emblem Sew Emblem Sewing 2 2 1.00 2.00
Sub Total $129.80
IN 7% $0.00
Total $129.80
Paid $0.00
Balance $129.80
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
VOUCHER NO. WARRA N
ALLOWED 20
The Uniform House
IN SUM OF
1927 North Capital Avenue
Indianapolis, IN 46202
$340.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
1120 I I 43- 560.01 I $340.21 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
AN 13 2012
r 4
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
$340.21
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
2Q
Clerk- Treasurer