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180057 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1 o ONE CIVIC SQUARE EMBROIDERY PLUS CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET CHECK AMOUNT: $10,588.50 INDIANAPOLIS IN 46241 CHECK NUMBER: 180057 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356001 112222 4,457.00 UNIFORMS 1120 4356001 112254 595.50 UNIFORMS 1120 4356001 112255 5,536.00 UNIFORMS Embroidery Plus Invoice 5514 W Washington St Indianapolis, IN 46241 Date Invoice 11/18/2009 112222 Bill To CARMEL FIRE DEPT. 2 CIVIC SQ. CARMEL, IN 46032 P.O. No. Terms Project Net 30 Item Qty Description Rate Amount SWEATSHIRTS 246 M THRU XL 14.00 3,444.00T SWEATSHIRTS 62 XXL 15.00 930.00T SWEATSHIRTS 4 XXXL 16.00 64.00T T- SHIRTS 13 FF/PAR 6.75 87.75T T- SHIRTS 15 OFF/PAR 6.75 101.25T MISC. 340 DISCOUNT -0.50 170.00T Sales Tax 0.00% 0.00 Total $4,457.00 Embroidery Plus Invoice 5514 W Washington St Indianapolis, IN 46241 Date Invoice 12/3/2009 112255 Bill To CARMEL FIRE DEPT. 2 CIVIC SQ. CARMEL, IN 46032 P.O. No. Terms Project Net 30 Item Qty Description Rate Amount MISC. 1 artwork 75.00 75.00T MISC. 5 screens reg. $15.00 10.00 50.00T SWEATSHRTS 191 #F260 sm xl 188 black 1 h grey 1 f green 1 red 14.00 2,674.00T SWEATSHIRTS 48 xxl black 15.00 720.00T SWEATSHMTS 5 xxxl black 16.00 80.00T T- SHIRTS 203 449230 I/s sm xl 200 h grey 1 blk 1 -red 1 f 8.75 1,776.25T green T- SHIRTS 36 xxl heather grey 9.75 351.00T T -SHRTS 5 xxxl h grey 10.75 53.75T DISCOUNT $0.50 x 488 shirts 244.00 244.00 Sales Tax 0.00% 0.00 Total $5,536.00 Embroidery Plus I nvo i ce 5514 W Washington St Indianapolis, IN 46241 Date Invoice 12/1 /2009 1.12254 Bill To CARMEL FIRE DEPT. 2 CHIC SQ. CARMEL, IN 46032 P.O. No. Terms Project Net 30 Item Qty Description Rate Amount COATS 1 #HJ375 L 60.00 60.00T SHIRTS 3 BAYSIDE L&XL 20.50 61.50T SHIRTS 2 BAYSIDE XXL 21.50 43.00T SHlXfS 2 BAYSIDE XXXL 22.50 45.00T SWEATSHIRTS 15 #F260 L FIREFIGHTER/PARAMEDIC 14.00 210.00T SHORTS 16 LARGE 10.00 160.00T JACKET 2 EMB.ONLY 8.00 16.00T Sales Tax 0.00% 0.00 �otal $595.50 VO NO. WARRANT NO. ALLOWED 20 Embroidery Plus IN SUM OF 5514 West Washington Street Indianapolis, IN 46241 $10,588.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 112254 43- 560.01 $595.50 1 hereby certify that the attached invoice(s), or 1120 112255 43- 560.01 $5,536.00 bill(s) is (are) true and correct and that the 1120 112222 43- 560.01 $4,457.00 materials or services itemized thereon for which charge is made were ordered and received except DEC 2009 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)) 112254 $595.50 112255 $5,536.00 112222 $4,457.00 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