HomeMy WebLinkAbout178133 10/14/2009 a CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
o� t ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $1,509.50
/+o CARMEL, INDIANA 46032 5514 W. WASHINGTON STREET
INDIANAPOLIS IN 46241 CHECK NUMBER: 178133
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUM INVOICE NUM AMOUNT DE
1120 4356001 112163 281.00 UNIFORMS
1120 4356001 112164 850.50 UNIFORMS
1180 4355100 112169 378.00 PROMOTIONAL FUNDS
.Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
9/26/2009 112169
Bill To
Carmel Law Dept.
1 Civic Square
Carmel, IN 46032
Attn: Elaine Bass
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 1 #RH37 XXL Celery button -up 37.50 37.50T
SHIRTS 1 #T303 XXL Navy polo 24.00 24.00T
SHIRTS 3 #193581 XXL 1- red I -e.g. 1 -black polo 27.50 82.50T
JACKET I #JP72 XXL V -Neck windshrit 20.00 20.00T
COATS 1 #J754R XXL Challenger coat 43.00 43.00T
SHRTS 2 #RH25 1 med 1- xl ladies button up 37.50 75.00T
SHIRTS 1 xxlarge 38.50 38.50T
JACKET 1 #244610 large Nike cover up 57.50 57.50T
Sales Tax 0.00% 0.00
Total $378.00
INDIANA RETAIL TAX EXEMPT PAGE
C i t y I' C anal CERTIFICATE NO.003120155 002 0 CS.�s. PURCHASE ORDER NUMBER
o !i. +�y 1 FEDERAL EXCISE TAX EXEMPT
f"� 35- 60000972 d�V
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER. DELIVERY 'MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
�l.cC 7
VENDOR 1�`/°�,�!. SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A
Y ,r
j y
I k e
Send invoice To: I
r
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/M C O PAYMENT
J I A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING
THIS ORDER R ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. f
M7 CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO., WARRANT NO.
II r J ALLOWED 20
IN THE SUM OF
s y
ON ACCOUNT OF APPIPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
.1 I 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
C7 20
e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
A.
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
9/26/2009 112163
Bill To
CARMEL FIRE DEPT.
2 CMC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 1.9 #1450 8 large 11 xlarge white screened front and 14.00 266.00T
back
SHIRTS l xxlarge 15.00 15.00T
All shirts are for the Honor Guard
Sales Tax 0.00% 0.00
Tots 1 $281.00
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date invoice
9/26/2009 112164
Bill To
CARMEL FIRE DEPT.
2 CMC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T -SHIRTS 1.0 #20230 Maintenance large 6.75 67.50T
SWEATSHIRTS 4 #F260 Maintenance 14.00 56.00T
HATS 99 #24600 navy velcro hats with Carmel logo 7.00 693.00T
SHIRTS 2 #K420 small white poios for Michael Kaufman 17.00 34.00T
Sales Tax 0.00% 0.00
Total $850.50
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$1,131.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1 120 112163 43- 560.01 $281.00 I hereby certify that the attached invoice(s), or
1120 112164 43- 560.01 $850.50
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
Aef i 2 2609
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))
112163 $281.00
112164 $850.50
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