174302 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS 5514 W. WASHINGTON STREET CHECK AMOUNT: $43.00
CARMEL, INDIANA 46032
+ti r Lo INDIANAPOLIS IN 46241 CHECK NUMBER: 174302
an
CHECK DATE: 718/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMO DESCRIPTION
1120 4356001 43.00 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
6/26/2009 112059
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
LOGO 1 Clarian logo 25.00 25.00T
CONTRACT EMB. 3 Approns with Carmel logo and Clarian logo 6,00 18.00T
Sales Tax 0.00% 0.00
Total $4100
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF$
5514 West Washington Street
Indianapolis, IN 46241
$43.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT
Board Members
1120 43 560.01 $43.00 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
n tL r �nno
a
b
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))
$43.00
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
20
Clerk- Treasurer