177777 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363378 Page 1 of 1
ONE CIVIC SQUARE NAME DROPPERS CHECK AMOUNT: $444.00
O r
CARMEL, INDIANA 46032 11416 FOREST KNOLL CIRCLE
FISHERS IN 46037 CHECK NUMBER: 177777
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPT
206 4462838 9103 444.00 T SHIRTS
r-
I `+11416 Forest Knoll Circle E) In voice
Fishers, IN 46037
317 -585 -1815 Date Invoice
Fax 317 585 -1705 T V 9/14/2009 9103
Embroidery, Screen Printing
Ad Specialties
Bill To
Gary Duncan
City of Carmel
Department of Engineering
One Civic Square
Carmel, IN 46032
Terms
Due on receipt
Quantity Description Rate Amount
120 Port and Co. s/s Cotton Tee, PC61, 5370 youth, Stonewashed Green, screen 3.70 444.00T
printed with 5 colors on the front.
Thanks for your continued business and support!
Sales Tax (0.0 $0.00
E -mail Balanced Due $444.00
namedroppers @comcast.net
�':fescribed 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
Name Droppers
Purchase Order No.
11416 Forest Knoll Circle
Terms
Fishers, IN 46037
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/14/09 9103 Volunteer shirts for White River Clean up $444.00
Storm water phase II credit
Total
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
WARRANT NO.
r ALLOWED 20
Name Droppers IN SUM OF
11416 Forest Knoll Circle
Fishers, IN 46037
$444.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 9103 206- 446283 $444.00 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
28 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund