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Home My WebLink About180304 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1 j ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $6,603.67 CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. INDIANAPOLIS IN 46202 CHECK NUMBER: 180304 *pro -o CHECK DATE: 12/8/2009 DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION 1120 4356001 6,444.57 UNIFORMS 1110 4356002 21095 280844 31.82 UNIFORM 1110 4356001 284398 127.28 UNIFORMS a 1927,04. CAPITOL AVE. INDIANAPOLIS, IN 46202 11/16/2009 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 291810 CLERK: Faye Y. Invoice 291810 BILL TO: SHIP TO: Carmel Fire Dept KENT STEURY Fire Station 1 PIU GARY 571 -2667 2 Carmel Civic Square 2 Carmel Civic Square Carmel, IN 46032 Carmel, IN 46032 Part Number Descnation. Ordered Shipped- Price Total Tax' 1700- DN -37 -R 4 Pocket Duty Trouser 2 2 35.55 71.10 Sub Total $71.10 IN 7% $0.00 Total $71.10 Paid $0.00 Balance $71.10 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 11/12/2009 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 289676 CLERK: Faye Y. Invoice 289676 BILL TO: SHIP TO: Carmel Fire Dept MARK DEITSCH Fire Station 1 PIU GARY 571 -2667 2 Carmel Civic Square Carmel, IN 46032 Dasc Part Nmber n Ord I ption red Shped Price Total Tax 42980 -10 -D Striker II GTX Boot 1 1 129.00 129.00 79300 Black Boot Zippers 8" 1 1 23.87 23.87 Sub Total $152.87 IN 7% $0.00 Total $152.87 Paid $0.00 Balance $152.87 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 11112!2009 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 290324 CLERK: Faye Y. Invoice 290324 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 Part Number Descriptio_ n. Ordered Shipped Price TotalTax J25- MDT -L -R Sandstone Active Jac/Thermal Lined 1 1 61.20 61.20 J25- MDT -2X -T Sandstone Active Jac/Thermal Lined 1 1 61.20 61.20 J25- MDT -2X -R Sandstone Active JaclThermal Lined 1 1 61.20 61.20 COMMENT COMPLETE IN WAREHOUSE IN BOX READY FOR 1 1 0.00 0.00 DELIVERY 11/12/09 MB Sub Total $183.60 IN 7% $0.00 Total $183.60 Paid $0.00 Balance $183.60 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. 1927 N. CAPITOL AVE. 11/9/2009 INDIANAPOLIS, IN 46202 TELE: 317- 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 290314 CLERK: Faye Y. Invoice 290314 BILL TO: SHIP TO: Carmel Fire Dept LUCAS RAY Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 Part Number Description Ordered ipped- Price TotalTax PANTS CUSTOMER OWNED PANTS 1 1 0.00 0.00 Alter -Waist WAIST ALTERED ON PANTS 1 1 6.00 6.00 ALPHA P!U SHELF COMPLETE 1119/09 SE 1 1 0.00 0.00 Sub Total $6.00 IN 7% $0.00 Total $6.00 Paid $0.00 Balance $6.00 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 11/18/2009 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 291867 CLERK: Faye Y. Invoice 291867A BILL TO: SHIP TO: Carmel Fire Dept KEITH SMITH Fire Station 1 GARY CRAIG 2 Carmel Civic Square 571 -2667 Carmel, IN 46032 Part Number D Ordered Shipped Price Total Tax .:m.. 1700- DN -52 -R 4 Pocket Duty Trouser 1 1 42.66 42.66 COMMENT COMPLETE GAVE TO FAYE TO DELIVER 11/17/09 1 1 0.00 0.00 SE Sub Total $42.66 IN 7% $0.00 Total $42.66 Paid $0.00 Balance $42.66 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 11/17/2009 TELE: 317- 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 287361 CLERK: Faye Y. Invoice 287361 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 Part Numb Descnpt+an. Ordered Shipped Price Total Tax T4113 -NV -34 Navy EMT Trousers 2 2 37.95 75.90 COMMENT brad sombhe 1 1 0.00 0.00 COMMENT COMPLETE IN FAYE'S BOX FOR DELIVERY 1 1 0.00 0.00 11/17/09 MB Sub Total $75.90 IN 7% $0.00 Total $75.90 Paid $0.00 Balance $75.90 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 1 1/20/2009 TELE: 317 -926 -4467 Page 1 of 1 FAX: 317- 926 -4460 P.O. NUMBER: 287569 CLERK: Faye Y. Invoice 287569 BILL TO: SHIP TO: Carmel Fire Dept BOB HENSLEY Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 Part Nu mber Description Ordered Shipped' Brice Total Tax 1700- DN -34 -R 4 Pocket Duty Trouser 2 2 35.55 71.10 T4113 -NV -34 Navy EMT Trousers 2 2 37.95 75,90 COMMENT COMPLETE IN FAYE'S BOX 11/20/09 SE 1 1 0.00 0.00 Sub Total $147.00 IN 7% $0.00 Total $147.00 Paid $0.00 Balance $147.00 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 11/23/2009 TELE: 317 -926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 290971 CLERK: Faye Y. Invoice 290971 BILL TO: SHIP TO: Carmel Fire Dept JEFF CAPSHAW Fire Station 1 PICK UP 571 -2667 2 Carmel Civic Square GARY CARTER Carmel, IN 46032 Part Number D escription Ordered Shipped. Price TotalTax -D Striker II 42980 10.5 5trik GTX Boot 1 1 129.00 129.00 79300 Black Boot Zippers 8" 1 1 23.87 23.87 SHOE SHELF COMPLETE 11/23109 MB 1 1 0.00 0.00 Sub Total $152.87 IN 7% $0.00 Total $152.87 Paid $0.00 Balance $152.87 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 12/1/2009 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 9264460 P.O. NUMBER: 293001 CLERK: Faye Y. Invoice 293001 BILL TO: SHIP TO: Carmel Fire Dept COREY ANDERSON Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 t Part Number,' Description Ordered Shi pped Price Total Tax 4298D -9 -D Striker II GTX Boot 1 1 129.00 129.00 79300 Black Boot Zippers 8" 1 1 23.87 23.87 Sub Total $152.87 IN 7% $0.00 Total $152.87 Paid $0.00 Balance $152.87 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 12/1/2009 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 926.4460 P.O. NUMBER: 292997 CLERK: Faye Y. Invoice 292997 BILL TO: SHIP TO: Carmel Fire Dept ROGER KILBURN Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 Part Numb Description Ordered Shipped Price Total 79300 Black Boot Zippers 8" 1 1 23.87 23.87 COMMENT ROGER KILBURN 1 1 0.00 0.00 Sub Total $23.87 IN 7% $0.00 Total $23.87 Paid $0.00 Balance $23.87 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. 1927 N. CAPITOL AVE. 12/1/2009 INDIANAPOLIS, IN 46202 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 290319 CLERK: Faye Y. Invoice 290319 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 Part Number Description Ordered Shipped Price Total Tax 942 -E -10 Bates Lites Uniform Oxford Hi Gloss 1 1 82.80 82.80 IFDHAT -NVY -6 718 Navy Rnd Hat Blk Brim 1 1 42.30 42.30 COMMENT LUCAS RAY 1 1 0.00 0.00 1375- 5 -50 -R Dress Bls w/ Lwr Strt Pkt Flaps 1 1 238.50 238.50 E1360 -37 -R Trouser (Dress Uniform) 1 1 69.91 59.91 COMMENT JUSTIN COX 1 1 0.00 0.00 1375- 5 -52 -R Dress Bls w/ Lwr Strt Pkt Flaps 1 1 258.07 258.07 E136042 -R Trouser (Dress Uniform) 1 1 77.68 77.68 IFDHAT -NVY -7 112 Navy Rnd Hat Blk Brim 1 1 42.30 42.30 942 -13-11 Bates Lites Uniform Oxford Hi Gloss 1 1 82.80 82.80 COMMENT BRIAN HUTCHINSON 1 1 0.00 0.00 1375 548 -L Dress Bls w/ Lwr Strt Pkt Flaps 1 1 238.50 238.50 E1360 -38 -R Trouser (Dress Uniform) 1 1 69.91 69.91 COMMENT JIM TONEY 1 1 0.00 0.00 COMMENT Gary picked up 12/1/09 1 1 0.00 0.00 Sub Total $1,202.77 IN 7% $0.00 Total $1,202.77 Paid $0.00 Balance $1,202.77 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 12/1/2009 TELE: 317 9264467 Page 1 of 1 FAX: 317- 9264460 P.O. NUMBER: 292130 CLERK: Faye Y. Invoice 292130 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 art Shi Price Total Tax ;Part Number Description Ordered pp ed T4113 -NV -34 Navy EMT Trousers 20 20 37.95 759.00 T4113 -NV -36 Navy EMT Trousers 20 20 37.95 759.00 T4113 -NV -38 Navy EMT Trousers 20 20 37.95 759.00 T4113 -NV-40 Navy EMT Trousers 12 12 37.95 455.40 T4113 -NV-42 Navy EMT Trousers 14 14 37.95 531.30 T4113 -NV-44 Navy EMT Trousers 14 14 37.95 531.30 COMMENT COMPLETE IN 5 BOX'S READY FOR DELIVERY 1 1 0.00 0.00 12101/09 MB Sub Total $3,795.00 IN 7% $0.00 Total $3,795.00 Paid $0.00 Balance $3,795.00 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 11/30/2009 TELE: 317 926 -4467 Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 292073 CLERK: Faye Y. Invoice 292073 BILL TO: SHIP TO: Carmel Fire Dept ADAM HARRINGTON Fire Station 1 2 Carmel Civic Square Carmel, IN 46032 Part Number Description Ordered Shipped Price Total Tax 42980 -13 -0 Striker II GTX Boot 1 1 129.00 129.00 79300 Black Boot Zippers 8" 1 1 23.87 23.87 SHOE SHELF COMPLETE 11/30/09 MB 1 1 0.00 0.00 Sub Total $152.87 IN 7% $0.00 Total $152.87 Paid $0.00 Balance $152.87 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. 1927 N. CAPITOL AVE. 12/1 /2009 INDIANAPOLIS, IN 46202 TELE: 317 926 -4467 Page 1 of 1 FAX: 317- 926 -4460 P.Q. NUMBER: 292509 CLERK: Faye Y. Invoice 292509 BILL TO: SHIP TO: Carmel Fire Dept JEREMY JOHNSON Fire Station 1 P/U GARY 571 -2667 2 Carmel Civic Square 46032 Carmel, IN 46032 Part Number Descrnpt +on, Ordered Shipped Price TotalTax 42980 -9.5 -D Striker II GTX Boot 1 1 129,00 129.00 79300 Black Boot Zippers 8" 1 1 23.87 23.87 COMMENT Gary picked up 12(1!09 1 1 0.00 0.00 Sub Total $152.87 IN 7% $0.00 Total $152.87 Paid $0.00 Balance $152.87 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. 1927 N. CAPITOL AVE. Y INDIANAPOLIS, IN 46202 THE mom 11/2512009 TELE: 317 -926 -4467 Page 1 of 1 FAX: 317 926 -4460 low 0 P.O. NUMBER: 292191 HOUSE, INC. CLERK: Faye Y. Invoice 292191 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station 1 GIVE TO FAYE 2 Carmel Civic Square Carmel, IN 46032 Part Number Description Ordered Shipped Price TotalTax 35W5400- 16.5 -33 White LIS Shirt Poplin w /Mil.Crs 3 3 33.08 99.24 35W5400- 17.5 -35 White LIS Shirt Poplin w /Mil.Crs 1 1 33.08 33.08 COMMENT IN FAYE'S BOX 11125/09 ^DJT^ 1 1 0.00 0.00 Sub Total $132.32 IN 7% $0.00 Total $132.32 Paid $0.00 Balance $132.32 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. 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)) 287569 $147.00 291810 $71.10 289676 $152.87 290324 $183.60 290314 $6.00 287361 $75.90 290971 $152.87 293001 $152.87 292997 $23.87 290319 $1,202.77 292130 $3,795.00 292073 $152.87 292509 $152.87 292191 $132.32 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 VOUCHER NO. WARRANT NO. ALLOWED 20 The Uniform House IN SUM OF 1927 North Capital Avenue Indianapolis, IN 46202 $6,444.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 287569 43- 560.01 $147 -00 1 hereby certify that the attached invoice(s), or 1120 291810 43- 560.01 $71.10 bill(s) is (are) true and correct and that the 1120 289676 43- 560.01 $152.87 materials or services itemized thereon for 1120 290324 43- 560.01 $183.60 1120 290314 43- 560.01 $6.00 Which charge is made were ordered and 1120 287361 43- 560.01 $75.90 received except 1120 290971 43- 560.01 $152.87 DEC —2 20019 1120 293001 43- 560.01 $152.87 1120 292997 43- 560.01 $23.87 1120 290319 43- 560.01 $1,202.77 1120 292130 43- 560.01 $3,795.00 1120 292073 43- 560.01 $152.87 1120 292509 43- 560.01 $152.87 Fire Chief 1120 292191 43- 560.01 $132.32 Title Cost distribution ledger classification if claim paid motor vehicle highway fund %1927 N. CAPITOL AVE. INDIANAPOLIS, IN 46202 TH 11/18/2009 TELE: 317 -926 -4467 Page 1 of 1 3 FAX: 317 9264460 Iro P.O. NUMBER: 284398 HOUSE, INC. p CLERK: Faye Y. Invoice 284398 BILL TO: SHIP TO. Carmel Police Department ROBERT ROBINSON 3 Civic Square GIVE TO FAYE i Carmel, IN 46032 Part NumberskDescnphon- s,.E..E .3„ s Sh A ped Pnce k ,.o 9111 -NV -L Gortex Trooper Hat Navy 1 1 31.82 31.82 COMMENT ZACH HASTY 1 1 0.00 0.00 9111 -NV -XL Gortex Trooper Hat Navy 1 1 31.82 31.82 COMMENT STEVEN CASH 1 1 0.00 0.00 9111 -NV -L Gortex Trooper Hat Navy 1 1 31.82 31.82 COMMENT JAMES HERRON 1 1 0.00 0.00 9111 -NV -L Gortex Trooper Hat Navy 1 1 31.82 31.82 COMMENT ADAM THEIS 1 1 0.00 0.00 COMMENT COMPLETE IN FAYE'S BOX 11/18/09 MB 1 1 0.00 0.00 irA �h �u �t Ii. a I Sub Total $127.28 IN 7% $0.00 a Total $127.28 Paid $0.00 Balance $127.28 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 The Uniform House Purchase Order No. 1927 N. Capitol Avenue Terms Indianapolis, IN 46202 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11118/09 284398A paymerit for trooper hats for new officers 127-28 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 T he,Uniform House IN SUM OF 1927 N. Capitol Avenue Indianapolis, IN 46202 127.28 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 284398 560 -01 127.28 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 December 3 20 09 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund r r 1927 N. CAPITOL AVE. INDIANAPOLIS, IN 46202 THE 11/18/2009 TELE: 317- 926 -4467 ]r1JJK Page 1 of 1 FAX: 317 926 -4460 P.O. NUMBER: 280844 HOUSE, INC. CLERK: Faye Y. Invoice 280844 BILL TO: SHIP TO: Carmel Police Department ROBERT ROBINSON 3 Civic Square GIVE TO FAYE Carmel, IN 46032 Part Number Description Ordered Shipped Price TotalTax; 9111 -NV -L Gor#ex Trooper Hat Navy 1 1 31.82 31.82 COMMENT FOR: NATHANLEI HILL 1 1 0.00 0.00 COMMENT IN FAYE'S BOX FOR DELIVERY 11/18/09 MB 1 1 0.00 0.00 Sub Total $31.82 IN 7% $0.00 Total $31.82 Pals! $0.00 Balance $31.82 No returns on altered, washed, worn garments. Items can be returned within 60 days of purchase with receipt. CI o O INDIANA RETAIL TAX EXEMPT PAGE f� l armel CERTIFICATE NO. 003120155 002 0 of Jl C4 JL PURCHASE ORDER NUMBER golice Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 210 3100E CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P 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 August 26 2001 uniforms accessories VENDOR The Unfform House SHIP City of Carmel Police Department 1927 N. Capitol Avenue TO 3 Civic Square Indianapolis, IN 46002 Camm&&, IN 46032. CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION uniforms and accessories 66r Officer Nate Hill 1,574.17 560 -01 $1,024.69 560-02. 549.4$ R Send Invoice To: 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 560 --01 r uniforms PAYMENT 1 110 560 --02 uniform a ccesso ries A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. fd A NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND 1 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. j C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 4.? I. C i'1...�.,n.,.�7,i SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief Of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. A COPY SIGN AND RETURN TO CLERK'S OFFICE NO._._ WARRANT NO. ALLOWED 20 i IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #IrITLE AMOUNT DEPT. 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 20 Signature._ Title Cost distribution ledger classification if claim maid 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 The Uniform House Purchase Order No. 21095F 1927 N. Capitol Avenue Terms Indianapolis, IN 46202 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/18/09 280844 payment for trooper hat for Officer Nate Hill 31.82 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 T tae Uniform House IN SUM OF 1927 N. Capitol Avenue Indianapolis, IN 46202 31.82 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21095F 280844 560 -02 31.82? 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 Decem 4 20 09 U ��=A Signature Chief of POlice Title Cost distribution ledger classification if claim paid motor vehicle highway fund