207152 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 365421 Page 1 of 1
g Q� ONE CIVIC SQUARE MAC DESIGNS INC
CHECK AMOUNT: $879.88
CARMEL, INDIANA 46032 1009 3RD AVE SW
CARMEL IN 46032 CHECK NUMBER: 207152
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4356004 10902 879.88 STAFF CLOTHING
[F
!3171550 9390 229 2012 Invoice
1009 3rd Ave SW
aFS�sas
�1L- Date Invoice
NOR[ INA#JOSf N11ONAsN1Ol Carmel, IN 46032
2/25/2012 10902
Bill To Ship To
CARMEL CLAY PARKS REC
DAWN KOEPPER
1411 E. 116TH ST.
CARMEL, IN 46032
P.O. Number Terms Rep Ship Via
30464 GUARD Net 30 CATHY 2/25/2012 UPS
Quantity Item Code Description Price Each Amount
28 S/S SHIRT SHORT SLEEVE SHIRT ASH 4.57 127.96
156 S/S SHIRT SHORT SLEEVE SHIRT RED 4.82 751.92
F urchase
I ascription
F.O.# f n (D4 _P
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urchaser Date
Approval Date
Total $879.88
If you have a question or dispute regarding an invoice please call us at 317 -580 -9390 or Balance Due
800- 953 -9939. Accounts past due will be charged 1.5% interst (18% annual rate) $879.88
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
of drate mu st
er s h ow;
hourknumbe�of`units, price per unit perf dates service rendered, by
An invoice of bill to be properly
whom, rates per day, number N
Payee Purchase Order No.
Terms
365421 Mac Designs Inc.
1009 3rd Ave SW
Carmel, IN 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill($))
30464 879.88
2125112 10902 Aquatic tees
Total 879.88
1 hereby certify that the attached invoice(s), or bM(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
I
Voucher No. Warrant No,
365421 Mac Designs Inc. Allowed 20
1009 3rd Ave SW
Carmel, IN 46032
In Sum of
879.88
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 10902 4356004 879.88 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
8 -Mar 2012
Signature
879.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund