207440 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
CARMEL, INDIANA 46032 5514 w. WASHINGTON STREET CHECK AMOUNT: $3,379.75
INDIANAPOLIS IN 46241 CHECK NUMBER: 207440
CHECK DATE: 312612012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 113058 2,138.00 UNIFORMS
1120 4356001 113059 455.50 UNIFORMS
2200 4356001 113063 786.25 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
3/19/2012 113059
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL, IN 46032
P.Q. No. Terms Project
Net 30
Rem Qty Description Rate Amount
SHIRTS 1 #D780 Charcoal 31.50 31.50T
SHIRTS 3 #L629 Yellow, Pink, Lt. Blue 23.50 70.50T
SHIRTS 2 #L608 Burg/Stone, Court Green 19.00 38.00T
SHIRTS I #LP77 XXXL Blk 32.50 32.50T
SHIRTS l #L794 White/Graphite 50.00 50.00T
SHIRTS I #L221 Blk 30.50 30.50T
JACKET 10 #M980 2 -Blk. 2 -Rd, 2- Hunter, 2 Ny, 2-Char Fleece Med 20,25 202.50T
Sales Tax 0.00 0.00
Total $455.50
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice
3/1912012 113058
Bill To
CARMEL FIRE DEPT,
2 CMC SQ.
CARMEL, IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
JACKET 1 #N -143 Leather jkt with logo added 145.00 145.00T
SHRTS 36 #T8501DN M -XL Dk Navy 23.00 828.00T
SHIRTS 44 #T8501W M -XL White 23.00 I,012.00T
SHIRTS 6 XXXL White 25.50 153.00T
Sales Tax 0.00% 0.00
Total $2,138.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF
5514 West Washington Street
Indianapolis, IN 46241
$2,593.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 113059 43- 560.01 $455.50 1 hereby certify that the attached invoice(s), or
1120 113058 43- 560.01 $2,138.00 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
MAR 2 3 -012
t z`
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))
113059 $455.50
113058 $2,138.00
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
Embroidery Plus Invoice
5514 W Washington. St
Indianapolis, IN 46241 Date Invoice
3/19/2012 113063
Bill To
Carmel Engineering
I Civic Square
Carmel, IN 46032
Attn: Katie Nevill
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 2 #OG101 MED.. Mike polo shirts 26.50 53.00T
SHIRTS l #L500LS XXL.. Katie L/S Polo 20.75 20.75T
SHIRTS 1 #L500 XXXL.. S/S polo 18.75 18.75T
SHIRTS 1 #L526 XXL.. 26.50 26.50T
SHIRTS 1 #K459 Med.. John Polo 23.50 23.50T
SHIRTS 1 #K320 L Libby US polo 22.25 22.25T
SHIRTS 1 #L562 L 3/4 sleeve polo 19.50 19.50T
SHIRTS 2 #373749 XXL Gary Polo 29.25 58.50T
SHIRTS 1 #S608 Med.. Dave Button up 19.50 19.50T
SHIRTS 1 #S608 XXXL.. Lisa Button up 23.50 23.50T
SHIRTS 1 #DT233 XXXXL.. Full zip Hoodie 34.75 34.75T
SHIRTS 1 #LM1007 XXXL.. V -neck Tshirt 18.75 18.75T
SHIRTS 1 #5632 Med.. Dave Button up 16.50 16.50T
SHIRTS 3 #5606 Med XL... Dave Nick Button up 22.25 66.75T
SHIRTS 1 #5500 XL.. Denim 25.00 25.00T
SHIRTS 2 #K469 XL.. Kurt Polo 19.50 3%00T
SHIRTS I #K526 XL.. polo 25.00 25.00T
SHIRTS 1 #400099 XL.. Kurt Polo 53.00 53.00T
SHIRTS 2 #5600 XL.. Bob Fred Denim 25.00 50.00T
SHIRTS 2 #SW276 XL.. Sweater vest 26.50 53.00T
SHIRTS I #SW275 XL.. Sweater 27.50 27.50T
SHIRTS 1 #SPI7 L.. Fred Button up 22.25 22.25T
SHIRTS 2 #363807 L.. polo's 30.50 61.00T
HATS 1 #CP78 Dan 8.00 8.00T
Sales Tax 0.00% 0.00
Total $786.25
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
Embroidery Plus
Purchase Order No.
5514 W Washington St
Terms
Indianapolis, IN 46241
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/19/12 113063 Uniform Shirts $786.25
a°
y.1
;y4r
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
roidery Plus IN SUM OF
0514 W Wash ington St
Ind ianapolis, IN 46241
$786.25
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 or
bill(s) is (are) true and correct and that the zzaTtmmuu, $786 nla 1
materials or services itemized thereon for
which charge is made were ordered and
received except
20
r
Signatur
��e�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund