210576 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $22.75
CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE.
INDIANAPOLIS IN 46202 CHECK NUMBER: 210576
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356002 396267A 22.75 UNIFORM ACCESSORIES
1927 N. CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE 5/1/2012
TELE: 317 926 -4467 IRM Page 1 of 1
FAX: 317 926 -4460 P.O. NUMBER: 26120
www.uniformhouse.com av
HOUSE, INC. CLERK: Bob T.
Invoice 000396267A
BILL TO: SHIP TO:
Carmel Police Department Michael Dixon
3 Civic Square 3 Civic Square
Carmel IN 46032 c/o Carmel PD
Carmel IN 46032
Part Number. Description Ordered Shipped Price total Tax
99- U107CarmelPD -Seal Wallet Case w/ Carmel PD badge cutout and Carmel 1 1 12.75 12.75
Seal
COMMENT For Pre Production Approval. Thanks! 1 1 0.00 0.00
UPS FREIGHT 1Z8R115V0358242565 1 1 10.00 10.00
Sub Total $22.75
IN 7% $0.00
Total $22.75
Paid $0.00
Balance $22.75
No returns on altered, washed, worn garments. Items can be returned
within 30 days of purchase with receipt.
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Uniform House, Inc.
IN SUM OF
1927 N. Capitol Avenue
Indianapolis, IN 46202
$22.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 396267A I 43- 560.02 I $22.75 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
Wednesday, June 27, 2012
0 l e—
Chief of Police
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))
05/01/12 396267A badge wallet w /cutout seal $22.75
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