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210941 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 365421 Page 1 of 1 ONE CIVIC SQUARE MAC DESIGNS INC CHECK AMOUNT: $3,926.45 CARMEL, INDIANA 46032 1009 3RD AVE SW CARMEL IN 46032 CHECK NUMBER: 210941 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356001 11212 202 . 50 UNIFORMS 2201 4356001 11213 2, 211 . 95 UNIFORMS 2201 4356001 11214 1, 512 . 00 UNIFORMS &macdesigns Invoice More than just ink on a shirt. 1009 3rd Ave SW- Carmel,IN 46032 Date Invoice# (317) 580-9390 6/8/2012 11212 Bill To Ship To CARMEL STREET DEPARTMENT BONNIE CALLAHAN 3400 W 131ST ST CARMEL,IN 46074 P.O. Number Terms Rep Ship Via PC61 P Net 30 MARTY 6/8/2012 UPS Quantity Item Code Description Price Each Amount 10 GARMENT NAVY XL 5.40 54.00 10 GARMENT NAVY XXL 7.35 73.50 10 GARMENT NAVY XXXL 7.50 75.00 Total $202.50 If you have a question or dispute regarding an invoice please call us at 317-580-9390 or Balance ®fie 800-953-9939. Accounts past due will be charged 1.5%interst(18%annual rate) $202.50 macdesigns invoice More than just ink on a shirt. 1009 3rd Ave SW• Carmel,IN 46032 Date Invoice# (317) 580-9390 6/8/2012 11213 Bill To Ship To CARMEL STREET DEPARTMENT BONNIE CALLAHAN 3400 W 131ST ST CARMEL,IN 46074 P.O. Number Terms Rep Ship Via PC61P&T Net 30 MARTY 6/8/2012 UPS Quantity Item Code Description Price Each Amount 25 GARMENT ASH MED 5.40 135.00 50 GARMENT ASH LARGE 5.40 270.00 10 GARMENT ASH L-TALL 5.92 59.20 85 GARMENT ASH XL 5.40 459.00 25 GARMENT ASH XL-TALL 5.92 148.00 80 GARMENT ASH XXL 7.35 588.00 25 GARMENT ASH XXL-TALL 8.40 210.00 30 GARMENT ASH XXXL 7.50 225.00 15 GARMENT ASH XXXXL 7.85 117.75 Total $2.211.95 If you have a question or dispute regarding an invoice please call us at 317-580-9390 or lat�C@ DUB 800-953-9939. Accounts past due will be charged 1.5%interst(18%annual rate) Balance $2,211.95 �l macdesig s Invoice More than just ink on a shirt. 1009 3rd Ave SW• Carmel, IN 46032 Date Invoice# (317) 580-9390 6/8/2012 11214 Bill To Ship To CARMEL STREET DEPARTMENT BONNIE CALLAHAN 3400 W 131ST ST CARMEL,IN 46074 P.O. Number Terms Rep Ship Via K500 Net 30 MARTY 6/8/2012 UPS Quantity Item Code Description Price Each Amount 20 POLO POLO GREY LARGE 18.00 360.00 29 POLO POLO GREY XL 18.00 522.00 22 POLO POLO GREY XXL 19.00 418.00 4 POLO POLO GREY XXXL 21.00 84.00 5 POLO POLO GREY XXXXL 22.00 110.00 1 POLO POLO GREY LARGE 18.00 18.00 Total $1,512.00 If you have a question or dispute regarding an invoice please call us at 317-580-9390 or �a�a�Cie ®fie 800-953-9939. Accounts past due will be charged 1.5%interst(18%annual rate) $1,512.00 VOUCHER NO. WARRANT NO. Mac Designs, Inc. ALLOWED 20 IN SUM OF $ 1009 3rd Ave. S. W. Carmel, IN 46032 $3,926.45 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 11214 43-560.01 $1,512.00 1 hereby certify that the attached invoice(s), or 2201 11213 43-560.01 $2,211.95 bill(s) is (are)true and correct and that the 2201 11212 43-560.01 $202.50 materials or services itemized thereon for which charge is made were ordered and received except Wed n6sday duly 11, 2012 ula" Street Commissioner OLI GGL vvl I II11i33i '- 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)) 06/08/12 11214 $1,512.00 06/08/12 11213 $2,211.95 06/08/12 11212 $202.50 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