211499 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
ONE CIVIC SQUARE THE UNIFORM HOUSE, INC.
CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. CHECK AMOUNT: $270.00
INDIANAPOLIS IN 46202
CHECK NUMBER: 211499
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 404089 270 . 00 UNIFORMS
1927 N.CAPITOL AVE. �+
INDIANAPOLIS, IN 46202 THE E 7/24/2012
TELE: 317-926-4467 Page 1 of 1
FAX:317-926-4460 1 P.O. NUMBER: 26120
www.uniformhouse.com
SE, INC. CLERK: Bob T.
Invoice 000404089
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
Carmel-Badge-G Badge Carmel Police Dept 5 5 52.00 260.00
UPS FREIGHT 1 Z8R 1 15VO358165649 1 1 10.00 10.00
Sub Total $270.00
IN 7% $0.00
Total $270.00
Paid $0.00
Balance $270.00
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
t INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 21119
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
W='12
The Uniform douse, Inc. CarmGl Police Department
VENDOR SHIP 3 CIVIC Bqum
TO
4925' N. Capitol AvonuG Camel, IN 41 2
Indianapolis, IN 4132112 (397)5711 9 '
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 49 .09
Each Carmel Police Dept badge -Oat Carmel-Badge-G $68.00 $340.00
(Commissioner)
920 Each Perfect Fit ID Case Model Og $12.75 $9,503.75
35 Each Carmel Police Dept badge -wallet VC6_2ffn� $6 8.00 $2,380.00
35 Each Caramel Police Dept badge -shl � Bad$ $68.00 $2,380.00
, w
80 Each Caramel Police Dept badge -�o 4 >•Carrm0a ? $05.00 $5,248.00
80 Each Carmel Police Dept badge - I Carmel-So e-S.' $65.60 $5,248.00
4 Each Carmel Pollc o Dept bad$ Slat o' , Carmel-13 0.18-6 jC. a $08.00 $2 2.00
tp Saab Total: $17,489.75
ench
PO
. b:s:
SendPjkofc�To FIT ID CAE IS TO BE l�IAfBC i � S 41'q
Carmel Polico Department
Attn:TGrosa Anderson
9 CIVIC Bquam
Camel, IN 400 . PLEASE INVOICE IN DUPLICATE �
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY E TIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS G 00 RIATION SUF EIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
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. 2 6 1 2®
A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO.______ WARRANT NO,
____
ALLOWED 20___
|N THE SUM 0F $
ON ACCOUNT OF APPROPRIATION FOR
_
~~'
�
Board Members
PO#or INVOICE NO I ACCT#/TITLE AMOUNT
DEPT# | hereby certify that the attached invoice(s), or
biUkdhahara> true and correct and that the
materials or services itemized thereon for
which charge ia made were ordered and
received except
_
. -
. .
20____� _
'
�Signature
`
Title _
Cost distribution ledger classification if
claim paid moto,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))
07/24/12 404089 new badges $270.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Uniform House, Inc.
IN SUM OF $
1927 N. Capitol Avenue
Indianapolis, IN 46202
$270.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2 404089 43-560.01 $270.00
I hereby certify that the attached invoice(s), or
0 I I
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
Thursday, July 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund