213683 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
10� ONE CIVIC SQUARE THE UNIFORM HOUSE,INC. CHECK AMOUNT: $763.28
CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE.
INDIANAPOLIS IN 46202 CHECK NUMBER: 213683
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 763 . 28 UNIFORMS
10/3/2012
The Uniform House, Inc.
1927 N. Capitol Ave. Page 1 of 1
Indianapolis, IN
46202
(317) 926-4467
(317) 926-4460
STATEMENT
Carmel Fire Dept
Fire Station # 1
2 Carmel Civic Square
Carmel IN 46032
Date Receipt Description Amount
Balance Forward 2,731.97
New Purchases 0.00
Payments Received 0.00
New Balance Due 2,731.97
Date Invoice Amount Paid Balance Aging Purchase Order
8/9/2012 000409729 $180.99 $0.00 $180.99 60 Days 000409729
8/10/2012 000409633 $170.85 $0.00 $170.85 60 Days 000409633
8/16/2012 000410472 $180.99 $0.00 $180.99 60 Days 000410472
8/20/2012 000411649 $13.18 $0.00 $13.18 60 Days 000411649
8/20/2012 000411650 $17.90 $0.00 $17.90 60 Days 000411650
8/22/2012 000411044 $125.55 $0.00 $125.55 60 Days 000411044
8/27/2012 000411200 $165.85 $0.00 $165.85 60 Days 000411200
8/28/2012 000411645 $125.55 $0.00 $125.55 60 Days 000411645
8/30/2012 000412093 $180.99 $0.00 $180.99 60 Days 000412093
8/30/2012 000412755 $107.44 $0.00 $107.44 60 Days 000412755
9/5/2012 000410636 $682.40 $0.00 $682.40 30 Days 000410636
9/10/2012 000413223 $17.00 $0.00 $17.00 30 Days 000413223
9/12/2012 000411661 $173.99 $0.00 $173.99 30 Days 000411661
9/13/2012 1000411203 $286.50 $0.00 $286.50 30 Days 000411203
9/26/2012 000414344 $180.99 $0.00 $180.99 30 Days 000414344
9/26/2012 000414626 $121.80 $0.00 $121.80 30 Days 000414626
TOTAL DUE CURRENT 0 Days 60 Days 90+ Days
$0.00 $1,462.68 $1,269.29 $0.00
1927 N.CAPITOL AVE. g�
INDIANAPOLIS,IN 46202 THE 9/12/2012
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000411661
www.uniformhouse.com INC.HOUSE, 11� CLERK: Faye Y.
Invoice 000411661
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total Tax
HS2510-NV-33 Mens 4 pocket New Dimension Plus Pant 3 3 41.85 125.55
5953-NV-L 2X2 Ribbed Commando 1 1 46.44 46.44
Alter-Emblem Sew Emblem Sewing 2 2 1.00 2.00
COMMENT LUCAS RAY 1 1 0.00 0.00
FAYE Y.DELIVERY BOX COMPLETE TJ 1 1 0.00 0.00
Sub Total $173.99
IN 7% $0.00
Total $173.99
Paid $0.00
Balance $173.99
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. �+
INDIANAPOLIS,IN 46202 THE 9/13/2012
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 Iferro P.O. NUMBER: 000411203
www.uniformhouse.com INC.
®i/Ug� E�+S9 CLERK: Faye Y.
Invoice 000411203
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station # 1 give to faye
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total Tax
N-43-GLDPLT-1CIrSeal Breast Badge 5 5 57.30 286.50
FAYE Y.DELIVERY BOX COMPLETE MB 1 1 0.00 0.00
Sub Total $286.50
IN 7% $0.00
Total $286.50
Paid $0.00
Balance $286.50
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. �+
INDIANAPOLIS,IN 46202 THE HE 9/26/2012
TELE:317-926-4467 Page 1 of 1-0 FAX:317-926-4460 P.O.NUMBER: 000414626
www.uniformhouse.com HOUSE, INC
. CLERK: Faye Y.
Invoice 000414626
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station # 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total Tax
Black Anklet 10-13 Anklet Sock/Black/Sz 10-13 36 36 2.03 73.08
6303-BLK-M10-13 Black Cotton Crew Sock 24 24 2.03 48.72
FAYE COMPLETE IN A BOX MB 1 1 0.00 0.00
Sub Total $121.80
IN 7% $0.00
Total $121.80
Paid $0.00
Balance $121.80
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. THE INDIANAPOLIS,IN 46202 i 9/26/2012 Iwo TELE: 317-926-4467 Page 1 of 1-0 FAX:317-926-4460 P.O. NUMBER: 000414344
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000414344
BILL TO: SHIP TO:
Carmel Fire Dept TROY KELSHEIMER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total Tax
42980-9-D Striker II GTX Boot 1 1 156.45 156.45
79300 Black Boot Zippers 8" 1 1 24.54 24.54
FAYE Faye's Delivery Box MB 1 1 0.00 0.00
Sub Total $180.99
IN 7% $0.00
Total $180.99
Paid $0.00
Balance $180.99
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
IN SUM OF $
1927 North Capital Avenue
Indianapolis, IN 46202
$763.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I I 43-560.01 I $763.28 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
OCT _� 2012
:I.Ny f fl
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
$763.28
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