HomeMy WebLinkAbout216503 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
i ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $731.20
CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE.
INDIANAPOLIS IN 46202 CHECK NUMBER: 216503
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4356001 26232 409626 731 . 20 UNIFORMS
1927 N.CAPITOL AVE.
INDIANAPOLIS,IN 46202 THE 9117/2012
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 IN 11 P.O.NUMBER: 26232
www.uniformhouse.com HOUSE, INC. CLERK: Faye Y.
Invoice 000409626
BILL TO: SHIPTO:
Carmel Police Department MAJOR LEE GOODMAN
3 Civic Square GIVE TO FAYE
Carmel IN 46032
a ¢
1PartNumber3 1,escnpUon _ Ordered: Shipped Price Total
Carmel-Bad a-G Badge Carmel Police Dept 1 s 1 68.00 £ 68.
g g p 00
Carmel-Badge-G Badge Carmel Police Dept 3 3 68.00 204.00
Carmel-Badge-S Badge Carmel Police Dept 1 1 65.60 65.60
Carmel-Badge-S Badge Carmel Police Dept 2 2 65.60 131.20
Carmel-Badge-S Badge Carmel Police Dept 2 2 65.60 131.20
Carmel-Badge-S Badge Carmel Police Dept 2 2 65.60 131.20
� PAST OUE
�ee��, resit pa ent pr®mptl,
I yi o is in'`eiee euntai
discrepancies ns any
us tu'-da ; p p�e��e n®tif,
Sub Total $731.20
IN 7% $0.00
Total $731.20
Paid $0.00
Balance $731.20
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
coty INDIANA RETAIL TAX EXEMPT PAGE
® I' �'T°,�rme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
6IW2W
`II ho Unlfofn Houco, Inc. Cunol Pollco Department
VENDOR TO
3 Civic SQum
9027 N. Capitol Avenuo Cafvnol, IN 4
Indian2pollo, IN 4 (317)671
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-M.oi
I Each Carmel Police Dept badge ; ✓
- r Carmel-Badge-G (Chaplain) $68.00 $68.00
1 Each Carmel Police Dept badge shirt Carmel -Badge -S (Detective) $55.60 $85.60✓
1 Each Carmel Pollee Dept badge -. �I(et , aM, el— e -S (Retired) $65.60 $65.60+✓
I Each Carmel Police Dept badg f Retired)
$88.00 $88.00✓
3 Each Carmel Police Dept badge -r Il t, C ttt' k ' $65.60 $9g8.8Q✓/
I Each Carmel Police Dept badge- 9t Carmel- dg
$88.00 X388.00✓
3 Each Carmel Police Dept badges '.°'' Carmel-®adge- °°.� $88.80 $966.80✓
2 Each Carmel Police Dept bad g - hir7 •° Carmel-403 -G $68.00 $136.00✓
° Sub Total: $864.80
1,53 'R" "T"
° .
Send Invo lc�
.p ..SE PUS'SERIAL NUMBERS b� (�
� i�
Carmel (police Dopaltmont J J
Attn: Tomaz Anderson
3 Cieic Squm
CZMGII IN - y PLEASE INVOICE IN DUPLICATE
w
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT 51 .60
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER...
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C Gg og POIICG
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 262 32 A.P.V
.� . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT. I 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 _
20
Signature _
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))
09/17/12 409626 badges $731.20
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 i
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Uniform House, Inc.
IN SUM OF $
1927 N. Capitol Avenue
Indianapolis, IN 46202
$731.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
26232 I 409626 I 43-560.01 $731.20
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
Friday, January 11, 2013
1�
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund