216447 01/15/2013 CITY dF CARMEL, INDIANA VENDOR: 365421 Page 1 of 1
°1. ONE CIVIC SQUARE MAC DESIGNS INC
CARMEL, INDIANA 46032 1009 3RD AVE SW CHECK AMOUNT: $103.05
?� CARMEL IN 46032 CHECK NUMBER: 216447
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 11758 103 . 05 UNIFORMS
Vmacdesigns Invoice
More than just ink on a shirt
1009 3rd Ave SW• Carmel,IN 46032 Date Invoice#
(317) 580-9390
10/29/2012 11758
Bill To Ship To
CARMEL STREET DEPARTMENT
BONNIE CALLAHAN
3400 W 131ST ST
CARMEL,IN 46074
P.O. Number Terms Rep Ship Via
EMBROIDERY Net 30 MARTY COURIER
Quantity Item Code Description Price Each Amount
9 EMBROIDERY EMBROIDERY/CARMEL STREET DEPT.LOGO 6.45 58.05
9 EMBROIDERY EMBROIDERY/NAMES 5.00 45.00
Total $103.05
If you have a question or dispute regarding an invoice please call us at 317-580-9390 or ®�'��C� ®��
800-953-9939. Accounts past due will be charged 1.5%interst(18%annual rate) ® $103.05
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mac Designs, Inc.
IN SUM OF $
1009 3rd Ave. S. W.
Carmel, IN 46032
$103.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 11758 I 43-560.01 I $103.05 1 hereby certify that the attached invoice(s), or
1 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
I
2013
St rg'freet fommissioner
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))
10/29/12 11758 $103.05
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