217615 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $2,040.50
{ CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET
INDIANAPOLIS IN 46241 CHECK NUMBER: 217615
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 113469 707 . 50 UNIFORMS
1120 4356001 113480 1, 333 . 00 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St --
Indianapolis, IN 46241 Date Invoice#
2/20/2013 113480
BA To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T-SHIRTS 26 T473 M THRU XL HONOR GUARD 13.75 357.50T
T-SHIRTS 6 XXL 14.25 85.50T
T-SHIRTS 2 XXXL 15.75 31.50T
MISC. 1 ARTWORK 35.00 35.00T
SWEATSHIRTS 39 9000 L&XL 13.50 526.50T
SWEATSHIRTS 18 XXXL 16.50 297.00T
Sales Tax 0.00% 0.00
T® $1,33100
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))
113480 $1,333.00
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
Embroidery Plus
IN SUM OF $
5514 West Washington Street
Indianapolis, IN 46241
$1,333.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 113480 I 43-560.01 I $1,333.00 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
FEB 2 5 2013
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Embroidery Plus Invoice
5514 W Washington St —
Indianapolis, IN 46241 Date Invoice#
2/18/2013 113469
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 14 T8501 M-THRU XL 24.00 336.00T
SHIRTS 2 XXL 25.50 51.00T
SHIRTS 1 XXXL 25.50 25.50T
HATS 8 BIUWH S/M 14.75 118.00T
HATS 9 M/L 14.75 132.75T
HATS 3 L/XL, 14.75 44.25T
Sales Tax 0.000/0 0.00
Total $707.50
'rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n 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))
113469 $707.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF $
5514 West Washington Street
Indianapolis, IN 46241
$707.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 113469 I 43-560.01 I $707.50 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
EEB 2 5 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund