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218438 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1 ONE CIVIC SQUARE EMBROIDERY PLUS CHECK AMOUNT: $2,722.50 CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET L;o� INDIANAPOLIS IN 46241 CHECK NUMBER: 218438 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356001 113495 2, 722 . 50 UNIFORMS Embroidery Plus Invoice 5514 W Washington St Date Invoice# Indianapolis, IN 46241 3/7/2013 113495 Bill To CARMEL FIRE DEPT. 2 CIVIC SQ. CARMEL,IN 46032 P.O. No. Terms Project Net 30 Item Qty Description Rate Amount T-SHIRTS 363 M[-XL 6.50 1,815.00T T-SHIRTS 90 XXL 6.50 50.00T 9 T-SHIRTS 12 XXXL 7.50 .00T UlISC. 465 DLSCOUINT 0.50 232. Sales Tax 0.00% 0.000 0 Total $2,722.50 prescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n 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)) 113495 Uniforms $2,722.50 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 $2,722.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 113495 I 43-560.01 I $2,722.50 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 MAR 2 2 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund