219931 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
0 ONE CIVIC SQUARE THE UNIFORM HOUSE,INC. CHECK AMOUNT: $510.00
CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE.
INDIANAPOLIS IN 46202
CHECK NUMBER: 219931
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 25690 433525 510 . 00 SHIRTS/WALLET/HOLDER
1927 N.CAPITOL AVE. rg�g�g+
INDIANAPOLIS,IN 46202 THE 4/26/2013
TELE: 317-926-4467 Page 1 of 1
FAX: 317-926-4460 P.O. NUMBER: 25690
www.uniformhouse.com
HOBJ�T
SE9 INC. CLERK: Bob T.
Invoice 000433525
BILL TO: SHIP TO:
Carmel Police Department ROBERT ROBINSON
3 Civic Square Give to Bob
Carmel IN 46032 Carmel, IN 46032
Part Number Description Ordered' Shipped Price Total
Tax
Carmel-Badge-S Badge Carmel Police Dept 1 1 85.00 85.00
Carmel-Badge-G Badge Carmel Police Dept 2 2 85.00 170.00
Carmel-Badge-G Badge Carmel Police Dept 2 2 85.00 170.00
Carmel-Badge-G Badge Carmel Police Dept 1 1 85.00 85.00
Carmel-Badge-G Badge Carmel Police Dept 2 2 85.00 170.00
Carmel-Badge-G Badge Carmel Police Dept 2 2 85.00 170.00
706-1-U107CPD RECESSED NECK BADGE & ID 1 1 14.40 14.40
HOLDER W/CHAIN CARMEL POLICE
DPT CUTOUT
COMMENT I GIVE TO BOB MB 1 1 0.00 0.00
Sub Total $864.40
IN 7% $0.00
Total $864.40
Paid $0.00
Balance $864.40
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
BRETT A.KEITH 08112 2022
4304 WORCHESTER CT. 71.1/863
CARMEL,IN 46033-7789 30
Date
Pay to the
Order of
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OLIN NATIONAL."BANIC` Community Hero
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For
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CHARLES V.HARTING _q)V 9101
MICHELLE D.HARTING 71.918211712
PH.317-773-7828 3 38
11955 E.166TH STREET 0 zu 13
NOBLESVILLE,IN 46 <.' ,gf". k,';: Date
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® TEACHERS CREDIT UNION one OW at a time.
Member Service 1-800-552-47„45
Los 110 S.Main SL,South Bend,IN 466o >e
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FFISHERS,COLLINS 467
K HILLS DR 71.9182/2712
46038 38
Date
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Member Service 1-800.552-4745
110 S.Main SL,South Bend,IN 46601
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INDIANA RETAIL TAX EXEMPT. PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 JL 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,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
WW2013
The Uniform HoiIi e, Inc. Carmel Police Department
VENDOR SHIP 3 CIVIC squaw
TO
4927 id. Capitol Avenue Carmol, IN
Indianapolis, I11 46202 (317)5712
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-wily�� .Oi
1 Each Carmel Police Dept badge-shin Carmel-Badge-S (Detective) $82.00 $82.00
7 Each Carmel Police Dept badge -shin CarrneWadg,e-G $85.00 $565.00
2 Each Carmel Police Dept badge-wallet mil. C -Bache-C $85.00 $170.00
1 Each Recessed neck badge & ID holder. log 41 118 $16,35 $16,35
Sub Total: $863.35
'N:N
Iy tt
a"
Send Invoice To:
Camel Police Department
Attn. Teresa Anderson
3 Civic Square
Carmel, IN 432- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �,`��,1 PAYMENT $W3r35
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
•�•� VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS A_UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPF2IATION SUFFICIENT-TO PAY FOR THE ABOVE ORDER.
• /p
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
/ J
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of ptilfrn
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
✓�
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Uniform House, Inc.
IN SUM OF $
1927 N. Capitol Avenue
Indianapolis, IN 46202
$510.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
25690 433525 43-560.01 $864.40 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
25690 43-560.01 ($99.40)
materials or services itemized thereon for
25690 43-560.01 ($85.00) which charge is made were ordered and
25690 43-560.01 ($85.00) received except
25690 43-560.01 ($85.00)
Thursday, May 02, 2013
Chief of Police
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))
04/26/13 433525 badges/holder $864.40
05/01/13 badge/holder ($99.40)
05/01/13 badge ($85.00)
05/01/13 badge ($85.00)
05/02/13 badge ($85.00)
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