220135 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
I 31' CHECK AMOUNT: $295.00
CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET
M s� INDIANAPOLIS IN 46241 CHECK NUMBER: 220135
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4239099 113604 295 . 00 OTHER MISCELLANOUS
Embroidery Plus �� 39 0`�� �'W'3 Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
5/8/2013 113604
Bill To
Carmel Facilities
Jeff Barnes
1 Civic Square
Carmel,IN 46032
i
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T-SHIRTS 15 5190 L 3-ny 3-Dfg 3-or 3-mr 3-blk 11.00 165.00T
T-SHIRTS 10 XXXL 2-ny 2-fg 2-or 2-mr 2-blk 13.00 130.00T
Sales Tax 0.00% 0.00
MAY 2 0 2013
By
Total $295.00
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))
05/08/13 113604 $295.00
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
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF $
5514 W Washington St
Indianapolis, IN 46241
$295.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 113604 I 42-390.99 I $295.00 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
Monday, May 20, 201-3
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund