220246 05/21/2013I
CITY OF CARMEL, INDIANA VENDOR: 365421 Page 1 of 1
! Q� ONE CIVIC SQUARE MAC DESIGNS INC CHECK AMOUNT: $824.22
CARMEL, INDIANA 46032 1009 3RD AVE SW
a� CARMEL IN 46032 CHECK NUMBER: 220246
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4356004 12102 824 . 22 STAFF CLOTHING
REC
APR 2 3 2013 Mac®esigns, Inc.
MacDesigns, Inc.
1009 3rd Ave SW 1Y; �� Invoice
Carmel, IN 46032 - Date Invoice#
(317)580-9390 04/10/2013 12102
cathy@macdesignsinc.com Terms Due Date
http://macdesignsinc.com
Net 30 05/10/2013
Bill To Ship To
CARMEL CLAY PARKS Et REC CARMEL CLAY PARKS Et REC
DAWN KOEPPER CARMEL CLAY PARKS Et REC
1411 E. 116TH ST. DAWN KOEPPER
CARMEL, IN 46032 1411 E. 116TH ST.
CARMEL, IN 46032
L Amount Due Enclosed
$824.22
_ !`�C.::C,1t'taCP'Liij:r.ir lK 3'at;Ct`a: r.•..' ('
Ship Date Ship Via P.O. Number
04/16/2013 COURIER 29626
Activity Quantity Rate Amount
• RED SHORT SLEEVE SHIRT 155 4.82 747.10
• RED SHORT SLEEVE SHIRT (YOUTH) 16 4.82 77.12
I
Purchase f �
Description uF�OUVD T-54 1I P,15
�
I C0 2Co
P.O.# � P o�
G.L.# 1094 - 4 ZS(DCOL-
Line
e b &RFF �'wT� kI MG
Lina1]escr
Purchase Q29b te��3 i
Approval Wbate
i
I
i
Total $824.22
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
365421 Mac Designs Inc.
1009 3rd Ave SW
Carmel, IN 46032
Invoice Invoice Description Amount
note attached invoice(s) or bill(s)) PO#
Date Number (or no 29626 $ 824.22
4/10/13 12102 Lifeguard T-Shirts
Total $ 824.22
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.
365421 Mac Designs Inc. Allowed 20
1009 3rd Ave SW
Carmel, IN 46032
In Sum of$
$ 824.22
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1094 12102 4356004 $ 824.22 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
16-May 2013
Signature
$ 824.22 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund