220452 05/22/2013 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
ONE CIVIC SQUARE THE UNIFORM HOUSE, INC.
CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. CHECK AMOUNT: $5,287.59
sL �o INDIANAPOLIS IN 46202 CHECK NUMBER: 220452
«on
CHECK DATE: 5/22/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 1, 808 . 29 UNIFORMS
1110 R4356001 25530 429413 3 , 479 . 30 UNIFORMS
5/8/2013
The Uniform House, Inc.
1927 N. Capitol Ave. Page 1 of 1
Indianapolis, IN
46202
(317) 926-4467
(317) 926-4460
STATEMENT
Carmel Fire Dept
Fire Station # 1
2 Carmel Civic Square
Carmel IN 46032
Balance Forward 1,557.19
New Purchases 251.10
Payments Received 0.00
New Balance Due 1,808.29
Date Receipt Description Amount
Date Invoice Amount Paid Balance Aging Purchase
Order
4/4/2013 000427984 $60.00 $0.00 $60.00 30 Days 000427984
4/5/2013 000434178 $83.70 $0.00 $83.70 30 Days 000434178
4/9/2013 000431726 $5.00 $0.00 $5.00 30 Da vs 000431726
4/9/2013 000431746 $93.40 $0.00 $93.40 30 Days 000431746
4/9/2013 000434472 $228.69 $0.00 $228.69 30 Days 000434472
4/11/2013 000433698 $204.45 $0.00 $204.45 30 Days 000433698
4/12/2013 000434096 $120.75 $0.001 $120.75 30 Days 000434096
4/15/2013 000435020 $120.75 $0.001 $120.75 30 Days 000435020
4/18/2013 000434690 $203.50 $0.00 $203.50 30 Days 000434690
4/23/2013 000435567 $120.75 $0.00 $120.75 30 Days 000435567
4/24/2013 000434954 $83.70 $0.00 $83.70 30 Days 000434954
4/24/2013 000435540 $232.50 $0.00 $232.50 30 Da s 000435540
5/6/2013 000435549 $83.70 $0.00 $83.70 Current 000435549
5/6/2013 000435657 $167.40 $0.00 $167.40 Current 000435657
TAL DUE CURRENT 0 Days 60 Days 90+ Days
\ $1,808.29 $251.10 $1,557.19 $0.00 $0.00
1927 N.CAPITOL AVE. g�g+
INDIANAPOLIS,IN 46202 THE HE 5/6/2013
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 1 P.O. NUMBER: 000435657
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000435657
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
HS2510-NV-31 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70
COMMENT DUSTIN 1 1 0.00 0.00
HS2510-NV-34 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70
COMMENT MARK BAILEY 1 1 0.00 0.00
FAYE Faye's Delivery Box COMPLETE SE 1 1 0.00 0.00
Sub Total $167.40
IN 7% $0.00
Total $167.40
Paid $0.00
Balance $167.40
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE 5/6/2013
TELE: 317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000435549
www.uniformhouse.com
HOUSE, INC.i
CLERK: Faye Y.
Invoice 000435549
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station # 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
HS2510-NV-32 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70
COMMENT david mead 1 1 0.00 0.00
FAYE Faye's Delivery Box COMPLETE SE 1 1 0.00 0.00
Sub Total $83.70
IN 7% $0.00
Total $83.70
Paid $0.00
Balance $83.70
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE.
INDIANAPOLIS,IN 46202 THE 0101hm 4/24/2013
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000435540
www.uniformhouse.com HOUSE, INC. CLERK: Faye Y.
Invoice 000435540
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station # 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
5 Rows 1 1 29.00 29.00
Alter-SLVBRAID-GOL
Alter-Emblem Sew Emblem Sewing 1 1 1.00 1.00
1370-T-52-5BUT Single Breasted Dress Blouse PAN 1 1 202.50 202.50
FAYE COMPLETE IN FAYE'S OFFICE SE 1 1 0.00 0.00
Sub Total $232.50
IN 7% $0.00
Total $232.50
Paid $0.00
Balance $232.50
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. �+
INDIANAPOLIS,IN 46202 THE M 4/24/2013
TELE: 317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000434954
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000434954
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
HS2510-NV-30 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70
FAYE Faye's Delivery Box COMPLETE SE 1 1 0.00 0.00
Sub Total $83.70
IN 7% $0.00
Total $83.70
Paid $0.00
Balance $83.70
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE.
INDIANAPOLIS,IN 46202 THE HE 4/23/2013
TELE:317-926-4467 Page 1 of 1
FAX:317-926-460 P.O. NUMBER: 000435567
www.uniformhouse.com
HOUSE, INC. CLERK: Shelia E-T.
Invoice 000435567
BILL TO: SHIP TO:
Carmel Fire Dept QRTRMSTR GARY CARTER
Fire Station # 1 ORDER FOR MARC GEHLBACH
2 Carmel Civic Square 2 Carmel Civic Square
Carmel IN 46032 Carmel, IN 46032
Part Number Description Ordered Shipped Price Total
Tax
COMMENT ORDER IS FOR MARC GEHLBACH 1 1 0.00 0.00
2268-12-EW GX-8 8"Gortex Side Zip 1 1 120.75 120.75
Sub Total $120.75
IN 7% $0.00
Total $120.75
Paid $0.00
Balance $120.75
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. �+
INDIANAPOLIS,IN 46202 THE 4/18/2013
TELE:317-926-4467 Page 1 of 1.0114I]FORM FAX:317-926-4460 P.O. NUMBER: 000434690
www.uniformhouse.com �+
H®4J*T SL, INC. CLERK: Faye Y.
Invoice 000434690
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
1370-T-50-4BUT Single Breasted Dress Blouse PM 1 1 202.50 202.50
5 Rows 1 0 29.00 0.00
Alter-SLVBRAID-GOL
Alter-Emblem Sew Emblem Sewing 1 1 1.00 1.00
Sub Total $203.50
IN 7% $0.00
Total $203.50
Paid $0.00
Balance $203.50
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. �+
INDIANAPOLIS,IN 46202 THE 4/15/2013
TELE: 317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000435020
www.uniformhouse.com E�++ INC.HOUSE, NC CLERK: Faye Y.
Invoice 000435020
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station # 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
2268-10.5-EW GX-8 8" Gortex Side Zip 1 1 120.75 120.75
Sub Total $120.75
IN 7% $0.00
Total $120.75
Paid $0.00
Balance $120.75
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE.
INDIANAPOLIS,IN 46202 THE HE 4/12/2013
TELE:317-926467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000434096
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000434096
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
2268-13-EW GX-8 8" Gortex Side Zip 1 1 120.75 120.75
FAYE Faye's Delivery Box COMPLETE SE 1 1 0.00 0.00
Sub Total $120.75
IN 7% $0.00
Total $120.75
Paid $0.00
Balance $120.75
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. v
INDIANAPOLIS,IN 46202 THE 4/11/2013
TELE:317-926-4467 08% Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000433698
www.uniformhouse.com HOUSE, INC.SE, N CLERK: Faye Y.
Invoice 000433698
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
2268-10-M GX-8 8" Gortex Side Zip 1 1 120.75 120.75
HS2510-NV-34 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70
FAYE Faye's Delivery Box COMPLETE SE 1 1 0.00 0.00
Sub Total $204.45
IN 7% $0.00
Total $204.45
Paid $0.00
Balance $204.45
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. v
INDIANAPOLIS,IN 46202 THE mom 4/9/2013
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000431746
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000431746
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
N-41 BREAST BADGE 1 1 53.80 53.80
Tie Bar w Seal & Dept Lettering 2 2 19.80 39.60
NP600-GLDPLT-1 ClK
FAYE Faye's Delivery Box MB 1 1 0.00 0.00
Sub Total $93.40
IN 7% $0.00
Total $93.40
Paid $0.00
Balance $93.40
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE.
INDIANAPOLIS,IN 46202 THE HE 4/9/2013
TELE:317-926-4467 Page 1 of 1
FAX:317-926.4460 P.O. NUMBER: 000431726
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000431726
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
BADGE/CW Customer Owned Breast Badge 1 1 5.00 5.00
NIELSEN
FAYE Faye's Delivery Box MB 1 1 0.00 0.00
Sub Total $5.00
IN 7% $0.00
Total $5.00
Paid $0.00
Balance $5.00
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE.
INDIANAPOLIS,IN 46202 THE HE 419/2013
TELE: 317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000434472
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000434472
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
85R5400-S/S-18.5 White S/S Shirt Poplin w/Mil.Crs. 5 5 39.12 195.60
Alter-Emblem Sew Emblem Sewing 5 5 1.00 5.00
Tie-4-In-Hand-NVY 45135 57" Poly Wool 3 3 4.63 13.89
01163012 Wonder Button 4 4 3.55 14.20
Sub Total $228.69
IN 7% $0.00
Total $228.69
Paid $0.00
Balance $228.69
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. g��+
INDIANAPOLIS,IN 46202 THE 4/5/2013
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000434178
www.uniformhouse.com Foll"'
HOUSE, INC. CLERK: Faye Y.
Invoice 000434178
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
HS2510-NV-40 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70
Sub Total $83.70
IN 7% $0.00
Total $83.70
Paid $0.00
Balance $83.70
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
1927 N.CAPITOL AVE. g�
INDIANAPOLIS,IN 46202 THE 111112MM 4/4/2013
TELE:317-926-4467 Page 1 of 1
FAX:317-926-4460 P.O. NUMBER: 000427984
www.uniformhouse.com HOUSE, INC. CLERK: Faye Y.
Invoice 000427984
BILL TO: SHIP TO:
Carmel Fire Dept GARY CARTER
Fire Station# 1 GIVE TO FAYE
2 Carmel Civic Square
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
Tax
BADGEREPAIR Repair Badge 4 4 15.00 60.00
Sub Total $60.00
IN 7% $0.00
Total $60.00
Paid $0.00
Balance $60.00
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
" m House IN SUM OF $ CITY OF CARMEL
` Capital Avenue An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Is, IN 46202 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
. $1,808.29 Payee
Purchase Order No.
OUNT OF APPROPRIATION FOR
Terms
. armel Fire Department
Date Due
h
4 Invoice Invoice Description Amount
INVOICE NO. ACCT#/TITLE AMOUNT Board Members Date Number
(or note attached invoice(s) or bill(s))
43-560.01 $1,808.29 1 hereby certify that the attached invoice(s), or $1,808.29
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
K received except
t -
r
kiAV 2' 0 2913
3
4
Y
C
Fire Chief
Title
st distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
im paid motor vehicle highway fund with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHEy,;F.,::., .
The Unifo
1927 Nort
Indiana p0
ON AC
7
PO#/Dept.
1120 ."
C
cl
1927 N.CAPITOL AVE. ug�
INDIANAPOLIS,IN 46202 THE. 4/18/2013
TELE:317-926-4467 Page 1 of 2
FAX:317-926-4460 141100 P.O. NUMBER: 000429413
www.uniformhouse.com
HOUSE, INC. CLERK: Faye Y.
Invoice 000429413
BILL TO: SHIP TO:
Carmel Police Department MICHAEL RUSH
3 Civic Square GIVE TO FAYE
Carmel IN 46032
I Part Number, I Description Ordered Shipped Price Total
Tax
J&G DRESS Custom Dress Blouse Navy 1 1 355.50 355.50
BLOUSE
J&G PTS NV Custom Dress Pants Navy 1 1 94.50 94.50
COMMENT NATHANIEL HILL 1 1 0.00 0.00
J&G DRESS Custom Dress Blouse Navy 1 1 355.50 355.50
BLOUSE
J&G PTS NV Custom Dress Pants Navy 1 1 94.50 94.50
COMMENT BLAKE LYTLE 1 1 0.00 0.00
J&G DRESS Custom Dress Blouse Navy 1 1 355.50 355.50
BLOUSE
J&G PTS NV Custom Dress Pant Navy 1 1 94.50 94.50
COMMENT ADAM DAVENPORT 1 1 0.00 0.00
J&G DRESS Custom Dress Blouse Navy 1 1 355.50 355.50
BLOUSE
J&G PTS NV Custom Dress pants Navy 1 1 94.50 94.50
COMMENT JOHN GOVIN 1 1 0.00 0.00
J&G DRESS Custom Dress Blouse Navy 1 1 355.50 355.50
BLOUSE
J&G PTS NV Custom Dress Pants Navy 1 1 94.50 94.50
COMMENT ZACH HASTY 1 1 0.00 0.00
J&G DRESS Custom Dress Blouse Navy 1 1 355.50 355.50
BLOUSE
J&G PTS NV Custom Dress Pants Navy 1 1 94.50 94.50
COMMENT ANDY ZELLARS 1 1 0.00 0.00
J&G DRESS Custom Dress Blouse Navy 1 1 355.00 355.00
BLOUSE
J&G PTS NV PTS/NAVY DRESS BLOUSE 1 1 94.50 94.50
COMMENT C. RODRIGUEZ 1 1 0.00 0.00
Continued Next Page
i
4/18/2013
The Uniform House, Inc.
1927 N. Capitol Ave. Page 2 of 2
Indianapolis, IN
46202
800-949-4467
317-926-4460 000429413
Carmel Police Department MICHAEL RUSH
3 Civic Square GIVE TO FAYE
Carmel IN 46032
Part Number Description Ordered Shipped Price Total
- Tak
Alter-Braid B Red Ri BRT RED Ribbed Braid on Pant 7 7 7.00 49.00
CAMPGN-BK-7-FLO Campaign Hat 1 1 93.60 93.60
CAMPGN-BK-7 Campaign Hat 1 1 93.60 93.60
118-FLO
CAMPGN-BK-7 Campaign Hat 1 1 93.60 93.60
3/8-FLO
FAYE COMPLETE IN HANGING HOLDING IN 1 1 0.00 0.00
WAREHOUSE SE
Sub Total $3,479.30
IN 7% $0.00
Total $3,479.30
Paid $0.00
Balance $3,479.30
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
c4 INDIANA RETAIL TAX EXEMPT PAGE
ily of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 255M
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
1IM12012 - t
The Uniform House, Inc. Carmel Police Department
VENDOR SHIP 3 CIVIC equam
1027 N. Capitol Avenue TO Camel, IN 4M2_
In€Ilanapallo, IN 46202
a rd
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS .� ) FREIGHT
i
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-6W.01
7 Each custom dress blouse hi collar nary $355.50 $2,488.50
7 Each PTS/navy dress �7�r>� $94.50 $661.50
7 Each bri red ribbed braid on pant $7.00 $40.00
1 Each campaign hat r" $93.60 $93.60
1 Each campaign hat ,7 �g?1 c� $93.60 $93.60
1 Each campaign hat ,s� ,.•soz 7 318°•. � $63.60 $93.60
Saab Total: $3
A,%
cot
i °° •
Send Invoice To: u
Caramel Police Department
Attn: Teresa Anderson
3 Civic Squm
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
'armel Police Dept. `-" PAYMENT - _ $'3,479.80
f` 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 AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION
SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• //
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ! ! l
1
i�rS�
SHIPPING LABELS. ��jJ ���@li
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE PI
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25530 CLERK-TREASURER
)OCUMENT CONTROL NO. A.P.V. 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
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))
04/18/13 429413 honor guard uniforms $3,479.30
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
The Uniform House, Inc.
IN SUM OF $
1927 N. Capitol Avenue
Indianapolis, IN 46202
$3,479.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
25530F 429413 I 43-560.01 I $3,479.30
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
Wednesd y, May 15,2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund