220586 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
CHECK AMOUNT: $1,563.00
CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET
INDIANAPOLIS IN 46241 CHECK NUMBER: 220586
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 113632 708 . 00 UNIFORMS
1120 4356001 113634 855 . 00 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
5/29/2013 113632
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARN EL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T-SHIRTS 126 S-XL Loftex Nary T-Shirt 5.00 630.00T
T-SHIRTS 54 XXL 6.50 351.00T
T-SHRTS 36 XXXL 7.50 270.00T
DISCOUNT 216 Discount$0.50 -108.00 -108.00
Paid Check$435Aalance-$708' .
Sales Tax 0.00% OM
Total $1,14100
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Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
5/29/2013 113634
Bill To
CARNML FIRE DEPT.
2 CIVIC SQ.
CARN EL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SHIRTS 25 S-XL White Polos 2 locations 24.00 600.00T
SHIRTS 10 XXL White Polos 2 locations 25.50 255.00T
Sales Tax 0.00% 0.00
Total $855.00
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Drescribed 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))
113632 $708.00
113634 $855.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF $
5514 West Washington Street
Indianapolis, IN 46241
$1,563.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 113632 43-560.01 $708.00 I hereby certify that the attached invoice(s), or
1120 113634 43-560.01 $855.00 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
U N 0 3 M3
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund