221138 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 365421 Page 1 of 1
Q � ONE CIVIC SQUARE MAC DESIGNS INC CHECK AMOUNT: $3,023.00
CARMEL, INDIANA 46032 1009 3RD AVE SW
°+ p� CARMEL IN 46032 CHECK NUMBER: 221138
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 12264 3, 023 . 00 UNIFORMS
MacDesigns, Inc.
MacDesigns, Inc. Invoice
1009 3rd Ave SW
Carmel, IN 46032 E Date Invoice#
(317)580-9390 06/06/2013 12264
cathy@macdesignsinc.com Terms Due Date
http://macdesignsinc.com
Net 30 07/06/2013
Bill To Ship To
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W 131ST ST 3400 W 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
ATTN : Amy Lunn
Amount Due Enclosed
$3,023.00
Please detach top portion and retum with your payment
Ship Date Ship Via P.O. Number
05/29/2013 Delivery 2013 Tees/Polos
Activity Quantity Rate Amount
• PC61C Cool Gray 121 5.40 653.40
med 25-55-41
• PC61C Cool Gray 78 7.35 573.30
XXL
• PC61C Cool Gray 24 7.50 180.00
XXXL
• PC61T Cool Gray Tall 25 5.90 147.50
Lg 5 XL 20
• PC61T Cool Gray Tall XXL Tall 24 8.40 201.60
• PC61T Cool Gray Tall XXXL Tall 18 8.40 151.20
• K500 Port Polo Cool Gray Embroidered 42 18.00 756.00
Lg 6 XL 36
• K500 Port Polo Cool Gray Embroidered XXL 12 19.00 228.00
• K500 Port Polo Cool Gray Embroidered XXXL 6 22.00 132.00
Total $3,023.00
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))
06/06/13 12264 $3,023.00
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
Mac Designs, Inc.
IN SUM OF $
1009 3rd Ave. S. W.
Carmel, IN 46032
$3,023.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 12264 I 43-560.011 $3,023.00 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
F i ay,#j 14, 2013
Street Commissio e
S#ee#�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund