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221610 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 365421 Page 1 of 1 ` ONE CIVIC SQUARE MAC DESIGNS INC ` CARMEL, INDIANA 46032 1009 3RD AVE SW CHECK AMOUNT: $141.00 CARMEL IN 46032 CHECK NUMBER: 221610 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356001 12314 141 . 00 UNIFORMS mAA ac®esigns, Inc. MacDesigns, Inc. Invoice 1009 3rd Ave SW Carmel, IN 46032 Date Invoice# (317)580-9390 06/24/2013 12314 cathy@macdesignsinc.com Terms Due Date http://macdesignsinc.com Net 30 07/24/2013 Bill To BONNIE CALLAHAN CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL, IN 46074 Amount Due Enclosed $141.00 Please detach top portion and retum with your payment_ --------------------------------- Ship Date Ship Via P.O. Number 06/24/2013 Delivery Crew Navy Pocket 2013 Activity Quantity Rate Amount • Navy Pocket Tee XXL 10 8.35 83.50 • Navy Pockrt Tee XXXL 5 8.50 42.50 • SCREEN CHARGE 1 15.00 15.00 I Total $141.00 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)) 06/24/13 12314 $141.00 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 Mac Designs, Inc. IN SUM OF $ 1009 3rd Ave. S. W. Carmel, IN 46032 $141.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r 2201 I 12314 I 43-560.01 I $141.00 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 h Jun 27, 2013 V. Stre§�rtf8r�4>'ij gj&%Q n e r Title Cost distribution ledger classification if claim paid motor vehicle highway fund