222917 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET CHECK AMOUNT: $534.80
INDIANAPOLIS IN 46241
CHECK NUMBER: 222917
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 113703 109 . 80 UNIFORMS
1120 4239020 113705 425 . 00 FIRE PREVENTION SUPPL
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
7/27/2013 113705
Bill To
CARMEL FIRE DEPT.
2 CMC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
MISC. 250 red koozies 0.85 212.50T
MLSC. 250 navy koozies 0.85 212.50T
Sales Tax 0.00% 0.00
Total $425.00
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
7/27/2013 113703
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SCREENPRINT 6 added SCREENPRINT 1.50 9.00T
T-SHRTS 6 29m with instructor 2 loc. 7.90 47.40T
T-SHIRTS 6 XXL 8.90 53.40T
Sales Tax 0.00% 0.00
Total $109.80
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF $
5514 West Washington Street
Indianapolis, IN 46241
$534.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 113703 43-560.01 j $109.80 1 hereby certify that the attached invoice(s), or
1120 113705 42-390.20 $425.00 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
A11G 12 2013
gy—�941
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
�n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
113703 $109.80
113705 $425.00
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