226497 11/19/2013 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: $438.50
INDIANAPOLIS IN 46202 CHECK NUMBER: 226497
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 25406 445657 438 . 50 UNIFORMS
1927 N.CAPITOL AVE.
INDIANAPOLIS,IN 46202 THE 10/10/2013
TELE: 317-926-4467 1411FORM Page 1 of 1
FAX: 317-926-4460 P.O. NUMBER:
,vww.uniformtiouse.com l�eaa
HOUSE, INC. CLERK: Faye Y.
Invoice 000445657
BILL TO: SHIP TO:
Carmel Police Department Asst Chief Jame BARLOW
3 Civic Square Give to Faye
Carmel IN 46032
Parr I�um descrition Ordered Shipped ! �Pnce Total
_ . . w -Tax
Carmel-Badge-G Badge Carmel Police Dept 1 1 85.00 85.00
Carmel-Badge-G Badge Camel Police Dept 1 1 85.00 85.00 -
COMMENT CHARLES DRIVER 1 1 0.00 0.00
Carmel-Badge-G Badge Carmel Police Dept 1 1 85.00 85.00
Carmel-Badge-G Badge Carmel Police Dept 1 1 85.00 85.00 -
COMMENT TC TILSON 1 1 0.00 0.00
Carmel-Badge-S Badge Cancel Police Dept 1 1 82.00 • 82.00
COMMENT JAMES MORRIS 1 1 0.00 0.00
Carmel-Badge-G Badge Carmel Police Dept 1 1 85.00 85.00
COMMENT tu11CHAEL DRAKE 1 1 0.00 0.00
'16-PF1069 Recessed Belt Clip Carmel Badge Holder 3 3 13.50 40.50
FAYE Faye's Delivery Box MB 1 1 0.00 0.00
_ Sub Total $547,,10
IN 7% $0.00
Total $547.50
Paid $0.00
Balance __ $547.50
No returns on altered,washed,worn garments. Items can be returned
within 30 days of purchase with receipt.
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JAMES MORRIS 740 40 2002
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INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER
of FEDERAL EXCISE TAX EXEMPT
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
Thi a UnI#on-n House, Inc. Carmel Police Department
VENDOR TOHIP 3 Civic Square
1927 N. Capital Avenue Carmel, IN
Indianapolis, IN 4202 (317)571-2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
�q
QUANTITY �,gpUNIIT OF MEASURE DESCRIPTION � UNIT PRICE EXTENSION
Account 43-C tF.01
1 Each Carmel Police Dept badge -shirt Carmel-Badge-S $82.00 $82.00
S Each Carpel Police Dept badge -shirt Carmel-Badg" (Chaplain) $85.00 $85.00
2 Each Cannel Path[dept badge -wallet atrn -G $85.00 $170.00
2 Each Carmel Police Dept badge -shirt ���_ $85.00 $170.00
3 Each Recessed belt clip Carmel bad l I, 1 -t?• � $13.50 $40.50
5�
Sub Total: $547.50
6
Send Invoice To:
Carmel Police Department
Attn: Telasa Anderson
3 Civic Square
Camel, IN 325 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $547.50
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTI Y THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS
SHIP REPAID. THIS APPROPTIONSUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
11ofSHIPPING LABELS.THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of p
Polle'o
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
J 4 0 6 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.�.-_—_---WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
• 1
Board Members
PO#or INVOICE NO. ACCT#MILE 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 rnotor vehicle highway fund
VOUCHER NO. WARRANT NO.
The Uniform House, Inc. ALLOWED 20
IN SUM OF $
1927 N. Capitol Avenue
Indianapolis, IN 46202
$438.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25406 445657 43-560.01 $547.50 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
25406 445657 43-560.01 ($13.50)
materials or services itemized thereon for
25406 445657 43-560.01 ($95.50) which charge is made were ordered and
received except
Friday, November 15, 2013
g Chief of Police
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))
10/10/13 445657 badges/cases $547.50
10/16/13 445657 payment from Troy Smith ($13.50)
10/19/13 445657 payment from James Morris ($95.50)
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