226650 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 00350432 Page 1 of 1
ONE CIVIC SQUARE EMBROIDERY PLUS
CARMEL, INDIANA 46032 5514 W.WASHINGTON STREET CHECK AMOUNT: $5,846.75
INDIANAPOLIS IN 46241
CHECK NUMBER: 226650
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 113841 763 . 25 UNIFORMS
1120 4356001 113842 3 , 083 . 25 UNIFORMS
1120 4356001 113843 2 , 000 . 25 UNIFORMS
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
11/21/2013 113841
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T-SHIRTS 88 HD6R NAVY M THRU XL 5.25 462.00T
T-SHRTS 20 XXL 6.75 135.00T
T-SHIRTS 14 XXXL 7.50 105.00T
MISC. 122 DISCOUNT -0.50 -61.00T
MISC. 163 ADDED CFAI ACCREDITED 0.75 122.25T
Sales Tax 0.00% 0.00
Total $763.25
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
11/21/2013 113842
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
T-SMTS 461 S THRU XL 5.25 2,420.25T
T-SHIRTS 134 XXL 6.75 904.50T
T-SHIRTS 8 XXXL 7.50 60.00T
MISC. 603 DISCOUNT -0.50 -301.50T
Sales Tax 0.00% 0.00
Total $3,083.25
Embroidery Plus Invoice
5514 W Washington St
Indianapolis, IN 46241 Date Invoice#
11/21/2013 113843
Bill To
CARMEL FIRE DEPT.
2 CIVIC SQ.
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Item Qty Description Rate Amount
SWEATSHIRTS 124 M THRU XL CREW 14.00 1,736.00T
SWEATSHRTS 18 XXL 16.00 288.00T
SWEATSHIRTS 3 XXXL 16.25 48.75T
MISC. 145 DISCOUNT -0.50 -72.50T
Sales Tax 0.00% 0.00
-Total $2,000.25
VOUCHER NO. WARRANT NO.
ALLOWED 20
Embroidery Plus
IN SUM OF $
5514 West Washington Street
Indianapolis, IN 46241
$5,846.75
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
1120 113841 43-560.01 $763.25 1 hereby certify that the attached invoice(s), or
1120 113842 43-560.01 —[—i3,083.25 bill(s) is (are) true and correct and that the
1120 I 113843 I 43-560.01 I $2,000.25 materials or services itemized thereon for
which charge is made were ordered and
received except
DEC °2 2013
Fire Chief
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
,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))
113841 $763.25
113842 $3,083.25
113843 ( I $2,000.25
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