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227136 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1 ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $3,579.58 CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE. INDIANAPOLIS IN 46202 CHECK NUMBER: 227136 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356001 25400 447018 1, 000 . 00 UNIFORMS 1110 4356002 25456 450694 240 . 00 COMM SERV BADGE 1120 4356001 FIRE 2 , 339 . 58 UNIFORMS 1oorw.CAPITOL AVE. INDIANAPOLIS,)w40000 THE GLM 12/3/2013 TsLs:a17*oa4*xr Page1of1 pAX:x1r'yoo�4so P.o. wuMoEn: 2545G � ������l� INC.=~====�� ���=, CLERK: Bob T. Invoice 000450694 BILL TO: SHIP TO: Carmel Police Department Teresa Anderson 3 Civic Square PU Cnnno| Canno| |N48032 Canno| IN 48032 ice -T(D1�all T La B146 Badge 1 1 80b0 80.00 S146 Badge 2 2 80.00 180.00 CARK8EL PICK-UP COMPLETE 12/03/13 CT 1 1 0.00 0.00 Sub Total $240.00 Total $240.00 Paid $0.00 Balance $240.00 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. City � ��JJ C����� INDIANA RETAIL TAX EXEMPT PAGE ® �°� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER 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 10M A'13 The Uniform House, Inc. Carmol Police Department VENDOR SHIP S Civic Squaro TO 1927 N. Capitol Avenue Carmel, IN Indianapolis, IN 46202 (31 i)0715 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS - FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-660.02 2 Each Carmel Community Service Officer $146 $80.00 $160.00 badge -breast 1 Each Carmel Community Service Officer S140 $80.00 $80.00 badge -wallet a<, �A ffi Sub Total. $240.00 VA r�"" V p.I Send Invoice To: W Cannel Police Department Ath;Teresa Anderson 3 Civic Square Carmel, IN 40 - PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. - s.� PAYMENT $240.00 .t A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERT1�THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO P Y'FOR THE ABOVE ORDER. •SHIP REPAID. // " . •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / ff SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ! �h+hie�g of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V r_'„4.5 CLERK TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the i materials or services itemized thereon for which charge is made were ordered and received r 2 r 20 .................................................................................. ...._ Signature ...............................................-................---.........................._................__.._......_.._.............................._.-. Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 The Uniform House, Inc. IN SUM OF $ 1927 N. Capitol Avenue Indianapolis, IN 46202 $240.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25456 J 450694 I 43-560.02 I $240.00 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 Wednesday, December 04, 2013 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)) 12/03/13 450694 CSO badges/Sanford $240.00 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 12/3/2013 The Uniform House, Inc. 1927 N. Capitol Ave. Page 1 of 1 Indianapolis, IN 46202 (317) 926-4467 (317) 926-4460 STATEMENT Carmel Fire Dept Fire Station# 1 2 Carmel Civic Square Carmel IN 46032 Balance Forward 1,310.97 New Purchases 39.65 Payments Received 0.00 New Balance Due 1,350.62 Date Receipt Description Amount Date Invoice Amount Paid Balance AGING-0 111/6/2013 000449121 $282.00 $0.001 $282.00 30 Days 11/11/2013 000450487 $241.50 $0.00 $241.50 30 Days 11/11/2013 000451321 $123.35 $0.00 $123.35 30 Days 11/11/2013 000451343 $38.78 $0.00 $38.78 30 Days 11/14/2013 000451340A $83.70 $0.00 $83.70 30 Days 11/18/2013 000451326 $125.55 $0.00 $125.55 30 Days 111/18/2013 000451340 $41.85 $0.00 $41.85 30 Days 11/18/2013 000451668 $125.55 $0.00 $125.55 30 Days 11/21/2013 1000451299 $89.101 $0.001 $89.10 30 Days 11/25/2013 100045244 0 $139.40 -$0.001 139.40 30 Days F1-1/29/2013 1000452603 1 $20.191 $0.001 $20.19 30 Days 12/3/2013 1000451669 $39.651 $0.001 $39.65 1 Current 56.N"o TOTAL DUE CURRENT 0 Days 60 Days 90+ Days •$`1'350:52 _$3g-6�r-' �$.1-316" $0.00 $0.00 1927 N.CAPITOL AVE. gge INDIANAPOLIS,IN 46202 THE HE 11/21/2013 TELE: 317-926-4467 Page 1 of 1 FAX:317-926-4460 11111ro P.O. NUMBER: www.uniformhouse.com HOUSE, INC. CLERK: Faye Y. Invoice 000451299 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station # 1 GIVE TO FAYE 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax 47400-NVY-42R Poly/Cotton Twill Command Wear Pants 2 2 44.55 89.10 COMMENT BRUCE KNOTT 1 1 0.00 0.00 HEATH Heath's Delivery Box COMPLETE SE 1 1 0.00 0.00 Sub Total $89.10 IN 7% $0.00 Total $89.10 Paid $0.00 Balance $89.10 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. p��g�r INDIANAPOLIS,IN 46202 �6 HE 11/18/2013 TELE:317-926-4467 Page 1 of 1 FAX:317-926-4460 P.O. NUMBER: www.uniformhouse.com HOUSE,�o SS��J�B"ay INC. CLERK: Heath C. Invoice 000451668 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station # 1 GIVE TO HEATH 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax_ HS2510-NV-37 Mens 4 pocket New Dimension Plus Pant 3 3 41.85 125.55 COMMENT FOR JIM SPELBRING 1 1 0.00 0.00 HEATH Heath's Delivery Box COMPLETE SE 1 1 0.00 0.00 Sub Total $125.55 _ IN 7% $0.00 Total $125.55 Paid $0.0_0_ Balance $125.55 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. �+ INDIANAPOLIS,IN 46202 S t�HE 11/18/2013-�o TALE: 317-926-4467-4 Page 1 of 1 FAX:317-926-4460 P.O. NUMBER: www.uniformhouse.com HOUSE, INC. CLERK: Faye Y. Invoice 000451340 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 P/U 508-5777 2 Carmel Civic Square PICKUP Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax HS2510-NV-34 Mens 4 pocket New Dimension Plus Pant 1 1 41.85 41.85 COMMENT BOB HENSLEY 1 1 0.00 0.00 HEATH Heath's Delivery Box COMPLETE SE 1 1 0.00 0.00 Sub Total $41.85 IN 7% $0.00 Total $41.85 Paid $0.00 Balance $41.85 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. ��++ 1 1/18/2013 INDIANAPOLIS,IN 46202 THE aftm TELE: 317-926-4467 Page 1 of 1 FAX:317-926-4460 P.O. NUMBER: www.uniformhouse.com HOUSE, INC. CLERK: Faye Y. Invoice 000451326 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 GIVE TO FAYE 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax HS2510-NV-33 Mens 4 pocket New Dimension Plus Pant 3 3 41.85 125.55 COMMENT GARY BRANDT 1 1 0.00 0.00 HEATH Heath's Delivery Box COMPLETE SE 1 1 0.00 0.00 Sub Total $125.55 IN 7% $0.00 Total $125.55 Paid $0.00 Balance $125.55 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. q� INDIANAPOLIS,IN 46202 TIFF.. ON=A11111111L 01011h M 11/14/2013 TELE: 317-926-4467 Page 1 of 1 FAX:317-926-4460 P.O. NUMBER: www.uniformhouse.com HOUSE,SJLay INC. CLERK: Faye Y. Invoice 000451340A BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station # 1 P/U 508-5777 2 Carmel Civic Square PICKUP Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax HS2510-NV-34 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70 COMMENT BOB HENSLEY 1 1 0.00 0.00 HEATH COMPLETE GAVE TO HEATH TO 1 1 0.00 0.00 DELIVER SE Sub Total $83.70 IN 7% $0.00 Total $83.70 Paid $0.00 Balance $83.70 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. THE INDIANAPOLIS,IN 46202 THE 11/11/2013 TELE: 317-926-4467 Page 1 of 1 FAX:317-926-4460 P.O. NUMBER: www.uniformhouse.com HOUSE,E INC.I�T CLERK: Faye Y. Invoice 000451343 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 P/U 508-5777 2 Carmel Civic Square PICKUP Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax 35W5435-18.5-3617 Mar.Blue L/S Shirt Poplin w/Mil.Crs 1 1 36.93 36.93 Alter-Emblem Sew Emblem Sewing 1 1 1.85 1.85 COMMENT BRYAN MASON 1 1 0.00 0.00 Sub Total $38.78 IN 7% $0.00 Total $38.78 Paid $0.00 Balance $38.78 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. gp INDIANAPOLIS,IN 46202 THE 11/11/2013 TELE:317-926-4467 Page 1 of 1 FAX:317-926-4460 1 P.O. NUMBER: www.uniformhouse.com 13 DOUSE, INC. CLERK: Faye Y. Invoice 000451321 BILL TO: SHIP TO: Carmel Fire Dept Fire Station# 1 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax 35W5400-18.5-35 White US Shirt Poplin w/Mil.Crs 1 1 37.80 37.80 HS2510-NV-40 Mens 4 pocket New Dimension Plus Pant 2 2 41.85 83.70 Alter-Emblem Sew Emblem Sewing 1 1 1.85 1.85 COMMENT STEVE REEVES 1 1 0.00 0.00 Sub Total $123.35 IN 7% $0.00 Total $123.35 Paid $0.00 Balance $123.35 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. INDIANAPOLIS,IN 46202 8 p�HS�e a 11/11/2013 9111110AW in TELE: 317-926-4467 Page 1 of 1 FAX:317-926-4460 P.O.NUMBER: www.uniformhouse.com HOUSE, gaQ CLERK: Faye Y. Invoice 000450487 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station # 1 GIVE TO FAYE 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax 2268-10-M GX-8 Gortex 8 in. Side Zip 1 1 120.75 120.75 COMMENT TOM SMALL 1 1 0.00 0.00 2268-12-EW GX-8 Gortex 8 in. Side Zip 1 1 120.75 120.75 COMMENT GREG WEBB 1 1 0.00 0.00 FAYE Faye's Delivery Box MB 1 1 0.00 0.00 Sub Total $241.50 IN 7% $0.00 Total $241.50 Paid $0.00 Balance $241.50 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. a�f�g�+ INDIANAPOLIS,IN 46202 THE IM AM 11/6/2013 TELE:317-926-4467 Page 1 of 1"00 FAX:317-926-4460 P.O. NUMBER: www.uniformhouse.com IN HOUSE, INC. CLERK: Faye Y. Invoice 000449121 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 GIVE TO FAYE 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax IFDHAT-WHT-7 White Rnd Hat/ Blk Brim 1 1 47.00 47.00 IFDHAT-WHT-7 1/2 WHITE HAT/BLACK BRIM 1 1 47.00 47.00 IFDHAT-WHT-7 1/4 White Rnd Hat/Blk Brim 1 1 47.00 47.00 IFDHAT-WHT-7 1/8 White Rnd Hat/Blk Brim 1 1 47.00 47.00 IFDHAT-WHT-7 3/4 White Rnd Hat/ Blk Brim 1 1 47.00 47.00 IFDHAT-WHT-7 3/8 White Rnd Hat/Blk Brim 1 1 47.00 47.00 FAYE COMPLETE IN BOX IN WAREHOUSE 1 1 0.00 0.00 SE Sub Total $282.00 IN 7% $0.00 Total $282.00 Paid $0.00 Balance $282.00 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. �pg� INDIANAPOLIS,IN 46202 THE 11/25/2013 TELE:317-926-4467 Page 1 of 1 1 14 RM FAX:317-926-4460 X P.O. NUMBER: www.uniformhouse.com HOUSE, INC. ®8JU**�7g�' CLERK: Heath C. Invoice 000452440 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 GIVE TO HEATH 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total _ Tax HAT-MF-50G Metal Floral Gold Hat Band 10 10 10.80 108.00 Metal Button 20 20 1.57 31.40 BUTTON-GOLD-FD-H COMMENT gary took 11.25.13 1 1 0.00 0.00 Sub Total $139.40 IN 7% $0.00 Total $139.40 Paid $0.00 Balance $139.40 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. �+ INDIANAPOLIS,IN 46202 THE 12/3/2013 TELE:317-926-4467 Page 1 of 1 FAX:317-926-4460 11411F P.O. NUMBER: www.uniformhouse.com HOUSE,®CJ�7�e' INC.itl� CLERK: Heath C. Invoice 000451669 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 GIVE TO HEATH 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total Tax 35W5400-18.5-36/37 White US Shirt Poplin w/Mil.Crs 1 1 37.80 37.80 Alter-Emblem Sew Emblem Sewing 1 1 1.85 1.85 COMMENT FOR MARK CROMLICH 1 1 0.00 0.00 HEATH Heath's Delivery Box COMPLETE SE 1 1 0.00 0.00 Sub Total $39.65 IN 7% $0.00 Total $39.65 Paid $0.00 Balance $39.65 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. INDIANAPOLIS,IN 46202 THE 11/29/2013 TELE:317-926-4467 Page 1 of 1 tjjjqj)r0jK FAX:317-926-4460 P.O. NUMBER: www.uniformhouse.com HOUSE, INC. CLERK: Heath C. Invoice 000452603 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 GIVE TO HEATH 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Shipped Price Total T_ ax Customer Owned Dress Blouse 1 1 0.00 0.00 OWNDRESSBLOUSE Alter-SERVICE Metal Serv. Bar&Application 3 3 6.73 20.19 BAR-G D HEATH COMPLETE IN WAREHOUSE HANGING 1 1 0.00 0.00 SE Sub Total $20.19 IN 7% $0.00 Total $20.19 Paid $0.00 Balance $20.19 No returns on altered,washed,worn garments. Items can be returned within 30 days of purchase with receipt. 1927 N.CAPITOL AVE. INDIANAPOLIS,IN 46202 THE H��+ s 11/25/2013 TELE:317-926-4467 jJjjr0X%M Page 1 of 1 FAX:317-926-4460 P.O.NUMBER: HOUSE, INC. CLERK: Heath C. Invoice 000452453 BILL TO: SHIP TO: Carmel Fire Dept GARY CARTER Fire Station# 1 GIVE TO HEATH 2 Carmel Civic Square Carmel IN 46032 Part Number Description Ordered Price Total Tax N-43-131-13PLT-1CIrSeal Breast Badge 3 51.76 155.28 N-43-GLDPLT-1 CIrSeal Breast Badge 6 51.76 310.56 N43-GLDPLT-1ClrSeal Breast Badge 4 51.76 207.04 NP600-GLDPLT-1CIrSea Tie Bar w Seal & Dept Lettering 4 17.82 71.28 F-21GIdPItRed Collar Insignia w 2 Horns 20 12.24 244.80 Sub Total $988.96 IN 7% $0.00 Total $988.96 Paid $0.00 Balance $988.96 No returns on altered,washed,worn garments. Items can be returned within 60 days of purchase with receipt. VOUCHER NO. WARRANT NO. ALLOWED 20 The Uniform House IN SUM OF $ 1927 North Capital Avenue Indianapolis, IN 46202 $2,339.58 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 43-560.01 I $2,339.58 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 DEC Z013 r 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)) $2,339.58 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 1927 N.CAPITOL AVE. INDIANAPOLIS,IN 46202 THE 11/13/2013 TELE:317-926 4467 1 Page 1 of 1 IgIlMORM FAX: 317-926-4460 P.O. NUMBER: www.uniformhouse.com SE, INC. CLERK: Faye Y. Invoice 000447018 BILL TO: SHIP TO: Carmel Police Department MICHAEL RUSH 3 Civic Square GIVE TO FAYE Carmel IN 46032 Part Number Descrptions rdered Ship ed Price , Total ry; J&G DRESS Custom Dress Blouse Hi Collar Navy 1 1 395.00 395.00 BLOUSE J&G PTS NV PTS/NAVY DRESS PANTS 1 1 105.00 105.00 COMMENT ANNA FLAMING 1 1 0.00 0.00 J&G DRESS Custom Dress Blouse Hi Collar nAVY 1 1 395.00 395.00 BLOUSE J&G PTS NV PTS/NAVY DRESS PANTS 1 1 105.00 105.00 COMMENT SCOTT MORROW 1 1 0.00 0.00 COMMENT COMPLETE IN F,AYE'S OFFICE SE 1 1 0.00 0.00 Sub Total $1,000.00 IN 7% $0.00 Total $1,000.00 Paid $0.00 Balance $1,000.00 No returns on altered,washed,worn garments. items can be returned within 30 days of purchase with receipt. City INDIANA RETAIL TAX EXEMPT PAGE o C CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER 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, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE Og�RDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION iS 4 I3 Tho unifoffyI'Hour,@, Inc. Carmel Police Department VENDOR SHIP 3 CIVIC Square TO 1927 N. Capitol Avenue Camel, IN 45032 Indianapolls, Ili 46M (317)571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43x0.01 2 Each custom dress blouse hi collar nvy $395.00 $7€0.00 2 Each PTS/nasry dress blouse $105.00 $210.04 �. Saab Total: $1,000.00 f i -ZZ Qj .° Send nvoice otlnifarms for CliierAnncg Fl m! ' • t ✓,t JrY1 J Carmel Police Department Attn: TGmsa AI dereson 3 Civic Square Cool, IN 40032- PLEASE INVOICE IN DUPLICATE DEPARTMENT fi, ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. - C PAYMENT $1,000.00 • 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. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE'IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SU6FICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY !/ •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. �a $ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Ch of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2.�. 400 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._-- _...... ALLOWED 20 IN THE SUM OF$ $ I, ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE 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 i Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 The Uniform House, Inc. IN SUM OF $ 1927 N. Capitol Avenue Indianapolis, IN 46202 $1,000.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 25400 I 447018 I 43-560.01 I $1,000.00 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 Thursday December 05, 2013 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)) 11/13/13 447018 honor guard uniforms $1,000.00 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