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227432 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 365421 Page 1 of 1 ONE CIVIC SQUARE MAC DESIGNS INC CHECK AMOUNT: $1,101.54 AE SW CARMEL, INDIANA 46032 CARMEL DINV 46032 CHECK NUMBER: 227432 '. CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239011 12782 426 . 25 SPECIAL DEPT SUPPLIES 2201 4356001 12782 675 . 29 UNIFORMS Mac®esigns, Inc. (5mcdesignsInvoice More than Just Ink on a shirt Date Invoice No. 12/11/2013 12782 Terms Due Date Net 30 01/10/2014 Bill To Ship To CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W 131ST ST 3400 W 131ST ST CARMEL, IN 46074 CARMEL, IN 46074 Attn: Amy Lunn Amount Due Enclosed $1,101.54 Please detach top portion and return with your payment_ Ship Date Ship Via P.O. Number 12/11/2013 delivery Wintersweatshirtsl3 Activity Quantity Rate Amount • EMBROIDERY 88 6.45 567.60 Carmel Street Dept Logo 5738 stitches • EMBROIDERY 88 6.00 528.00 Individual Names • 10.6 miles 1 5.94 5.94 IRS R-2012-95, Nov. 21, 2012 Total $1,101.54 Standard Mileage Rates for 2013 56.5 cents per mile for business miles All Contract Printing is subject to a 4%credit card payment processing fee Remit Payment to : 1009 3rd Ave SW, Carmel Indiana 46032 VOUCHER NO. WARRANT NO. ALLOWED 20 Mac Designs, Inc. IN SUM OF $ 1009 3rd Ave. S. W. Carmel, IN 46032 $1,101.54 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 12782 43-560.01 $675.29 1 hereby certify that the attached invoice(s), or 2201 12782 42-390.11 $426.25 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 Pri ay,e eCember 13, 2012 Stre fr��5 r� 8 siipner 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)) 12/11/13 12782 $675.29 12/11/13 12782 $426.25 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