HomeMy WebLinkAbout232811 5 /21/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 120950
ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $*********7.16*CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK NUMBER: 232811
C/O DEPT OF LAW CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4230200 7.16 OFFICE SUPPLIES
OFFICE DEPOT# 534
12917 N. Meridian St.
Carmel, IN 46032
(317)571-1300
04/27/2011 14. 1 .5 12:40 PM
SIR 539 RFG1 TRN 4973 EMP 638138
-------------
SALE
Product TO nesc:rIPtiof) Total
916787 LUGGAGF,CARRYO 55.99 S
343303 STRG,FD,FFL,2C
2 @ 2.99 5.98
You Pau 5.985
393330 STRG,FD,EFL, 14 6.37 S
343339 STRG,f=D,EFI_,5C
2 @ 4.12. 8.24
You Pau 8.24S
343348 STRG,FOOD,2.9C 3.37 S
343366 STRG,F000,4CUP 3.37 S
169972 HLDR,PPR CLIP,
4 @ 1 .79 7.16
You Pay 7.16S
869727 BOWL,NOODI_F:AS S
898918 BWL,SI_D:CHILL,
2 @ 10.49 0.98
You Pay 20.985
196612 BOX,LUNCH,TOGO 9.19 S
777897 PILLOW,FI_EECE 7.69 S
287825 GLUE,GORILLA,2 4.05 S
786395 MAG,C/CRD,2X,L 7.39 S
215844 $5.99 Best Sel
3 @ 9.79 14.37
You Pau 14.37SO
457981 PPR,[_'TR,LFT-OF 9.37 S
753208 KIT,F11RN,TOLICFI 8.39 S
559917 SPNG,DOBIE,3/P
2 @ 2.99 5.98
You Pay 5.98S
675041 PAPER,COPY,AST 9.37 S
Sub cl I a 1 187.80
Sales Tax: 13. 15
Total:, 200.95
200.95
if if 4143F#+iF*'•'-�1 - -x�aEifk Yil
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Douglas C. Haney
Purchase Order No.
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/14/14 23-0300 Reimburse Douglas C. Haney for monies he personally $7.16
expended for office supplies per the attached
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas G. Haney IN SUM OF $
Carmel, Indiana 46033
$ $7.16
ON ACCOUNT OF APPROPRIATION FOR
Deferral - 209
423-0300 Office Supplies
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
209 423-0300 $7.16 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
l I 20 I
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund