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Home My WebLink About233349 06/04/14 (9, CITY OF CARMEL, INDIANA VENDOR: 365455 ONE CIVIC SQUARE BRYON SINN CHECK AMOUNT: $******'**79.99* CARMEL, INDIANA 46032 CHECK NUMBER: 233349 CHECK DATE: 06/04/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 49.99 OTHER EXPENSES 651 5023990 30.00 OTHER EXPENSES - i Westfield Village Park Plaza 'rf Carmel, IN 46033 i (317) 844-3996 ° 05-21-14 5,OOP 0089/0026!0639/0 2458XXX ID# 599-9478--8582-9960-9915-7393-6080 MNS ATHLETIC SH 091206761284 x i ItemPr79,99 >t ce 85. 00 YuuSave 5.01 SUBTOTAL 79.99 0031201550 CARMEL. UTILITIES - CATER T1= 0.00 @ 7.0TAX 0.00 - TOTAL $79-199 CASH 80.00 CHANGE 0.01- , � - TOTRI SAVED: $51'01 THANK YOU FOR SHOPPING AT KOHL'S # ITEM IS NOT TAXABLE IIIIIIIIIIIIIIIIIillll 1 1��SII I ILII I it ill I III{I III - THIS PURCHASE ISSUBJECT TO THE TERMS/CONDITIONS FOUND IN LEGAL NOTICES ' AT KOHLS,COM. I -- Prescribed by State Board of Accounts Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 Mo. Day Yr. Signature Title 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. 12 3/r Com/'/}1.._ Mo. Day Yr. Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA Favor Of Q,At/oN Total Amount of Voucher Deductions ot-690,07 1-7— Amount of Warrant $ Month of Yr Acct. VOUCHER RECORD No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Maintenance l Utility Plant in Service Constr.Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS•SYSTEMS 1-800-382-8702 325 Westfield Village Park Plaza Carmel, IN 46033 (317) 844-3996 05-21-14 5:OOP 0084/0026/0639/0 2458XXX 1D# `r:;9-9478-8582-9960-9915-7393-6080 MNS ATHLETIC SH 0c'1206761284 79.99 # ItemPrice 85.00 YouSave 5.01 SUBTOTAL 79.99 0031201550 CARMEL. Ufll._JTIES - WAFER T1= 0.00 @ 7.0% TAX 0.00 TOTE $79.99 CASH 80.00 CHANGE 0.01- T01 SM: $5,01 THANK YOU FOR SHOPPING AT KOHL'S # ITEM IS NOT TAXABLE 1111111IIIIII Illllli I I I II I Ililll III 1111111 1111111 THIS PURCHASE IS SUBJECT TO THE TERMS/CONDITIONS FOUND IN LEGAL NOTICES AT KOHLS.COM. bring it back with the receipt within 14 Clays and we'll give it to you for the.sale price. HASSLE-FREE RETURNS RETURN ANY ITEM,ANYTIME,FOR ANY REASON. DO YOU HAVE YOUR RECEIPT? You'll get a full refund or even exchange. If you have a gift receipt,you'll get an., even exchange or a Merchandise Credit. NO RECEIPT?NO PROBLEM! If you paid with a Kohl's Charge or any other major credit card,we car!look up your purchase and give you a full refund or even exchange. Otherwise,you'll get an even exchange or a Merchandise Credit.- DID YOU PAY WITH A CHECK OR DEBIT CARD? You'll get cash,a Merchandise Credit or a corporate refund: We may ask for a valid form of ID. When paying by check,you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. For inquiries,please call 1-800-564-5740. WE DO PRICE ADJUSTMENTS! If something you purchased goes on sale, bring it back with the receipt within 14 days and we'll give it to you for the sale price. HASSLE-FREE RETURNS G Png ANY REASON. Prescribed by State Board of Accounts Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WASTEWATER UTILITY ACCT. CARMEL, INDIANA Favor Of y0,VIV A,1 Total Amount of Voucher $ Deductions 5 Oo Amount of Warrant $ Month of Yr 1 Acct. VOUCHER RECORD No. Collection System Pumping Treatment&Disposal Customer Accounts Administrative&General ,1 Reclaimed Water Treatment Reclaimed Water Distribution i l Total Allowed 'i I Board Members Filed 1 BOYCE FORMS•SYSTEMS 1-800-382-8702 325