HomeMy WebLinkAbout235607 08/06/14 1y�,CgyF .
CITY OF CARMEL, INDIANA VENDOR: 358709
ONE CIVIC SQUARE TERRY KILLEN CHECK AMOUNT: $*******139.95*
CARMEL, INDIANA 46032 333 S.UNION STREET CHECK NUMBER: 235607
WESTFIELD IN 46074 CHECK DATE: 08/06/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 139.95 SAFETY ACCESSORIES
New Balance Carmel
9893 N. Michigan Rd. Suite 150
Carmel, IN 46032
Phone: (317) 876-4615
7/28/2014 11:00 AM 7/9NC/19664
867-1464
MARY & Terry KILLEN
333 S UNION ST
WESTFIELD, IN 46074
Special Order Pickup by 6NC:Bergman, Evan
LAWRENCE STEEL TOE, in BROWN
DA002DBR 9.5 4E 1 139.95
Amt. paid remaining 0.00
Payment 149.75
Subtotal: `139.95
State: 9.80
Total: 149.75
6 - MC/VISA/DISC 149.75
Approval #815066
Items Sold: 1
30 Day Return Policy
Receipt Required
For Exchange or Refund
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L-
VOUCHER NO. WARRANT NO.
ALLOWED 20
Terry Killen
c/o Street Department
IN SUM OF $
3400 W. 131 st St.
Carmel, IN 46074
$139.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I I 43-560.031 $139.95 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
#day t 1 0141'
' ��8i�iilf�Aer
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I j
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))
07/28/14 $139.95
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