Loading...
HomeMy WebLinkAbout237681 09/30/14 CITY OF CARMEL, INDIANA VENDOR: 298001 il•, ONE CIVIC SQUARE TARGET BANK CHECKAMOUNT: $*******442.22* s. ?� CARMEL, INDIANA 46032 BUSINESS CARD SERVICES CHECK NUMBER: 237681 9M�TON PO BOX 660149 CHECK DATE: 09/30/14 DALLAS TX 75266-0149 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 XX485 216.03 GENERAL PROGRAM SUPPL 1096 4238000 XX485 150.37 SMALL TOOLS & MINOR E 1096 4239039 XX485 75.82 GENERAL PROGRAM SUPPL TARGET. 2 5 2014 *9001A* Account Number: X-XXX-XX7-485 Account Identification Number: 00027148352 LSEP AUDREY KOSTRZEWA Statement Closing Date:September 18,2014 CARMEL CLAY PARKS RE Pagel of 2 Pay-In-Full Business Card Account Summary Total Credit Limit for Purchases $4,000 Previous Balance $595.70 Available Credit for Purchases $3,557 Payments&Credits -595.70 Purchases 442.22 Questions? Call Us: Other Charges 0.00 . Regarding your account?1-800-618-6881 New Balance $442.22 Calling will not preserve your billing-error rights Minimum Due $442.22 Payment Due Date October 18,2014 Payments& Credits Mail your payment as instructed on the back of this statement.As an accommodation,we may also accept payments at Target Stores or overthe phone,but to ensure the payment is credited to your account the same day you make the payment,it must be made priorto 2 pm (Central Time)for Target Store payments and 5 pm(CT)for phone payments. _ Date Reference Description Location Amount Sep. 8 00027148352 PAYMENT RECEIVED-THANKS -$595.70 Total Payments&Credits -$595.70 Purchases Date PO# Description Reference Location Amount Aug. 21 CENTRAL CHECKOUT 18480736595 NORA PLAZA, IN $63.02 Aug. 21 807707588 TARGET.COM 800-591-3869 39914053387 150.37✓ Aug. 27 813409613 TARGET.COM 800-591-3869 39914590036 12.80✓ Aug. 28 817226677 TARGET.COM 800-591-3869 39914771913 or �I .h� /128.187 Aug. 28 817226677 TARGET.COM 800-591-3869 39914769227 L. 1P lJ c 8 Total Purchases $442.22 Target Bank,an affiliate of Target Stores NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Payment Information:Use the envelope provided to send If applicable lame otherwise permits you to mail us legal written us your payment(in U.S.dollars)along with the lower portion notice about anything related to your Account with us,it must of this monthly statement. Lost your envelope?No problem. be addressed to Target Bank,Business Card Services,P.O. Just mail your payment along with the lower portion of this Box 45922,Salt Lake City,UT 84145-0922. monthly statement to Target Business Card,P.O.Box 660149,Dallas,TX 75266-0149. Payments sentthis way We may report information about your account to the will be credited to your Account as of the date received. consumer reporting agencies.Late payments,.missed payments, Payments sent to other locations or in any other manner or other defaults on your account may be reflected in your may be delayed. Please don't send cash payments or credit report. GiftCards. - FOR REVOLVING CREDIT ACCOUNTS: Please write your check to TARGET BANK. How We Calculate Your Finance Charge:We figure your Finance Charge,if any,by multiplying your Daily Balance by the Daily Periodic Rate shown on the front of this statement. In Case Of Errors or Questions About Your Bill: At the end of the billing period,we add up the results of these daily calculations to get the total Finance Charge for the If you think your bill is wrong,or if you need more information billing period. about a transaction on your bill,send us a letter right away til at: Target Bank,Business Card Services,P.O.Box 45922, You may avoid paying a Finance Charge by paying the New Salt Lake City,UT 84145-0922. We must hear from you no Balance on vour statement in full by the Payment Due Date. later than 30 days after we sent you the first bill on which the However,there is a minimum FINANCE CHARGE of$0.50 error or problem appeared. You can call us,but doing so will for any billing period.in which a Finance Charge is imposed. not preserve your rights. We will add a Finance Charge on new charges which were In your=letter,-give-Lis-tlme-followinginforration---- — ---lilllcd-Co an Account during(heft-billing period starting-with -- 1. Your name,business name,and Account number. — theAt-y-those-charges-were-posted-to yore Account-balance.- _ 2:--The dollar amotumt of-tfie suspected error. 3. Describe the error and explain,if you can,why you believe there is an error. If you need more information, How We Calculate Your Daily Balance:We take the describe the item you are unsure about. beginning balance of your Account each day,and add any new charges. Then we subtract any payments and credits. You don't have to pay any amount in question while we are We then multiply the resulting balance by the Daily Periodic investigating but you're still obligated to pay the parts of your Rate and that daily Finance Charge is included in the beginning bill that aren't in question. While we investigate your question, balance of your Account for the next day. This gives us the we can't report you as delinquent or take any action to collect Daily Balance. the amount you question. Average Daily Balance:We add together all the Daily Special rule for credit card purchases: If you have a Balances for the billing period and divide the total by the problem with the quality of goods or services that you number of days in the billing period. This gives us the purchased with a credit card,and you have tried in good faith "Average Daily Balance". to correct the problem with the merchant,you may not have The Average Daily Balance times the Daily Periodic Rate to pay the remaining amount due on the goods or services. times the number of days in the billing period will equal the amount of the Finance Charges. Need more information? Just call 1-800-618-6881. • To ask questions about your bill • To report a lost or stolen card • To request additional credit cards • To change your address TARGET Account Number: X-XXX-XX7-485 *80019* Account Identification Number:00027148352 AUDREY KOSTRZEWA Statement Closing Date:September 18,2014 CARMEL CLAY.PARKS_RE_.._____ —.Y — ___ _. _____.____ __ _-Page-2.of..2s.---- Transaction Details Cardholder Date of Trans Reference PO# Description Amount XXX-XX7-531 Aug. 21 18480736595 Frito Lay $17.94 Bts/Btc Seasonal $15.00 ! Shave $33.40 j Total $63.02 i Total $150.37 i Total $12.80 Total $128.16 Total $87.87 I i 27148352 MAB18-00001269-002-002 Payment.Information:Use the envelope provided to send. If applicable law,otherwise pen-nits you to mail us legal written Lis your payment(in U.S.dollars)along with the lower portion notice about anything related to your Account with us,it must of this monthly statement. Lost your envelope?No problem. be addressed to Target Bank,Business Card Services,P.O. Just mail your payment along with the lower portion of this Box 45922,Salt Lake City,UT 84145-0922. monthly statement to Target Business Card,P.O.Box 660149,Dallas,TX 75266-0149. Payments sent this way We may report information about your account to the will be credited to your Account as of the date received. consumer reporting agencies.Late payments,missed payments, Payments sent to other locations or in any other manner or other defaults on your account may be reflected in your may be delayed. Please don't send cash payments or credit report. GiftCards. FOR REVOLVING CREDIT ACCOUNTS: Please write your check to TARGET BALI{. How We Calculate Your Finance Charge:We figure your Finance Charge,if any,by multiplying your Daily Balance In Case Of Errors or Questions About Your Bill: by the Daily Periodic Rate shown on the front of this statement. At the end of the billing period,we add up the results of these daily calculations to get the total Finance Charge for the If you think your bill is Nvrong,or if you need more information. billing period. about a transaction on your bill,send us a letter right away at: Target Bank,Business Card Services,P.O.Box 45922, You may avoid paying a Finance Charge by paying the New Salt Lake City,UT 84145-0922. We must hear from you no Balance on your statement in full by the Payment Due Date. later than 30 days after we sent you the first bill on which the However,there is a minimum FINANCE CHARGE of$0.50 error or lroblem ap eo ared. You can call us,but doing so will for any billing period in which a Finance Charge is imposed. not preserve your rights. We will add a Finance Charge on new charges which were -- -In your letter,—give-us-the-following-information:- - ----- ----billed to-arrAccount during-that billingperiod-starting with I. Your name,business name,and Account number 2. The atoIlai amounf ol'tlw suspected error.- .— _ _the day_those_charges_k;sere posted-to your Account-balance. 3. Describe the error and explain,if you can,why you How We Calculate Your Daily Balance:We take the believe there is an error. If you need more information, describe the item you are unsure about. beginning balance of your Account each day,and add any new charges. Then we subtract any payments and credits. You don't have to pay any amount in question while we are We then multiply the resulting balance by the Daily Periodic investigating but you're still obligated to pay the parts of your Rate and that daily Finance Charge is included in the beginning bill that aren't in question. While we investigate your question, balance of your Account for the next day. This gives us the we can't report you as delinquent or take any action to collect Daily Balance. the amount you question. Average Daily Balance:We add together all the Daily Special rule for credit card purchases: If you have a Balances for the billing period and divide the total by the problem with the quality of goods or services that you number of days in the billing period. This gives us the purchased with a credit card,and you have tried in good faith "Average Daily Balance". to correct the problem with the merchant•you may not have The Average Daily Balance times the Daily Periodic Rate to pay the remaining amount due on the goods or services'. times the number of days in the billing period will equal the amount of the Finance Charges. Need more information? Just call 1-800-618-6881. • To ask questions about your bill ® To report a lost or stolen card ® To request additional credit cards ® To change your address Rev F:05/06 6:08110 FF-BC-STMT(11/13) T4rget Expect More Pay Less Page 1 of I ,It 'fk- xX 10 3-1 Hello Dawn! my account sign out al search vvormn man baby kids honve patio furniture electronics entertainment toys sports health beauty clearance more REDcard SAVE 5",c-GET rREE.SRIPMNG. Harris. 0 TODAY&EVERYDAY-Apply today find a store Weekly Ad GiftCards registries TargetUsts Target my account order history order#101`1::9475'8D order #101797947980 placed(,it 08121120 14 cancel itemsEstimated Delivery: Delivering to: 08/25/2014-08!2812014 Shipping via Via Standard Delivery Order created Standard Delivery Estimated delivery Mary Evans (4-7 days) 1235 Central Park Dr E 0812112014 08/25/2014-08128/2014 Carmel,IN 46032-4421 Conair Ionic Conditioning Hair Dryer qty:12 $158.28 each summmy Payment and Billing Billing address: Payment methods: dawn koepper REDcard 1411 E 116th St subtotal: $158.28 Cannel,IN 46032-7611 --—--------7523 $150.37 12 item(s) atj)�4'i e5 discounts: -$7.91 REDcard 5%Discount shipping: FREE tax $0.00 your total: $150.37 you saved$7.91(5%) Target stores about Target ways to save help the REDcard find a se m conipany;3lo&press weekly ads accessitlaity card rje'iefits 3S 1101.1 V;eW items Unit, carea;, Co.rons see all help how to apply on Tar et.cr ifivestor relations r.oarance back an order 9 -,lyi, optical .1 manage my REDcard we'll lie .ep tfack of pna,macy co—i-aif.respor!sit.Nily a!!the dna!r' return an iten, 'he.rn herp. photo affiliates starf;pickur, 5%Off puflrait'studlo A Builsfyo V:rw shipping informatiot plus everyday free team preauct,recalls shipping BljjlseYe S'nor, size chans apply n-- advxi:se-."*.;el us contact W, my recommendations privacy policy Updated-July 2014 i cookies 1 terms&conditions i CA privacy rights I CA transparency in supply chains act I about this site ,9 2014 Target Brands,Inc.Target,the Bullseye Design and Bullseye Dog are trademarks of Target Brands,Inc.All rights reserved. view ail prQiJuct-a by:womens mens baby kids home hall)bedding appliances d6cor kitchen patio and garden furniture electronics toys health and beatify sports view by�twcmlty:backto college black friday christmis clearance cyber monde y hilloween shop by brand favorite characters recipes Target Cartwheel coupons featuroo,narmers:cooking.com CHEFS catalog DER1,11store Target Canada.wvvw.tarqet.ca shop all departments view mobile version https://www-secure.target.com/cheekout_getorderdetails?catalogld=l 005 1&Iangld=-1&sto... 8/21/2014 Target Expect More Pay Less Page I of I SAVE:. GE SHI P Vr4G M Dawo f.I Id 1 score weekly(weeklyy Rd gii,caitlk reghvles Tai'qat0st!, REDcard 'f 0 DAY&'E.V E RY DA Y Apply 1:aday expshdp all categories iAE:,zj-z I eca r c I i your cart Target myoccount order history i:,ie!,«lr;!?.z,;*.;,;',It :),"}f) XX loss order #101804176059 isaco.o! 03!26/2014 cancel items Estimated Delivery: — -,a Delivering to: 08/2912014-0910412.014 Shipping via via Standard Delivery d r t e d Standard Delivery Estimateddelivery q, Lindsay Leber 13-9 days, 1236 Central Park Of E 08/2612014 08129120114-09/0412014 Carmel.IN 46032-4421 Taylor Mechanical Timor-White qty:3 $13.47 S4.49 each Payment and Billing Billing address: Payment methods: summary dawn koepper REDcard 1411 E 116th St subtotal: $13.47 Carmel.IN 46032-7611 ------------7523 $12.80 3 110n)(3) discounts: _$0.67 REDcard 5%Discount shipping: FREE tax: $0.00 ..Your-total: $12.80 you saved 56.67(5%) Target stores about Target ways to save help the REDcard all, crud benuf 1s fill '3'.y;;u View It"I:. !;.t:'I[help m-'n apply :"n pfical n.n.j.my P.Elj,.,d phan-,"'I rorperate­p-s'Wily iil th'!luld, nvu:";ar,Q,n: sh—pili"'I: plus everyday free shipping 8"INeve Shoerve.ch,ns c-L­f ut, my recommendations privacy policy Updated-July 2014 cookies 5 terms&conditions CA privacy rights i CA transparency in supply chains act 1 about this site 4:2014 Target Brands.Inc.Target,the Bullseye Design and Bullseve Dog are trademarks of Target Brands,Inc.All rights reserved. Al proova il,"Inmos nouns baby kids horns bath holding applianc(m(it!c*r Ud-,;,at!.mw g­hm furniture electronics toys h,raoh and beauty sports ­f, by il,;"I hi.14 to black friday h—urnas chum.—eyinr rn I.y hallowenn shop by brand fa-m—h—w—recipes Targe[C.,-wheal coupons f:?;n,­,:jjt:rttlrr,cooking.-ni CHEFS calal(Kj IDERI%is(are. Canada.­wrgm- Owl,all de,pad—W& View mobile version https://www-secure.target.com/cheekout 8/26/2014- _getorderdetalls?catalogld=10051&langld=-I&sto..' Target : Expect More Pay Less Page 1 of 5 TARGET SJnSCRIPTIOPIs Hi Dawn find a stare weekly ad gift cards registries Targett-is€s REDcard i,.arn mora shop all categories search your cart Target my account order history order:101806885034 SEP 2 2014 order #10180688503 _ ---�-�-- p'sacad on 08/2812014 We are currently experiencing a delay updating your order information.You may want to refresh this page or try again later. Estimated Delivery: Delivering to: 09/0 31201 4-0 9i08/2014 of der created Shipping via Estimated delivery via Standard Delivery Standard Delivery Jennifer Hammons (5-10 days) 08128/2014 09103/2014-0910812014 3495 W 1261h Sl Carmel,IN 46032-9557 v Sofia the First Sofia's Magic Lesson(Paperback) qty.1 $3.99 Estimated Delivery: 091-03,'2014-09108/2014 Order created Shipping via Estimated delivery via Standard Delivery Standard Delivery (5-10 days) 08(2812014 0910312014-0910812014 Star Wars Clone Wars Adventures 3(Paperback) qty:1 $6.99 Estimated Delivery: 0910312014-09108!2014 Order created Shipping via Estimated delivery via Standard Delivery Standard Delivery (5-10 days) 08/28/2014 09!0312014.0910812014 Plate the Great and the Fishy Prize(Reprint)(Paperback) qtY 1 $5.39 fC Estimated Delivery: 09/.0312014-09108/2014 Order created Shipping via Estimated delivery Standard Delivery via Standard Delivery (5-10 days) 08/28/2014 0910312014.09108!2014 Nate the Great and the Big Sniff(Paperback) qty 1 $5.39 A Estimated Delivery: 09/0312014-0910812014 Order created Shipping via Estimated delivery via Standard Delivery Standard Delivery (5-10 days) 08/2812014 0910312014.09108/2014 The Royal Slumber Party(Paperback) qty 1 $3.99 https://www-secure.target.com/checkout_getorderdetails?is WCSOrder=Y&catalogId=100... 8/28/2014 Target : Expect More Pay Less Page 2 of 5 ,r ,<' `a Estimated Delivery: 09/0312014-09108/2014 Shipping via via Standard Delivery Order created Standard Deliver Estimated delivery (5-10 days) y 00128!2014 09103/2014.0910812014 The Legendary Yoda(Paperback) qty:1 $3-gg x iY I Estimated Delivery: 09/0312014-09108/2014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery (5-10 days) 08/2812014 09/0312014.09f0812014 Bounty Hunters for Hire(Paperback) qty:1 $3.99 Estimated Delivery: 09/03!2014-0910812014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery (5-10 days) 08/28/2014 0910312014.09108/2014 Diary of a Wimpy Kid Box of Books(Hardcover) city 1 $83,00 i { Estimated Delivery: 09/0312014-0910812014 Shipping via via Standard Delivery Girder created Standard Delivery Estimated delivery (5-10 days) 08128/2014 0910312014.0910812014 Nate the Great and the Stolen Base(Reissue)(Paperback) qty:1 $5.39 Estimated Delivery: 09103/2014-09/00/2014 Shipping via via Standard Delivery Order rreated Standard Delivery Estimated delivery (5-10 days) 0812812014 09103/2014.09108/2014 Welcome to Royal Prep{Paperbat k) qty 1 $3.99 u•�3y. iib Estimated Delivery: 09iO3/2014-09/08/2014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery (5-10 days) 08/2812014 09/03/2014.09/0812014 Sofia Makes a Friend(Paperback) qty:1 $3.99 https://www-secure.target.com/cheekout getorderdetails?isWCSOrder=Y&catalogld=100... 8/28/2014 Target : Expect More Pay Less Page 3 of 5 Estimated Delivery; 09/03/2014-09108/2014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery t5-10 days) 00128!2014 0910312014.09108/2014 Magic Tree House Collection 3 Books 9-12(Paperback) qty:1 $13.97 Estimated Delivery: 09/0312014-0910812014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery (5-10 days) 08/28/2014 0910312014.0910812014 ;Nw Magic Tree House Books 13-16:the Mystery of the Lost Librariesqt!':1 $13.97 (Mixed media product) Estimated Delivery: 09/0312014-0910812014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery (5 10 days) 08/2612014 0910312014-09108!2014 Yoda Bird's Heroes(Paperback) qty:1 $3.99 v� Estimated Delivery: 09,0312014-09108/2014 Shipping via y < via Standard Deliver rder created Standard Delivery Estimated delivery (;i-10 days) 0812812014 09/0312014-0910812014 Star Wars Clone Wars Adventures 2(Paperback) qty:1 $6.99 Estimated Delivery: 09/0312014-09/0812014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery (5-10 days) 0812812014 09/03!2014-09108!2014 The BigBook of Dinosaurs(Hardcover) qty 1 $14.99 � . Estimated Delivery: 09/03/2014-0910812014 Shipping via via Standard Delivery Order created Standard Delivery Estimated delivery i5-10 days] 0812812014 0910312014-0910812014 Guinness World Records 2013 by Craig Glenday(Editor)(Mass qty:1 $6.99 Market Paperback) https://www-secure.target.com/cheekout_getorderdetails?is WCSOrder=Y&catalogId=100... 8/28/2014 J Page 4 of 5 Target : Expect More Pay Less 'wE'!ati� `�'�Ertr}C'�NTUS Estimated Delivery: Shipping via Estimated delivery 0910312014-0910012014 6rder created Standard Del+very via Standard Delivery 0910312014-09/0812014 (5_10 days) 0812812014 as,..•,., Guinness World Records 2014(Reprint)(Paperback) gty:1 $6.47 'Y r�A� �tJ2 Estimated Delivery: shipping via Estimated delivery 09/0,312014-0910812014 Order Greeted Standard Delivery via Standard Delivery 0910312014.0910812014 (5-10 days) 0812812014 (paperback) gty:1 $15.96 Magic Tree House,Books 1-4(Pa P `t z:w Estimated Delivery: Shipping via Estimated delivery o910312014-o910812014 Order created Standard Delivery via Standard Delivery 09!0312014-0910812014 (5-10 days) 0812812014 gty:1 $13.97 a c Magic Tree House Books 5-S(Paperback) :;;ppat summary ddress: payment methods: Payment and Billing REDcard subtotal: $227.40 Billing a dawn koePPef 20 itemtsl 1411 E 116111 SI �......._-._..._7523 5216.03 C,,rr:l,IN 46032-7611 $11.37 discounts: REDcard 5%thscOuet shipping: FREE pair ; .. tax $0.00 — — — SEP 2 2014 your total: $216.03 you saved$11.37 1BY: the REDcard ways to save help Retep�l about Target .,ard Ueae�bLs lar et stores Y1""iy ads acrxssitlildy recently viewed items 9 on;peny u+to s ares ov,m apn!Y fu?d a s'.ost, coupons sae a!I help m RGDcaid cnreerc snanaye Y rlinir clea!anca track an,rifer Ars optical invest",rclati+.,ns re`urn an item Sf5 vSt ns+C,lit ait the deals pharmacy rorporm`:e respo Y store DiGs+rp plus everyday free '£ alhNateSsrviaping iR(,rm3tion shipping pho .. F.Fju{Iseye View product mci3li5 a(:P'•y rnw peitrmil stutlio loam ntemhi'r:;l'fvii:eS cite Gha:is Nate the Great and the Oullseye Strop cnnlacl m: Big Sni.., advertise with rra :// 4v-secure.targ et.com/cheekout_getorderdetails?isW CSOrder=Y&catalogld=100... 8/28/2014 https Page 5 of 5 Target : Expect More Pay Less July 2014 cookies;terms&conditions{CA privacy rights CA transparency in supply chains act(about this site privacy policy Updated- t.the Bullseye Design and Bullseye Dog are trademarks of Target Brands.Inc.F.II rights reserved. 20':4 Target Brands.ands,Inc.Targe view all products I,women;mens baby kids home bath bedding appliances decor kitchen patiu and garden furniture electronics toys health and beauty sports view by spe�atty:back to college black friday chrisbnas cloarance cyber monday haitoween shop by brand favorite characters recipes Target Cartwheel coupons featured Winners:cooking.com CHEFS catalog DERP7store Targ*.t Canada;www.target.ca shop all departments view mobile version `T SEP 2 2014 BY _ hddit[anal egMMdly https://www-secure.target.com/cheekout_getorderdetail s?is WCSOrder=Y&catalogld=100... 8/28/2014 TARGET V#298001 4239039 4238000 4239039 4239039 General General General Program Program Program Supplies Small tools supplies Supplies 1081-10 1096-21 1096-41 1096-60 $ 442.22 $ 216.03 $ 150.37 $ 12.80 $ 63.02 $ 216.03 $ 150.37 , $ 12.80 $ 63.02 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 298001 Target Bank Terms P.O. Box 660149 Date Due Dallas, TX 75266-0149 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/18/14 27148352 Program supplies $ 216.03 _,_9/1-8/14_ _27148352 Small tools $ 150.37 9/18/14 27148352 Program supplies 9/18/14 27148352 Program supplies $ 63.02 Total $ 442.22 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 Voucher No. Warrant No. 298001 Target Bank Allowed 20 P.O. Box 660149 Dallas, TX 75266-0149 In Sum of$ l I $ 442.22 ON ACCOUNT OF APPROPRIATION FOR 108 ESE/109 Monon Center PO#orBoard Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT " 1081-10 27148352 4239039 $ 216.03 1096-21 27148352 4238000 $ 150.37 bill(s)is(are)true and correct and that the 1096-41 27148352 4239039 $ 12.80 materials or services itemized thereon for 1096-60 27148352 4239039 $ 63.02 which charge is made were ordered and received except 25-Sep 2014 I i I I Signature $ 442.22 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund