239898 12/09/14 CITY OF CARMEL, INDIANA VENDOR: 364386
b it ONE CIVIC SQUARE KURT ANDERSON CHECK AMOUNT: $********22.49
f, r` CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 239898
M,toN�o CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4463100 279267 22.49 COMMUNICATION EQUIPME
2200 - L4 L4. 00
PAYMENT RECEIPT
Verizon Wireless
ess
1950 E Greyhound Pass
Carmel, IN 46033-7730
(317) 580-9548
www.verizonwireless.com
Order Number: 279267
Order Location: M4912 01
Order Type: IS
Receive Location: M4912 01
Receipt Date/Time: 11/25/2014 13:24 ET
Rep: tullero-EH843
Register: 51
Pmt 1 of 1
Payment Type:
Retail Sale
Item Price Price
------------------------------------------
Accessories:
MIC34DUALVPC-F
Vehicle Charger with
Dual Output $22.49 $22.490. {
-
---------------------------------------
-
IN State Sales Tax: $1 .5- W "
Total Taxes/Fees: 57
Total Due *: $24.06
Total Savings: $0.00
This Payment : $24.06
Payment Method:
Mobile #3174029774
Payment Signature:
Prescribed by Slate 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
Kurt Anderson Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/25/2014 279267 Cell phone charger $ 24.06_
Total $ 24.06
1 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.
120
Clerk-Treasurer
VOUCHER NO WARRANT NO.
Kurt Anderson ALLOWED 20
IN SUM OF $
$ g,�,qq ;A-0b'
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 279267 2200-4463100 $ ,24.es— 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
12/8/2014
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund