HomeMy WebLinkAbout240265 12/16/14 u!_4�gy CITY OF CARMEL, INDIANA VENDOR: 00350609
s® ONE CIVIC SQUARE CALVIN COOPER CHECK AMOUNT: $*******129.99*
sq\ ?�: CARMEL, INDIANA 46032 130 1 ST AVE SW CHECK NUMBER: 240265
''��s`oN�, CARMEL IN 46032 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 129.99 OTHER EXPENSES
Page 1 of 2
Cooper, Calvin
From: CustomerService@LehighSafetyShoes.com
Sent: Friday, December 05, 2014 2:52 PM
To: Cooper, Calvin
Subject: Confirmation of your Order 00130161
Lehig hSafetvShoes.com
39 E. Canal St.
Nelsonville, OH 45764
Phone: +1-866-442-4908
Thank you for your order.
If you have questions about your order, please contact us by
email:CustomerService@LehighSafetyShoes.com(or)call: 1-866-442-4908
Order Placed December 5,2014
Order Number 00130161
Payment Information
Billing Address Payment Method Payment Total
Calvin Cooper Credit Card Subtotal $179,99
26210 JERKWATER RD Calvin c`nr+
SHERIDAN, IN 46069-9358 Order Discount -$50,00
_ United States _ Shipping_FRE_E Ground Shipping-$0,00
Phone:317-758-9101 Exp.03-2016`
Amount:$139,09 Sales Tax $9,10
Order Total: $139,09
— q.10
Shipment#1
Item Quantity Price Shipping To
4
r
12/8/2014
:C
VOUCHER # 146210 WARRANT # ALLOWED
350609 IN SUM OF $
CALVIN COOPER !
WASTEWATER PLANT
)J
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
i
PO# INV# ACCT# AMOUNT f Audit Trail Code
11
COOPER,CA 01-7200-01 $129.99
i
'i
11
Voucher Total $129.99
Cost distribution ledger classification if Y
claim paid under vehicle highway fund 7'
;y
1
a
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350609
CALVIN COOPER Purchase Order No.
WASTEWATER PLANT Terms
Due Date 12/9/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/9/2014 COOPER, C/ $129.99
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
Date Officer