HomeMy WebLinkAbout240426 12/16/2014 1 ui.CIH'M
CITY OF CARMEL, INDIANA VENDOR: 361349
ONE CIVIC SQUARE ERIC ROBINSON CHECK AMOUNT: $*`*****129.99*
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q �;� CARMEL, INDIANA 46032 23320 CAMMACK ROAD CCHECK HECK DAME ER: 240426
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UON CICERO IN 46034
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 129.99 OTHER EXPENSES
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ORDER SUMMARY
Order Information Billing Address Payment Method Payment Total
Order Placed December 5.2014 Eric Robinson Credit Card Order Subtotal $179.99
Order Number 00130162 23320 Cammack Road Eric S Robinson Order Discount ($50.00)
Cicero,IN 46034
United States Subtotal $129.99
Phone:317-523-6280 Exp-04.2017 Shipping FREE Ground $0.00
Amount:$139.09 Shipping
Sales Tax $9.10
ORDER TOTAL: $139.09
SHIPMENT #1
Item Quantity Price Shipping To
Rocky Steel Toe Waterproof Wellington Work 1 $179,99 Eric Robinson
Boot 23320 Cammack Road
Item No:F00006639M--090 Cicero, IN 46034
Color:BROWN United States
Width:MEDIUM Method:FREE Ground Shipping
Size:9 Shipping Status:Not Shipped
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https://www.lehighsafetyshoes.com/COSummary 12/5/2014
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VOUCHER # 146209 WARRANT # ALLOWED
I
T1004 IN SUM OF $
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ROBINSON, ERIC
CARMEL WASTEWATER i
1
Carmel Wastewater Utility r
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
ROBINSON, I 01-7202-05 $129.99
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I
I
i
Voucher Total $129.99
Cost distribution ledger classification if
i
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1004
ROBINSON, ERIC Purchase Order No.
CARMEL WASTEWATER Terms
Due Date 12/9/2014
r
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
i
12/9/2014 ROBINSON, $129.99
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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