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CITY OF CARMEL, INDIANA VENDOR: 361329
d ONE CIVIC SQUARE CLAY CAMPBELL CHECK AMOUNT: $" .....*89.95*
CARMEL, INDIANA 46032 9003 MAX COURT CHECK NUMBER: 240640
r .a FISHERS IN 46037 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 122014 44.97 OTHER EXPENSES
651 5023990 122014 44.98 OTHER EXPENSES
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Designer shoes.Warehouse prices.
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4619 East 82nd Street
Castleton, IN 46250-1671rD
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T-00001597 C-0045
00029052/0004 SALE
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YOUR PRICE 89.95
SUBTOTAL. g
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IN TAX 7.000%
�. DSW Rewards # 400212690455
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12/20/14 11:00 AM
THANKS FOR SHOPPING AT DSW, NOW SHOP 24/7
AT DSW.COM. QUESTIONS? CALL. 866.DSW.SHOES
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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
T1006
CAMPBELL, CLAY Purchase Order No.
CARMEL UTILITIES Terms
Due Date 12/29/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201, 122014 $44.97
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
VOUCHER # 142628 WARRANT # ALLOWED
T1006 IN SUM OF $
CAMPBELL, CLAY
CARMEL UTILITIES
Carmel Water Utility
t
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
122014 01-6200-07 $44.97
-1
Voucher Total $44.97
Cost distribution ledger classification if
claim paid under vehicle highway fund
DSvv®
co
¢, Designer shoes.Warehouse prices.
Clearwater Village
4619 East 82nd Street
Castleton, IN 46250-1671
0 317-570-1937
T-00001597 C-0045
y 00029052/0004 SALE
0
884093640301 MENS BOOTS
YOUR PRICE 89.95
a
C, SUBTOTAL -9
IN TAX 7.000%
DSW Rewards # 400212690455 _
TOTAL ��' ' 225
N96.25
XXXX/03216C 1
CAMPBELL/CLAY E 0.00
C
35-05
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COMPARE AT SAVINGS JJJ 0
wyoU SAVED 55 . 05
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15972905200412202014009'
12/20/14 11:00 Ater
THANKS FOR SHOPPING AT DSW. NOI,HOES
AT DSW-COM- QUESTIONS? CALL s
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Accost Activity Page 1 of 1
CHASE -',"
CREDIT CARD(...
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12/20/2014 12/22/2014 Sale DSW $96.25
INDIANAPOLIS,IN 462500000 US
In-person transaction
Rewards earned' +Points earned on all other purchases
Total rewards
' 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
T1005
CAMPBELL, CLAY Purchase Order No.
CARMEL UTILITIES Terms
Due Date 12/29/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201, 122014 $44.98
,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
VOUCHER # 146289 WARRANT # ALLOWED
T1005 IN SUM OF $
CAMPBELL, CLAY
CARMEL UTILITIES
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
122014 01-7200-07 $44.98
I .
Voucher Total $44.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
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