HomeMy WebLinkAbout243758 03/31/15 CITY OF CARMEL, INDIANA VENDOR: 358818
z ONE CIVIC SQUARE BRENT LIGGETT CHECK AMOUNT: $**'****130.00'
?� CARMEL, INDIANA 46032 1221 IRONWOOD DRIVE CHECK NUMBER: 243758
CARMEL IN 46033 CHECK DATE:! 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 130.00 SAFETY SUPPLIES
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Thank yoLe-for shopping at Merrell Carmel
<• Q MB MERRELL CARMEL Merrell Carmel
14405 CLAY TERRACE BLVD 1 14405 Clay Terrace Blvd.
CARMEL: IN 46032
317-5(3-0065 Suite 130-
3230082368 Carmel, IN 46032
Merchant ID: 323006238800 Ref 11: 0005 317-573=0065
Sale 1/28/2015 01:02 PM 1001/7/48118
Entry Method: Swiped Brent Liggett I
aVjptal- $ :,130.00 Regular Sale
,t ALLOUT BLAZE STRETCH, in FALCON
h., '•00
- 130.
J21243 13 M 1
MEN'S PhD LIGHT MINI, in CHARCOAL -
SW043-003 XL
MN'S PHD LIGHT CREW, in Medium Gray
SW044-052 XL 1
g Subtotal: 168.00
State: 2.66
I Total: 170.66
130.00
! 33 _ 40.66
Items
Sold: 3
Returns only within 30 days.
Merchandise must be in original
�` — J condition.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brent Liggett
IN SUM OF$
c/o One Civic Square
Carmel, IN 46032
i
i
$130.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
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PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
hereby certify that the attached invoice(s), or
1192 I I 42-390.12 I $130.00
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
r
received except
'i
Monday, March 30, 2015
Dire r
Title
I
Cost distribution ledger classification if i
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/28/15 safety boots $130.00
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