243784 03/31/15 n
(9,
CITY OF CARMEL, INDIANA VENDOR: 241253
ONE CIVIC SQUARE PETTY CASH CHECKAMOUNT: $•+•«r«aa65 7S«
CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 243784
C/O DOCS CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 53.78 OTHER MISCELLANOUS
1192 4343001 12.00 TRAVEL FEES & EXPENSE
TRACTOR
SUPPLYCO
TractorSupply.com
18160 US 31 NORTH
WESTFIELD, IN 46074
317-86'7-3505 —
Ticket: 52123
Date: 3/17/15 Time: 10:24 AM
Store: 431 Resister: 1
Cashier: Linda
Customer: Nichole.Speth
Phone #: 3176453479
Company: City Of Carmel
Item Qty Price Amount
BOLTED BALL VALUE 2IN FNPT CPT
2100741 1 29.99 29.99 E
TEE FEMALE TPT 2
2110649 1 11 .99 11 .99 E
Subtotal 41 .98
Tax 0.00
Total 41 .98
---------------------------------------------
Debit Card 41 .98
************7709
Bank Reference #:507614980834
-----------------
•WELUUME TO N
Denison Parking
327 N Illinois
PLEASE KEEP THIS TICKET
WITH YOU
Entered/Arriuee:
2015/03/24 88:43
0
T1cket79illet#:48670665
Dur/Duree:2:32:04
Paid On/Paye Le:
2015/03/24 11:16
Paid/Paye:$ 6.00
Original- Fee:$ 6.80
CST:$ 0.00
PST:$ 0.00
Change:$ 0.00
UISA
SC:� 0.00
c=<`
Merchant
{yJ¢�, *itkwrw*rrx**27590 'pedUISA „ .o
c
Seq# 16962852VOUSUR,
o'a6-4urchase 15/03/24 11:08:27
Auth#,,5-0715001 0o a Jm
�y<
White"s ID R11-n-l-war e
Thanks for shopping
our friendly store.
White ' e Ace Hardware-
Ca r•me L
731 S Rangeline Rd
Carmel, IN 46032
317-846-2311
CASH SALE
ITEM rQTY SALE/REIT -EXT
038313037406�� -1.00 9._99 -9.99
7208051 EACH DEFECT
HOE ERGO HANDLE
038313037307 1.00 9.9'39.99
7203607 EACH
.CULTIVATOR ERGO HANDLE
FA 2.00 0.11 0.22
EACH 1.500.016
Fastners
FA 2 00 0.113 0.32
EACH `.100.016
Fastners
SUBTOTAL `tn 0.54
_ TAX $ 0.04.
TOTAL. $ 0 . 58
CASH r 1.00
CHANGE_ 0.42
'EMPLOYEE TERM INV# ' TIME DATE
2000178 �IQ108�2769052 00212=21 19-Mar-15
Your receipt guarantees
your no-hassle-return.
We're your, source for
Spring. Summer, Winter, and Fall
for all your hardware needs.
,> 21
WELCUME TO
Denison Parking
327 N Illinois
PLEASE KEEP THIS TICKET
WITH YOU
Entered/Arriuee:
21115/02/24 08:55
Tic4et/Billet#:718116578
Bur/Duree:4:55:08
Paid On/Paye Le:
2015/112/24 13:50
Paid/Paye:$ 6.011
Original Fee:$ 6.00
CST:$ 0.00
PST:$ 0.00
Change:$ 0.00
UISA
SC:$ 0.00
Merchant ID:
******.r■***2759 Swiped
UISA
Seq# 138443046 BOHHO
Purchase 15/02/24 13:43:46
Auth# 985106
APPROUED
Indiana Payment Portal Pagel of 1
�V
!J
1
Your transaction is complete
I
Your transaction is complete. Print this receipt for your records. Your receipt identification number
is 15636938. Please reference this number in any correspondence regarding your transaction.
I� I Payer Information?
!PAMELA LUX +
684 YORK PL f
jFISHERS, IN 46038
Phone : 317 - 966 - 2369
LEmail : plux@carmel.in.gov i
7
Account Information? j
I Transaction Details-----�-----.___�.— - ---------------___-- _--_----�
i
Unit Extended tl�tl
I Description Price Quantity Price 1
lNotary Application Fee $10.00 1 $10.00
Jnstant Access Fee $1.22 1 $1.22
Total : $11.22
I
i
f
j The following amounts have been charged to your credit card. Your credit card statement will show
the following merchant name( and amount(s) for this transaction.
Merchant-- ------- _ -- ----------- Amount
I IN Sec of State 800-236-5446 $11.221 i
The total amount charged to your credit card is $11.22. }
i
Privacy Statement
https://secure.in.gov/apps/kwikekard/checkout/servlet/receipt?token=111989C709B 16DD4... 3/12/2015
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
DOCS IN SUM OF$
One Civic Square
Carmel, IN 46032
$65.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 42-390.99 $11.22 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1192 42-390.99 $41.98
materials or services itemized thereon for
1192 42-390.99 $0.58 which charge is made were ordered and
1192 43-430.01 $12.00 received except
Monday, March 30, 2015
10
Directol
Title
Cost distribution ledger classification if
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.
i
Payee
Purchase Order No.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/12/15 Notary application fee $11.22
03/17/15 $41.98
03/19/15 $0.58
I
03/27/15 Parking $12.00
I
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