245054 05/13/15 �4A,�f• CITY OF CARMEL, INDIANA VENDOR: 365277
'.j; � ':;• ONE CIVIC SQUARE WILLIAM BELL
CHECK AMOUNT: $"'"""185.98"
�. ,_� CARMEL, INDIANA 46032 5419 S 225 W CHECK NUMBER: 245054
v,�, ATLANTA IN 46031 CHECK DATE: 05/13/15
[TON L,p.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 185.98 OTHER EXPENSES
V
Westfield Village Park Plaza
Carmel, IN 46033
(317) 844-3996
05-06-15 9:35A 0084/0026/9512/8 1003XXX
ID# 99979493-8490-6499-9915-7304-8751
BUY ONE GET ONE *��{{
MENS JEANS 400926625835 44.00 4
ITEM PRICE 44.00
RETURN AMOUNT 33.00
MENS JEANS 400926625835 22.00 #
ITEM PRICE 44.00
BUY/GET 50% OFF 22,00-
RETURN AMOUNT 33.00
ItemPrice 44.00 YouSave 22.00
x** * * * BUY ONE GET ONE
MENS JEANS 400926625835 44.00 #
ITEM PRICE 44.00
RETURN AMOUNT 33.00
MENS JEANS 400910904250 22.00 #
ITEM PRICE 44.00
BUY/GET 50% OFF 22.00-
RETURN AMOUNT 33.00
ItemPrice 44.00 YouSave 22:00
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MENS SHORTS 690742686794 x 29.99 #
ItemPrice 46.00 YouSave 16.01
MENS SHORTS 400958393917 * 23.99 #
ItemPrice 48.00 YouSave 24.01
SUBTOTAL 185.98
0031201550-020
CITY OF CARMEL
T1= 0.00 @ 7.0% TAX 0.00
TOTAL $185,98
CASH 200.00
CHANGE 14,02-
TOTAL SAVED; $84,02
THANK YOU FOR SHOPPING AT KOHL'S
# ITEM IS NOT TAXABLE
IIII II ILII I II I I II I I I II I I III I I I I III I I I II I IIII I
THIS PURCHASE IS SUBJECT TO THE
TERMS/CONDITIONS FOUND IN LEGAL NOTICES
AT KOHLS.COM.
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
TWILLIAM
BELL, WILLIAM Purchase Order No.
DISTRIBUTION OFFICE Terms
Due Date 5/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/6/2015 BELL $185.98
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 # 151795 WARRANT # ALLOWED
4
TWILLIAM IN SUM OF $
I�
BELL, WILLIAM g
DISTRIBUTION OFFICE 1
Carmel Water Utility i
ON ACCOUNT OF APPROPRIATION FOR
,S
Board members
�i
i,
PO# INV# ACCT# AMOUNT Audit Trail Code
BELL 01-6200-03 $165.98 II
II
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Voucher Total $185.98 .7
Cost distribution ledger classification if j
claim paid under vehicle highway fund