248267 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 00351564
'
ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $********84.06*
CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK NUMBER: 248267
CARMEL IN 46032 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 31.98 OFFICE SUPPLIES
1120 4237000 52.08 REPAIR PARTS
RPPLIRNCE PRRT5 IK i
1734 W 15TH ST
INDIANAPOLIS, IN. 46222
317-488-4000
Merchant ID: 8016107768
Term ID: 0054070008016107768002
Sale :
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- Entry Method; Swiped ,
Total; $ 52;08
0?/29/15 13.31;58
Inv #; 000013 Appr Code, 00713B
kprvd; Online
Customer Copy
THAIJK YOU!
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Where Creativity Happens•
MICHAELS STORE #9951 (317)580-9200
GREYHOUND PLAZA
14670 U.S. 31 NORTH
CARMEL IN 46032
* Return Barcode xx
8-9541-7445-1095-65%-8111-1185-1600-6112
111111111111111111111111111
4251 SALE 6005 9951 040 7/28/15 13:38
INVITE KIT BLACK 634680811801 15.99 1 @ 15.99 N
INVITE KIT BLACK 634680811801 15.99 1 @ 15.99 N
99 NONTAXABLE TOTAL
TOTAL 31.98
ACCOUNT NUMBER ** * *
MasterCard 31.98
APPROVAL: 01466B SWIPED ONLINE
This receipt expires at 180 days on 01/29/16
8-9541-7445-1095-6596-8111-1185-1600-6112
0034-99!14-0964-4301-3851-6895-0601-6'12
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THANK YOU FOR SHOPPING AT MICHAELS
Dear Valued Customer:
Michaels return and coupon policies are available
at michaels.com and in store at registers,
Please see a store associate for more information.
7/28/15 13:38
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� ORIGINAL.
�/ CINCINNATI 7/29/ 15. _ �1 2
Dayton Appliance Parts Co.HITIN
• . • • •
122 Sears St.
I I t AAY60 =��EMANSVIIIE
Dayton, OH 45402
www.partwizard.biz 937/224-3531 508-5777 3852'259
-..._._ REFERENCE_ . _ ._"-__--_ _ . .'!..__. -'. ___ _SHIP VIA. _._ _ •- • 1 : 3 0 PM
0 MM
WILL CALL / PICKUP CASH SALE 184020 1 LIAR Page 1
BSOLD TO` C . 0. D . SHIP TO: C A S H S A L E
INDY WHOLESALE INDY WHOLESALE
GARY - CARMEL F .D .
INDIANAPOLIS INDIANAPOLIS
� QUANTITY i, • ;�,-...--_"_ _�. ."__ —...__ r
LINE ; �— __._ PROD! PARTNUMBER � IDESCRIPTION I i UNIT.-
NOIORDERED PRICE EXTENSIOR
1 1 0 IVJPW10143000 HANDLE NLA 03/ 15 61 . 27 52 . 080 52 . 08
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SUBTOTAL 52 . 08
TOTAL INV. 52 . 08
AMT. RCVD . 52 . 08
_ M/C - VISA SALE
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GAS OR ELECTRICAL PARTS MAY NOT OTHER LOCATIONS SiERVING THE REGION
(BERETURNEDI Warranties are those
ndedto'usbymanufacturersandare 'C DAYTON HUNTINGTONCINCINNATI -Blue Ash FLORENCE INDIANAPOLIS GREENWOOD`
• subject to their requirements.We offer no (937) 224-3531' (304) 523-1990 (513)489-1980 (859) 282-7100 (317)488-4000 (317) 882-4914
warranty.RETURNS must be authorized
and accompanied by invoice number.All DAYTON-South CHARLESTON CINCINNATI-Downtown COLUMBUS CASTLETON EVANSVILLE
returns are due within 30 days and are •i (937)439-2384 (304) 345-4400 (513) 221-1195 (614)262-6446 (317) 845-0025 (812)423-8867
subject to a 20%restocking charge. ,
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DPA Signature I DPA Signature
Rev.03/15111
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary Carter J
IN SUM OF $
r
$84.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 42-370.00 $52.08 1 hereby certify that the attached invoice(s), or
1120 42-302.00 $31.98 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received exce t 9 flag
}
Fire Chief
Title
I
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Sta.46 Dishwasher part $52.08
$31.98
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
, 20
Clerk-Treasurer