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249937 09/23/15 � Cqq CITY OF CARMEL, INDIANA VENDOR: 356491 ® I ONE CIVIC SQUARE TARA WASHINGTON CHECK AMOUNT: $ ...""`68.38` �. ?a CARMEL, INDIANA 46032 4475 SILVER SPRINGS DR CHECK NUMBER: 249937 ';,�rpN. .`• GREENWOOD IN 46142 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 68.38 OTHER EXPENSES Use Your N.1 2% BIG LARD REBATE MENARDS — FISHERS 7145 E _ 96th Street � I nd i anaps 1 -i s , IN t4 . V01 :.,., 1 KEEP YOUR`RECEIPT RETURN POLICY VARIES.B;`j PRODUCT TYPE Unless noted below allowaffl'e "returns for items on this receipt will be in the form of an in store credit voucher if the return is done after 12/14/15 If you have questions regarding the charges on your receipt, please email us at: F ISHf rontendf mena rds.corm 111NI111111N11111111111111111111 111111 I II Sale Transaction ELONGATED BOWL 6704409 25.00 ELNG BEVELD WOOD SEAT WH 6764201 12.88 TOTAL 37.88 TAX STATE OF IN 7% 2.65 TOTAL SALE 40.53 VISA 2210 40.53 022310 Swiped TOTAL NUMBER OF ITEMS = 2 w GUEST COPY The Cardholder acknowledges ,receipt of goods/services in the total amount shown hereon and agrees to pay the card issuer AmazonSmile - Order 106-8192019-8169012 Page 1 of 1 Final Details for Order #106-8192019-8169012 Print this page for your records. Order Placed: September 15, 2015 Amazon.com order number: 106-8192019-8169012 Order Total: $30.50 Supporting: St. Jude Children's Research Hospital Shipped on September 15, 2015 Items Ordered Price 5 of: Magic Water Balloons * Quick Fill 100 Balloons in Under 1 Minute No $6.10 Tie/ Self Tying Balloons *Multiple Balloon Filler ` Sold by: BELI (seller profile) Condition: New Get it in 2 days by seleting Prime! Shipping Address: Item(s) Subtotal: $30.50 TARA M WASHINGTON Shipping & Handling: $0.00 9609 HAZEL DELL PKWY. ----- INDIANAPOLIS, IN 46280 Total before tax: $30.50 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$30.50 Two-Day Shipping ----- Payment information Payment Method: Item(s) Subtotal: $30.50 Debit Card I Last digits: 2210 Shipping & Handling: $0.00 Billing address Total before tax: $30.50 TARA M WASHINGTON Estimated tax to be collected: $0.00 4475 SILVER SPRINGS DR. GREENWOOD, IN 46142 Grand Total-$30.50 United States Credit Card transactions Visa ending in 2210: September 15, 2015:$30.50 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015, Amazon.com, Inc. or its affiliates https:Hsmile.aniazon.com/gp/c ss/summary/print.html/ref=od_aui_print invoice?ie=UTF8... 9/16/2015 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 356491 WASHINGTON, TARA Purchase Order No. SOUTH PLANT Terms Due Date 9/16/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/16/2015 WASHINGT( $40.53 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 9//2l'3- --�•r� Date Officer VOUCHER # 156309 -WARRANT # ALLOWED 356491 IN SUM OF $ WASHINGTON, TARA SOUTH PLANT Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code I 3,o'9 WASHINGTO 01-7202-06 $49.63 '4� SHzNG Tort I &,f 3a q� Voucher Total 3— Cost distribution ledger classification if claim paid under vehicle highway fund