251571 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 127250
® i ONE CIVIC SQUARE H.H. GREGG INC CHECK AMOUNT: $*****3,745.00*
?� CARMEL, INDIANA 46032 4151 E 96TH ST CHECK NUMBER: 251571
INDIANAPOLIS IN 46240 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 0140-042347 3,745.00 SPECIAL DEPT SUPPLIES
hhgregg
appliances I electronics I furniture Regular Sale On-Line
Original Order:0137-144428 Invoice 0140-042347
Date: 11/13/2015 10:37
4161 E. 96TH ST. Cashier#: P567
INDIANAPOLIS, IN, 46240 (317) 848-1517 1 K74 -Anthony Lovett
D
S 100808 Purchase Order No: 123456789 e ACCOUNTS PAYABLE
i CITY OF CARMEL i CITY OF CARMEL
c 1 CIVIC SQUARE P 1 CIVIC SQUARE
T CARMEL, IN 46032 r CARMEL, IN 46032
Office: (317) 571-2400
Tax Exempt ID: 0031201550 0
Special Instructions
Sls# Qty Model No. Description DelDate: Serial Number Loc Code Tm: is Price Total,
**T TAKE ITEMS***
0001 1 NW PREMIUM SERVICE PLAN DECLINED 11/13/15 0001 T AT 0.00 0.00
0002 1 XBR75X850C LED,SONY,75",UHD 4K,SMART 11/13/15 0001 T AT 3499.99 3499.99
0003 1 OE15OFM XLARGE FULL MOTION,OMNIMOUNT 11/13/15 0001 T AT 199.71 199.71
Was 349.99-Savings of 150.28
0004 1 ARPH12 PLATINUM SERIES HDMI,AR,12FT 1 11/13/15I 10001 ' T I AT 45.30 45.30
Was 89.99-Savings of 44.69
Thank you.Anthony Lovett Subtotal $3,745.00
Accounts Receivable $3,745.00 App 3230 Tax $0.00Invoice Total $3,745.00
Amount Due $3,745.00
Amount Received $3,745.00
Change Due $0.00
C U S T O M E R:: C ORY ` Rev. BS3.94.O.D-4928
The merchandise described above has x0 --216
been inspected and received in good Merchandise Received By Date
jditio invoice. X unless otherwise notated on 0140042347
the
Merchandise Delivered By Date Returns and exchanges are subject to the
Delivery has been completed and no Retain this invoice for future service or returns. Return and Exchange Policy posted at the
damage has occured to our personal
property. store and available at www.hhgreaa.com.
See associate for details.
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))
11/13/15 0140-042347 $3,745.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
HH Gregg
IN SUM OF $
4161 E. 96th Street
Indianapolis, IN 46240
$3,745.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 0140-042347 I 42-390.111 $3,745.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, o e be 1 1, 2015
r
StrcStte 8t,jC o m.r3 iss l o n e r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund