HomeMy WebLinkAbout251986 1 2/02/1 5 (9.-
CITY OF CARMEL, INDIANA VENDOR: 00353214
ONE CIVIC SQUARE DAN GRESKAMP CHECK AMOUNT: S "'*"109.99"CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 251986
C/0 ENGINEERING CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4356001 441646 109.99 UNIFORMS
22 oo -- 4S5 Co v 0 1
T
BACTOR
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Cr e s4ccwl�, SUPPLY
Tractor-Supply.com
17500 AUSTRIAN PINE WAY
WESTFIELD, IN 46079
317-867--3505
Ticket: 111616 ------- ------ .--
Date: 11/13/15 'lime: 9:33 AM
Store: 131 Resister: 2
Cashier: Michael
Customer: ENGINEERING CARMEL
Phone U: 3175712491
Company: CARME'L ENGINEERING
Item _ Qty Price Amount
BOOT 9M 6IN STOE DO WW63-- - -
7729540 1 109.99 109.99 E
Subtotal 109.99
lax 0.00
rotas 109.99
Visa109.99 --
Ruth #:013089
Change 0.00
T agree to pay the above amount according to
my card issuer, agreement.
##x####x####x#xxx###x###x#####xxx## #x##x###
Tax Exempt Information
Name. ENGINEERING CARMEL
Andress: 1 CTUIC SO
City/St: CARMEL, IN
Lip Code: 96032
Phone: 317-571-2991
Tax Exempt Reason: Government Agencies
Expiration Date:
Tax Exempt Holder:
If' you would like to obtain•a copy of your
exemption cer•liFicate that we have on file
please contact the TSC tax. team at
e-,ewp 1 cer•i i f s cat ept ract orsupp 1 y.coal
For our- Returns Police, visit
Tracior-Supply.com/returns
Go to TractorSupplySurvea.com or Call.
1-877-789-1493 within 7 days to
complete a survey and be entered In
a monihly-drawlns for -a.chance to
win-a $2500 shopping spree.
(Awarded as. Gift Cards) Ends 12/31/2015 — --
For complete details 'ort to participate
w1tI'rout purchase or survey, so io
TractorSupply.com/cusioinersurvey
Enter Store : 0431
Enter Reference tt: 02491646
SOLD ITEM COUNT = 1
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Please call 877-872-7721--Eor Customer
Service..
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TraciorSupPly.com
Customer Copy
WS
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
Dan Greskamp Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/13/2015 441646 Work boots-Construction Manager $ 109.99
Total $ 109.99
1 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.
Dan Greskamp ALLOWED 20
IN SUM OF$
$ 109.99
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 441646 2200-4356001 s 109.99 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
11/30/2015
Sign re
City Engineer
^F
F
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund