252716 12/15/1 5 (9,
CITY OF CARMEL, INDIANA VENDOR: 353655
ONE CIVIC SQUARE MENARDS - FISHERS CHECK AMOUNT: S"`""`69.93`
CARMEL, INDIANA 46032 7145 E 96TH STREET CHECK NUMBER: 252716
INDIANAPOLIS IN 46250 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 90531 69.93 FESTIVAL COMMUNITY EV
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* GUEST COPY
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GOV-CARMEL STREET DEPARTM MENARDS - FISHERS
3400 W 131ST ST 7145 E. 96TH STREET
INDIANAPOLIS, IN 46250
CARMEL IN 46074
FAX # (317)
INVOICE # 90531 ACCOUNT : 31710265
--- - -TRANSACTION DATE 12/01/15 TRANSACTION # 3313
TRANSACTION TIME 105733 PURCHASE ORDER # PR Nancy
REGISTER NUMBER 5 TYPE OF SALE Charge Sale
SIGNER : Sam Moffitt CLAIM # PR Nancy
ZIPTION AMOUNT
------- --- ---- ----- --------------
JED C2 ICICLES BLUE 69 . 93
Use Your --"'!- 2%
BIG CARDREBATE
• SUB-TOTAL: 69 . 93
TOTAL TAX: 0 . 00
MENARDS — FISHERS PAYMENTS 0 . 00
7145 E . 96th Street TOTAL DUE: 69 . 93
Indianapolis , IN
46250
KEEP YOUR RECEIPT
RETURN POLICY VARIES BY PRODUCT TYPE
Unless noted below allowable returns for
items on this receipt will be in the form
of an in store credit voucher if the
return is done after 02/29/16
If you have questions regarding the ,
charges on your receipt, please - -email us at:
FISHfrontendgmenards.com
St>,V&)
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PO # PR Nancy
Invoice # 90531
CHARGE SALE
Account: 31710265
Guest Name: GOV-CARMEL STREET DEPARTM
Tax Exempt 12
Government/School
120 LED C2 ICICLES BLUE HI
2840733 7 H.99 69.93 NT
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))
12/01/15 90531 $69.93
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Menards - Fishers
IN SUM OF $
7145 E. 96th Street
Indianapolis, IN 46250
$69.93
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 I 90531 I 43-590.03 I $69.93 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
Monday, December 14, 2015
r
Director, Community Relations/Econo is Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund