252587 12/15/15 �.' ""e,, CITY OF CARMEL, INDIANA VENDOR: 370136
.�,; ® �I• ONE CIVIC SQUARE NICHOLAS COX
CHECK AMOUNT: $**.....156.96*
_� CARMEL, INDIANA 46032 4875 NORTH 400 WEST CHECK NUMBER: 252587
y,,roN.�o, SHARPVILLE IN 46068 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 78.48 OTHER EXPENSES
651 5023990 78.48 OTHER EXPENSES
' 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
T6664
COX, NICK Purchase Order No.
CARMEL UTILITIES Terms
Due Date 12/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201! 121015 $78.48
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
Date fficer
VOUCHER # 156858 WARRANT # ALLOWED
T6664 IN SUM OF $
COX, NICK
CARMEL UTILITIES
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
121015 01-7200-07 $78.48
}
i
Voucher Total $78.48
Cost distribution ledger classification if
claim paid under vehicle highway fund
1
I00114 Nam,
Kokomo_ -
Kokomo, IN 46901
(765) 854-0420
11-27-15 10:55A 0690/0012/8627/3 2397XXX 765-452-7665 7665
1n_
ID# 999-8872-8489-9474-9309-8713-7271
MENS JEANS 052177825788 46.99 "T1 s - -
ITEM PRICE 68.00 ra1S #: " 1'
r�1G' is e: "•;;?�;�J- "
SPECIALTY MSDE 840276121753 * 9.99 T1 :Store: 5` Register: 3
ITEM PRICE 24.99 Salesperson:
SUBTOTAL0099677 !Kate!yn,)
T1= 56.98 @ 7,0% TAX 56.3.99 98 i Cashier: '"'04";77
TOTAL X60 91 . Customer:V40786651 �
MC DEBIT XXXXXXXXXXXX0033 60.97
Style(Ceir Size i�r�L:er1iLJ�IT_ I
PAYMENT FROM PRIMARY ACCOUNT 749490/058 i0,5 99,98 gy.ga
APPROVED 000000 SOLDIER 9 'PRM
-- ITEMS: 2
TOTAL S�V"tU� $�36 0�1
Subtotal
_
Tax %
i
7.00
THANK YOU FOR SHOPPING-A -KOHL'S (I
$15.00 KOHL'S CASH ACTIVATED rPt at 1f'698
$1 177960123044291
2EVERY (
EARNED Debit Card 106.98
$50 PURCHASEDx
KOHL'S CASH MUST BE PRESENTED TO I.E Auth #:]5C)718
REDEEMED. RETURNS OF ITEMS IN TH:.; Transaction lygisals
TRANSACTION WILL REDUCE ]HE VALUE OF Entry Method:Swi ped
KOHL'S CASH AND/OR THE .REFUND AMOUNT. Autl'1 Time:7:21 P.Ml
SEE DETAILS PRINTED ON KOHL'S CASH,
Change 0 no
SOME DISCOUNTS MAY NOT APPLY I agree to pay the above awgunt according
to my carr) holder agrieient.
11
II Ie III I�II�!IIi1•�I„`!'I�•� SOLD�i T�Il1Ei1l1 MihiCOUNT' 'l!i'li i1i='•ll�i 1(i
iii.l�f!i�i1i�li'''I• �j�� WIN.k
n9 for•the holiday �easo,-! Enio_ T 1 1J 1 4E, 1 a ! AY 4k LO
�S
l
O,1(
scheduling, competitive Pay, and
�e associate discount. Apply at
Winner's Circle Points: 10 .97
car?ers.com/stores and email k
,c ohls com for more information.
`PURCHASE IS SUBJECT TO FHE
CONDITIONS FOUND IN LEGAL NOTICES
AT k:OHLSCOMo } ' T'iS the season to extend Or return
.
'p0.r icy, All purchases between"YelTiber' 8th
and Janualy 1st can bE returned until
q Febr.ary 15th, 2016, We wish
you a
an`er1ul and iLpicHolidaj Season,
Customer
Copy
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
T664
COX, NICK Purchase Order No.
Carmel Utilities Terms
, Due Date 12/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201! 121015 $78.48
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
Date (5fvcer
VOUCHER # 153837 WARRANT # ALLOWED
T664 IN SUM OF $
COX, NICK
Carmel Utilities
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
121015 01-6200-07 $78.48
Cost distribution ledger classification if
claim paid under vehicle highway fund