HomeMy WebLinkAbout252774 12/15/15 9� )
CITY OF CARMEL, INDIANA VENDOR: 369421
CHECK AMOUNT: S********33.98*. ONE CIVIC SQUARE DAVID RUTTICARMEL, INDIANA 46032 12254 RIDGESIDE RD CHECK NUMBER: 252774
INDPLS IN 46256 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 448195 33.98 OTHER MISCELLANOUS
)PTRACTOR
SUPPLYCO
TractorSupply.c0m
17500 AUSTRIAN PINE WAY
WESTFIELD, IN 46079
317-867-3505
Ticket: 448195
(late. 12/11/15 Time: 11 :59 AM
Store: 431 Resister: 2
Cashier: Deborah
Customer: DIANA CORDRAY
Phone It: 3175712418
Company: CII-Y OF CARMEL BUILDING DEPARTMENT
Item _ Qty_ _Price Amount
42IN ICE CHISEL. TELESCOPIC BRUSH
1095458 1 9.99 9.99 E
INSULATED LEATHER DRIVER L-
1118884 1 23.99 23.99 E
Subtotal 33.98
Tax 0.00
Total 33.98
Debit Card 33.98
**x*********3774
Bank Reference #:502810852
Change 0.00
I a,3ree to pay the above amount according In
my card issuer agreement.
Tax Exempt Information
Name: DIANA CORDRAY
Address: ONE CIVIC SQUARE
City/St: CARMEL, IN
Zip Code: 46032
-Phone.:-3.17.=571-2418-
'Tax Exempt Reason: Government Agencies
Expiration Date:
Tax Exempt Holder:
If you would like to obtain a copy of your
exemption certificate that we have on file
Please contact .the TSC fax team at
exempfcertificaie@traclorsupply.com
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Enter Store #: 0431
Enter Reference #; 02448195
SOLD ITEM COUNT = 2
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T1LK41YI1CIANMCF
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Customer Copu
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))
12/11/15 448195 $33.98
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.
ALLOWED 20
David Rutti
IN SUM OF $
C/O One Civic Square
Carmel, IN 46032
$33.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/,TITLE AMOUNT Board Members
1192 I 448195 I 42-390.99 I $33.98 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, December 11, 2015
'i.
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund