HomeMy WebLinkAbout252779 12/15/15 r CAA
��.°. M*. CITY OF CARMEL, INDIANA VENDOR: 00352672
® i• ONE CIVIC SQUARE ADAM SCHRINER CHECK AMOUNT: $*******135.99
?� CARMEL, INDIANA 46032 CO DOCS CHECK NUMBER: 252779
9M,�ro��� Ci0 DOCS CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356003 REIMB 135.99 SAFETY ACCESSORIES
)VTBACTO
SUPRYC2R
Tractor5upply.com
UT 2375 EAST,PLEASANT ST RTE 3
-NOBLESVILLE, iN _46060
�s 317-776-1883 -
Ticket: .541512
Date: 12/8/15 Time: 11 :39 AM
Store: 624 Register: 2
Cashier: Jennifer
Customer: DIANA CORDRAY
Phoney 3175712418 SAW �--
Company: CITY OF CARMEL BUILDING DEPARTMENT
Item Qty Price Amount
MUCK BOOT RUB 10 SLD BK 313
1058871 1 159.99 135.99 E
Off Discount (15i) (24.00)
Subtotal 135,99
Tax. 0.00
Total 135.99
"' 135.99
--------------------
----- -----
Change y 0.00
I agree to pay the above amount according to
my card issuer agreement.
Tax Exempt Information
Name: DIANA CORDRAY
Address: ONE CIVIC SQUARE
City/St: CARMEL, IN
Zip-Code: 46032
Phone.: 317-571-2418
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
ex.emptcertificate@tractorsupply.com
For our Returns Policy, visit
TractorSupply.com/returns
Go to TractorSupPlySurvew.com or Call.
1=877-789-1443 within 7 days to
complete a survey and be entered in
a monthly drawing for a chance to
win a $2500 shoppins spree.
(Awarded as Gift Cards) Ends 12/31/2015
For complete details or to Participate
without Purchase or survey, so to
TractorSupply,com/customersurvey
Enter Store #: 0624
Enter Reference #: 02541512
SOLD ITEM COUNT = 1
III I IIIIIIIII I VIII IIIIIIII I IIII IIIIII VIII
T1X1437R3F4ANM7Q
Please call 877-872-7721 for Customer
Service.
City Form No.201(Rev.1995)
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show:kindof service,of twhere performed,p ice per unit etc.
dates service rendered,by
whom, rates per day, number of hours,rate per hour,
Payee
EDate
ase Order No.
s
Due
Invoice Invoice
Description Amount
Date Number (or note attached invoice(s)or bill(s))
$135.99
12/08/15 Adam Schriner-boots
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. 20__—
ALLOWED
Adam Schriner IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$135.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACC AMOUNT Board Members
-r I hereby certify that the attached invoice(s), or
1192 43-560.03 $135.99
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
F ay, Dec tuber 1, 5
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund