252822 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 370126
b 1 ONE CIVIC SQUARE UNCLE BILL'S PET SUPERSTORE CHECK AMOUNT: $*******378.00*
CARMEL, INDIANA 46032 14061 MUNDY DRIVE CHECK NUMBER: 252822
NOBLESVILLE IN 46038 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 33320 062AT2426 378.00 BLUE BUFFALO DOG FOOD
INVOICE
December 14, 2015
Uncle Bill's
14061 Mundy Drive
Carmel, IN 46038
Blue Buffalo Dog Food
TOTAL, AMOUNT DUE: $378.00
Please make check payable to:
Uncle Bill's
14061 Mundy Drive
Carmel, IN 46038
r
14061 MUNDY DRIVE
FISHERS. IN 46038
31i-773-5311
12/11/2015 4 37 PM t)6-:'AT2426
E:VSC:# 00229000
SALE
YOUR CASHIER TODAY WAS- 6047
YOUR SALES PERSON TODAY 6053
1066950 BLU BASICS 1 RKY/PC 11 $ 626 89
EXTRA VALUE SAVINGS ($211.09)
SURTO rAE $41580 ,
TAX $0.00
TOTAL $415.80
FBP $3780
A/R $37800
Purch Order#33320
CHANGE $0.00
Uncle Bill's
Extra Value Rewards
Points Pendin0 378 '
Frequvnl Buyer Points Earned:
f Blue Buffalo Dry Dog Food
0 „ Heavyweight. Buy 10 Get 1 Froel
YOU have earned 0 points towards your
free hag
NUMBER OF ITEMS' OLD= 1
CARMEL POLICE
DEPT
YOU SAVED $248.89
WITH YOUR EXTRA
VALUE CARD
37 44% TOTAL SAVINGS
BY USING YOUR UNCLE BILL'$EXTRA VALUE
CARD
THANK YOU FOR SHOPPING
UNCLE Bit L'S PET CENTER
YOUR PLACE FOR SAVINGS!
WE TAKE PRIDE IN CUSTOMER
SERVICE
PLEASE LET US KNOW HOW WE
ARE DOING
UNCLEBILL@UNCLESILLS COM
11111111111 IN 111111111111111111 NI 111111111111111 Illi 1111
2AT24�6
"��RETURNS MUST
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARET�H,,1,S,�N" BER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 V fFER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
92�12a�15 .
VENDJOCI6 Bllft Pet @fJp@F2t6F@ SHIP Camel E oko Dap2nmant
TO
3 CIVIC squm
14081 Mundy Dr. Camas, IN d
CONFIRMATI jpIfA � � QN R/� PAYMENTTERMS - ]����� FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
i5
I
Account 43.676.00
"ItlEacb Blue Buffalo Dog food $32.00 $352.00
Sub Total: $352.00
Send Invoice To:
Camel Police Dapz t oo't
Attn: P9 Young t
3 CIVIC Squame PLEASE INVOICE IN DUPLICATE
fflEpFIjT 6j1T ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
-- �� PAYMENT
t A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS TUE P.O.
Camel amel Police Dei. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INQ69JAND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIF�yION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. �f///
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL V,
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '/Chief of
i Irp
olice
CLERK-TREASURER
DOCUMENT CONTROL NO- 33320 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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))
12/14/15 06-2AT2426 Dog Food $378.00
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
Uncle Bill's Pet Superstore
IN SUM OF $
14061 Mundy Dr.
Noblesville, IN 46038
$378.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33320 06-2AT2426 43-576.00 $378.00 I 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
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund