252939 1 2/29/1 5 a c•.e�gM
a`! �e CITY OF CARMEL, INDIANA VENDOR: 365455
® t ONE CIVIC SQUARE BRYON SINN CHECK AMOUNT: $""•"'142.00"
x. ,_�; CARMEL, INDIANA 46032 CHECK NUMBER: 252939
'M;,TON�• CHECK DATE: 12/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 71.00 OTHER EXPENSES
651 5023990 71.00 OTHER EXPENSES
12/15/2015 G;apital Ore- Transactions;&Details; .
_
,;ransaction Details' f�. G��`��a
l
TT;'
mei
Description:' Meijer ::.t
{ 1424'1Nest Carmel Dr.
Transaction Date: 12/11/2015 Carmel;IN 46032-#130
meijer.Com
(3'17)573.8300
t
Posted Date: 12-%1.4/2015; our business
4. reciates v
Amount The
Meijer Team a12/11/15
$142 00 checkout was
Your fast and friendTABATHA
provided-by £`
Category. Merchandise 70.00 CT r '
88578806221 MENS SHOES 59.00 Cl
betatls Nf4 9363900931 ATHLETIC SHOES _58.00 CT
.". 1".00.Sa•1 e price 70.00 CT
88822267780 MENS CASUAL -69.00 CT
_> 1.00:S61 price 70.00 CT
88822267770 MENS CASUAL 142.00
I SUBTOTAL . '00
a TOTAL TAX 142.00
i .
TOTAL .TENDER` 142.00
t
- XXXXXXXXXXX) 4 .
NUMBER OF ITEMS
142.00
i. T.1 ITEM V ALOE'EX.E.. 9;94
r T1 TAX EXEMPTED 00
VALUE,::EXEMPT ED
00
T2 ITEM
1-2 TAX EXEMPT-ED
T4 ITEM VALUE EXEMPTED QO
00
T4 TAX EXEMPTED
See mei' .
com or.the Se
rvice.Desk for
current return, policy•
dtti'onal savings and rewards visit
For ad - mPerks.com. _
". =_ _ _ 4. �_ � Ilillllllllllllllllilllll
II�II�IIIIIIIII. A01300UFP5ANZUS
Tx-.25Qp;1042390 Tm '142 St:130 `14:18:37
rye} c - •
s
our are we doing?
Rate your shopping
eXperience�and you
MAT $1000 i
I'
_ - in Mei jerk gift cards.
a Visit US at
Www ww.meiJer /tellmeijer
or call 1-800-394-7198
secure Code:
5521 0499-8135-3020-001
Survey should be completed within 72 hrs
$ FitipsJ/services2 capitalone com/wf#/ac`counts%transactions '
1/
VOUCHER # 153889 WARRANT # ALLOWED
1
T9940 IN SUM OF $
SINN, BRYAN
Carmel Utilities
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
121115 01-6200-07
$71.00
i
l�
Voucher Total $71.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
` 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
T9940
SINN, BRYAN Purchase Order No.
Carmel Utilities Terms
Due Date 12/17/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/201: 121115 $71.00
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
12--12-3/S C'--en'
Date Officer
12/15/2015 Capital One-Transactions&Details
7pft
Transaction Details
Description: Meijer
Transaction Date: 12/11/2015
Posted Date: 12/14/2015
- Amount:
Category: Merchandise
Details: N/A
httpsl/services2.capitalone.com/Uig#accamts/transactions 1/1
VOUCHER # 156918 WARRANT# ALLOWED
T9949 IN SUM OF $
SINN, Bryon
carmel utilities
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
121115 01-7200-07 $71.00
Voucher Total $71.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
T9949
SINN, Bryon Purchase Order No.
carmel utilities Terms
Due Date 12/17/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/201: 121115 $71.00
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
Date Officer