HomeMy WebLinkAbout255357 02/12/16 r°-`-c,QM
a^/ F� - CITY OF CARMEL, INDIANA VENDOR: 365288
°:,. CHECK AMOUNT: $********24.99*
��® ONE CIVIC SQUARE KURTIS BAUMGARTNER
�� ?� CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 255357
9�'�TON�O'` WESTFIELD IN 46074 CHECK DATE: 02/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4238000 021016 24.99 SMALL TOOLS & MINOR E
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365288 Baumgartner, Kurtis Terms
16930 Kingsbridge Blvd
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/25/16 Reimb Mic cord for West Park Planning Meeting $ 24.99
Cell phone Dec'15
Total $ 24.99
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
Carmel # C ay
Parks&Recreatioh
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
1/25/2016 Fry's Electronics 1095-3 4238000 Small Tools&Minor Equip. 24.99 West Park planning meeting
All receipts should be attached in the same order as listed above. TOTAL: $24.99
No sales tax will be reimbursed.
Employee Name(print) Kurtis Baumgartner PMCEJ-��D
Address 16930 1 Kingsbridge Blvd JAN 2 9 2016
Check BY:
payable to: City, St, Zip Westfield, IN 46074
I
Signature: Approved by:. ,"'C28 /Z"�1/2-71
Date: 1/ /2015 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
ftJ--r-TRonics
iEr4va
'-"tore 43 Reg: 21 Depirro, Douglas D.
9820 Kincaid Drive '105258
Fishers, IN 46038
PHN:(317) 594-3101 FAX:(317) 594-3269
Inv. Date - Mori Jan 25 14:13:42 2016
INVOICE# : 5761784.
IMERCHANT: 172191050993 F303 M2
xxxxxxxxxxxx9171 VISA
BAUMGARTNER/KURTlS
SALE: $2634 315231 19001482
8413978 20ft microphone 1 24,99
20ft microphone cable D5 T
All metal connectors
Protective jacket
Lifetime Cable Warranty
UPC: 050644648984
S 'A
UBTOT,_,L 24.99
SALES TAX7::.--000% 1.75
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- TOTAL—QUE— 26.74
VISA xxxxxxxkxxxx9171 26,(4
TOTAL TENDER 2634
ITEM COUNT I
INO: 5161184 Mon Jan 2b 14:13:42 2016
We Value Your Feedback!
If you have any comments or concerns
about yourpurchase today,
please call us during store hours
at the phone number below:
(317') 594-3101
or email us at the email address below;
frys43Cdi.frys.com
-Mgr, Jennifer MUrayama
Please include your name, phone number,
email address, Invoice #5761784,
the store #43 and a brief description of
your comment and you will be contacted
within 24 hours,
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