HomeMy WebLinkAbout253575 01/22/16 .,4,q
a`% ''> CITY OF CARMEL, INDIANA VENDOR: 364386
:.I e '• ONE CIVIC SQUARE KURT ANDERSON
CHECK AMOUNT: $********99.99*
�° CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 253575
'�,TON-�° CHECK DATE: 01/22116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4356001 012016 99.99 UNIFORMS
LX-At- rid erson
1 spe—C-te'l wprt{ t000'-`-�
2200) -LASS'6 Op 1
V1211,WestCarmel Dr.
Carrnei,IN 46032-#130
0,171372-8';-00 meiier.com
The Meijer Team apprer,:i�ltes your business
01/11/1.6
Your fast anc friendly checkout was
provided by TERRA
MEI.:]E:=R SAV=NGS
SPECIALS 20.01
`3AL''=CE'cIG.'S 1-01-AL 20 0.1
CiENERAi._ PIE RCHANDISE
,385 564€368 YLOONAVENTURE
was LEFT.C 0 now
! OT A1__.
I0.1 ;1 Sal es Tax 7.00
TC,TPL TAX 7.00
T,) h L 106'.::9
' I-'A Y ME=:Wr`:3
,;EDIT CARDS TENDER 106,99
NUMBER OF ITEMS 1
3E,e mei J-r r-.c:c:rr -or thri Servi ce Desk fo,
Wrr er;t return policy.
For add ition,-1 avinds and rewards vi sir
r•P'er•ks.COM.
. IDlIlll�ll111�l�llllll�ll�IINII IIIIIIIIII���IIIII�I1111I181IIIN8Ellllll11
JZ:30, 4ACE 'Sis
T,,.:,u rq, 104: 9:.5 Tm:20 :St:130 12:19:14
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/11/16 0 Inspector work boots $99.99
2200 201
1 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
KURT ANDERSON ALLOWED 20
C/O ENGINEERING IN SUM OF$
$99.99
ON ACCOUNT OF APPROPRIATION FOR
Engineering
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
I o I 43-201 I $99.99
2200 201 1 hereby certify that the attached invoice(s), or
'
bill(s) is (are)true and correct and that the
i materials or services itemized thereon for
which charge is made were ordered and
i
received except
i Friday, January 15, 2016
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
l
I