HomeMy WebLinkAbout255456 02/19/16 0�%��p"'"� CITY OF CARMEL, INDIANA VENDOR: 367943
ONE CIVIC SQUARE TRACI BROMAN CHECK AMOUNT: $********27.35*
=Q
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 255456
Mrto CHECK DATE: 02/19/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 021616 27.35 GENERAL PROGRAM SUPPL
dt - -
tG DATEINVOtCE NUMBER =_ ,,PAYMENT TERMS -, UUE,DAT,E
02103116 BXV.5310 Net 30 Days 03/04/16
ORD it bA'TE zSHtP 1�t PURCHASE ORDER NUMBER;,- i; CUSTOMERNUMBER
02/03/16 UPS Ground(Indy 1-2 day) 39501 11644812
ITEM NUMBER DESCRIPTION QTY QTY QomUNIT PRICE TOTAL
3765317 APPLE THUNDERBOLT GIG ETH ADAPTER 2 2 0 30.95 61.90
Manufacturer Part Number:MD463LUA
2841594 APPLE MINI DISP PORT TO VGA ADAPTER 2 2 0 30.95 61.90
Manufacturer Part Number:MB572Z/B
3798137 MS OFFICE MAC HOME&BUS 2016 ENG 1 P 2 2 0 206.97 413.94
Manufacturer Part Number:W6F-00501
GO GREEN!
CDW is happy to announce that paperless billing is now available! If you would like to start receiving your invoices as an
emailed PDF, please email CDW at paperlessbilling@cdw.com. Please include your Customer number or an Invoice
number in your email for faster processing.
REDUCE PROCESSING COSTS AND ELIMINATE THE HASSLE OF PAPER CHECKS!
Begin transmitting your payments electronically via ACH using CDW's bank and remittance information located at the top
of the attached payment coupon. Email credit@cdw.com with any questions.
ACCOUNT MANAGER, SHIPPING,ADDRESS:
MICHELLE REEVES CARMEL CLAY PARKS&RECREATION/ SUBTOTAL $537.74
312-547-2393 ATTN:LINDSAY LABAS =SHIPPING $0.00
micreev@cdwg.com 1235 CENTRAL PARK DRIVE E
ATTN LINDSAY LABAS SALES TAX $0.00
SALES ORDER NUMBER CARMEL IN 46032-7611
$537
ter-
1 BM7556 AMOt! DCt 3 7y
Cage Code Number 1KH72 HAVE QUESTIONS ABOUT YOUR ACCOUNT?
DUNS Number 02-615-7235 PLEASE EMAIL US AT credit@cdw.com
ISO 9001 and ISO 14001 Certified VISIT US ON THE INTERNET AT www.cdwg.com
CDW GOVERNMENT FEIN 36-4230110 Page 1 of 1
I
Voucher No. Warrant No.
367943 Broman, Traci Allowed 20
14432 Orange Blossom Tri
Fishers, IN 46038
In Sum of$
$ 27.35
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-60 Reimb 4239039 $ 27.35 1 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
i
rr
February 10, 2016
E
O
Signature ;L
$ 27.35 Accounts Payable Coordinator ;o
NC
Cost distribution ledger classification if Title =„
7 3
i
claim paid motor vehicle highway fund 3
I
Carmel • EIVED
Parks&Recreation FE2 e 9 2016
Employee Expense Reimbursement Request BY:
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# -Budget Description Amount Purpose of Expense
2/6/2016 Kroger II�t/ 4239039 General Program Supplies $ 27.35 Punch for Princess Ball
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $27.35
Employee Name(print) Traci Broman
Address 14432 Orange Blossom Trl
Check
payable to: City, St, Zip Fishers, IN 46038
- 8Signature: Approved by: `�L
_ _
Date: 2/9/2016 Date: q 11W
i
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request