HomeMy WebLinkAbout259146 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQUICK AMOUNT: S"'*"""89.46"
f a CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 259146
CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 61742234 49.47 ORGANIZATION & MEMBER
1207 4239040 9657 39.99 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO.
ALLOWED 20
PETTY CASH - BROOKSHIRE GOLF COURSE
C/O PAM LISTER
IN SUM OF$
$89.46
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
Stein Mart 42-390.40 $39.99 I hereby certify that the attached invoice(s), or
1207 101
C Gilbride Permit 43-553.00 $49.47 bill(s) is(are)true and correct and that the
1207 101 materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 12, 2016
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V /
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
05/05/16 Stein Mart Beverage Cantainer $39.99
1207 101
05/12/16 C Gilbride Permit Permit $49.47
1207 101
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
, 20
Clerk-Treasurer
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StroxAziL
Stein'Mart #334
13920 Hoard Dr.
Noblesville, IN 46060
(317) 7'713-4016
Trans, : 9657 Store; 0033A
Reg.; 001 Till;001
Cashier: 905234800 Sales: 905234800
SALE
Please Keep Your Receipt
Return Before 7/4/16
005340019657
-----------------------------------------
872-GLASS SERV 39.99 E
57038036 1 @'39.99
Subtotal 39.99
Tax 0.00
Total 39.99
Master Card (S) 39.99
Account: 2261
Ruth: 26012P (A)
Total Tender 39.99
Change Due 0.00
If Purchased Elsewhere: $k 90.00
Your Stein Hart Savings: .,$ 50.01
Thank eou for shopping at
Stein Hort
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refunded for the purchase price based on the
method of payment. After 60 days from the
date of your purchase,an eCredit will be
issued for the current selling price. There is a
7 day waiting period for any refund on
purchases made with a check. Stein Mart
reserves the right to deny a refund for any
merchandise.
Returns with a gift receipt
Merchandise returned within 60 days with a gift
receipt will be refunded for the purchase price
in the form of an eCredit. After 60 days of the
date of purchase the current selling price will
be issued in the form of an eCredit.
Returns without a receipt
An eCredit will be issued for the current selling
price. For your protection please present a
valid ID.
Stein Mart reserves the right to deny a refund
for any merchandise returned without a receipt.
Returned checks
Checks returned unpaid by your financial
institution are subject to a Service Charge of
$25 or the maximum allowed by law. Checks
returned for insufficient funds or uncollected
funds,together with Service charges,may be
debited electronically from your account or
collected using a bank draft drawn from your
account.
Price adjustments
Price adjustments will not be made on clear-
ance merchandise.
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Returns with a valid receipt
Merchandise returned within 60 days will be
refunded for the purchase price based on the
method of payment. After 60 days from the
date ofyour purchase,an eCredit will be
issued for the current selling price. There is a
7 day waiting period for any refund on
purchases made with a check. Stein Mart
reserves the right to deny a refund for any
merchandise.
Returns with a gift receipt
Merchandise returned within 60 days with a gift
receipt will be refunded for the purchase price
in the form of an eCredit. After 60 days of the
date of purchase the current selling price will
be issued in the form of an eCredit.
Returns without a receipt
An eCredit will be issued for the current selling
price. For your protection please present a
valid ID.
Stein Mart reserves the right to deny a refund
for any merchandise returned without a receipt.
Returned checks
Checks returned unpaid by your financial
institution are subject to a Service Charge of
$25 or the maximum allowed by law. Checks
returned for insufficient funds or uncollected
funds,together with Service charges, may be
debited electronically from your account or
collected using a bank draft drawn from your
account.
Price adjustments
Price adjustments will not be made on clear-
ance merchandise.
S=
Returns with a valid receipt
Merchandise returned within 60 days will be
rcf1 inriPri for the purchase price based on the
5/12/2016 Welcome to Indiana Licensing
OnIInd.Lice 7SIng µ
Payment Receipt
This page serves as your receipt for this transaction. Your payment will appear on your credit card
statement as "STATE OF IN WWW INGOV 800-236-5446 IN".
New Application
• Completion of Server Training is required within 120 days of issuance of this permit. Click here
to complete Server Training online
• A BMV Operating While Intoxicated (OWI) Check is preformed on every application prior to
issuing a permit. Please allow 24 - 48 hours to complete the check before your permit will be
issued.
• You may print this receipt and use it to work for 60 days, or until your new permit arrives in
the mail.
• This receipt must be printed now. You will not be albe to reproduce it at a later time.
• All permit application and renewal fees are now non-refundable.
Payment received - thank you.
Licensee: Carole Ann Gilbride
License Number: Pending
Authorization Code: 041213
Received Date: 5/12/2016 1:12:47 PM
Transaction ID: 61742234
Credit Card Number: XXXX XXXX XXXX 8159
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $49.47
.Print:Receipt:.
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