HomeMy WebLinkAbout302819 09/08/16 y r.F�qM
CITY OF CARMEL, INDIANA VENDOR: 00350084
ONE CIVIC SQUARE TOM SMALL CHECK AMOUNT: $*******124.85*
�. ?Q CARMEL, INDIANA 46032 201 COTTONWOOD DR CHECK NUMBER: 302819
ANDERSON IN 46012 CHECK DATE: 09/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 082916 124.85 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
TOM SMALL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
201 COTTONWOOD DR IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ANDERSON, IN 46012 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$124.85 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 42-390.11 $124.85 I hereby certify that the attached invoice(s),or 9/1/16 0 $124.85
CK-VI1120 101 1120 101
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
Friday, September 02,2016
David Haboush
Fire Chief
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
See back of receipt for your chance
to win $1000
ID #: 7JZ975KBLSF
�oSZ�
Walr�art
Save money. Live better.
( 317 ) 844 - 0096
MANAGER KYLE LANGSTON
2001 E 151ST ST
CARMEL IN 46033
ST# 01601 OP# 007171 TE# 94 TR# 05822
BIKE HELMET 003867501153
5 AT 1 FOR 24.97 124.85 0
SUBTOTAL 114.85
TOTAL 114.85
VISA TEND 114.85
Visa Credit **** **** **** 802-:2 I 1
APPROVAL # 219295
REF # 1042000314
TRANS ID - 386242647734868
. VALIDATION - P975
PAYMENT SERVICE - E
AID AOOOOO00031010
TC OE01E319579131CC
TERMINAL # 283468416
*Sisnature Verified
08/29/16 13:59:47
CHANGE DUE 0.00
ITEMS SOLO 5
TC# 0113 1015 6194 0792 6501. 7
111111111111111111111111111111111111111111111111 IIN IIIIII III I I IIII�l III 11111 III iI
Low Prices You Can Trust. Ever�i Day.
08/29/16 13:59:48
***CUSTOMER COPY***
Savinss Catcher! Scan with Walmairt app
D'' , s��
Dfganos acerca de su visita a Walmart boy y usted
podria ganar una de las 5 tarjetas de regalo de
Walmart de$1000 o una tle las 750 tarjetas de regalo
tle Walmart de$100.
http://www.survey.walmart.cam
No purchase necessary. Must be 18 or older-and a
legal resident of the 50 US,DC,or PR to enter.To enter
without purchase and for official rules,visit
www.entry.survey.walmart.com.
Sweepstakes period ends on the date outlined in the
official rules. Survey must be taken within ONE week
of today.Void where prohibited.
THANK YOU
How was your experience ?
Tell us about your visit today and you could win 1 of 5
$1000 Walmart gift cards or 1 of 750 $100 Walmart
gift cards.
Dfganos acerca de su visita a Walmart hay y ustetl
podria ganar una tle las 5 tarjetas tle regalo de
Walmart de$1000 o una de las 750 tarjetas de regalo
de Walmart de$100.
http://www.survey.walmart.cam
No purchase necessary. Must be 18 or older and a
legal resident of the 50 US,DC,or PR to enter.To enter
without purchase and for official rules,visit
www.entry.survey.walmart.com.
Sweepstakes period ends on the date outlined in the
official rules. Survey must be taken within ONE week
of today.Void where prohibited.
THANK YOU
How was your experience .
Tell us about your visit today and you could win 1 of 5
L
gift cards or 1 of 750 $100 Walmart
vita a Walmart hay y ustetl