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303197 09/22/16
j� CITY OF CARMEL, INDIANA VENDOR: 363885 ONE CIVIC SQUARE SCOTT CAMPBELL CHECK AMOUNT: $********90.72* CARMEL, INDIANA 46032 C/O UTILITIES CHECK NUMBER: 303197 CHECK DATE: 09/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2138796 45.36 OTHER EXPENSES 651 5023990 2138796 45.36 OTHER EXPENSES VOUCHER# 162775 WARRANT# ALLOWED 363885 IN SUM OF $ CAMPBELL, SCOTT CARMEL UTILITIES Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2138796 01-6200-07 45.36 Voucher Total 45.36 Cost distribution ledger classification if claim paid under vehicle highway fund Presgribed 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 363885 CAMPBELL, SCOTT Purchase Order No. CARMEL UTILITIES Terms Due Date 9/20/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/20/2016 2138796 45.36 iereby certify that the attached invoice(s), or bill(s) is (are) true and )rrect and I have audited same in accordance With IC 5-11-10-1.6 ---------- Date Officer VOUCHER # 166213 WARRANT # ALLOWED 363885 IN SUM OF $ CAMPBELL, SCOTT CARMEL UTILITIES Carmel Wastewater Utility ON ACCOUNT OF.APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2138796 01-7200-07 45.36 �vw✓W ' Voucher Total 45.36 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 363885 CAMPBELL, SCOTT Purchase Order No. CARMEL UTILITIES Terms Due Date 9/20/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/20/2016 2138796 45.36 hereby certify that the attached invoice(s), or bill(s) is (are) true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer Invoice ESTABLISHED 1919 - 21 38796 PRECISIOII R LLER EVERYTHING F.OR IMAGING ,.Invoice Date: 09/14/2016 'NOT JUST INK AND TONER Ship Date: 09/14/2016 03 "'*Account#357843 (/� . CARMEL UTILITIES SCOTT CAMPBELL _ ATTN: SCOTT CAMPBELL r 14225 VESTAL CT 30 W MAIN-ST. .. . CARMEL, IN 46.033 #220 - O CARMEL, IN 46032 0 Your PO: Terms: Paid: Visa3714 Order Number: 2105421 Ship Via: UPS Ground Ordered, • . Shipped Item# Description Exchan `" 3 0 3 M4751 Exchange Roller Kit-Genuine Canon Scanner Parts . $30.24-, $90.72 Kit Includes: ____. �� y `•t (1)Pickup Roller[MA 2-9111-000] (1)Feed Roller,[MA2-9112-000] (1)Separation Roller[MA2-9113-000] I- Replace-when':feeding errors begin to occur frequently 1 0EM Pk: 4623BOOl 462313001AA, DC9494 I Models: Canon <CR=135i `'�— imageFORMULA Scanner,CR-190i imageFORMULA Scanner `' ` !, Credits must be used within 90 days for merchandise only. NSF checks will be subject to a$25.00 +y �. j1 ' � service charge. Please pay from this invoice.No statement will be sent. ,Other terms and conditions 1 \: _� Parts Total: $90.72 apply:visit precisionroller.com/terms or call for full details. �t'`\� !`Shipping Charges: $0.00 PAID-="THANK�YO.U'! $90.72 `1 Printed:Wednesday,September 14,2016 & Package ID:2138796,Page 1/1 2102 W Quail Ave•Suite 1 •Phoenix•Arizona•85027 imaging@precisionroller.com:•(800).323-9523•Fax(800)832-4548 Get special offers, Like us: Follow us: You.' Subscribe and watch: promotions and valuable info: ® facebookicom/precisionroller.®Follo us: precisionroller youtube.com/precisionroller 9/20/2016 CREDIT CARD-chase.com CHASE !i Printed from Chase Personal Online CREDIT CARD (3714) Current balance Available credit Ultimate Rewards 5%cash back Not activated (Oct-Dec) Next payment due Minimum payment due Balance on last statement Sep 28, 2016 $25.00 Automatic payment is Off. Date Description Amount Sep 14,2016 PRECISION ROLLER $90.72 Sale This transaction posted on Sep 15,2016 Additional merchant and transaction information 623-5813330,AZ 850270000 US Online, Mail,or Telephone transaction Rewards earned with this transaction + 1%(1 Pt)/$1 earned on all purchases 90.72 Total Points 90.72 JPMorgan Chase Bank,N.A.Member FDIC ©2016 JPMorgan Chase&Co. Equal Opportunity Lender 0 https:Hsecure0la.chase.com/web/accounts/dashboarcWdashboard/accounts/summary/creditCard;params=card,437084671 1/1