HomeMy WebLinkAbout304320 10/20/16 ,y 49q",F CITY OF CARMEL, INDIANA VENDOR: 353690
`` CHECK AMOUNT: $""""***'11.89•
'.j; " ONE CIVIC SQUARE TRAVIS TILSON
,_�; CARMEL, INDIANA 46032 11231 ROLLING SPRINGS DRIVE CHECK NUMBER: 304320
49M, � CARMEL IN 46033 CHECK DATE: 10/20/16
ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 101916 11.89 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
TRAVIS TILSON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
11231 ROLLING SPRINGS DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$11.89 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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 42-370.00 $11.89 1 hereby certify that the attached invoice(s),or 10/10/16 0 replacement headlight $11.89
1110 101 1110 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
Thursday, October 13,2016
Tim Green
Chief of Police
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
• 3 )L
meiier
1424 West Carmel Dr.
Carmel, IN 46032-#130
(317)5738300 meijerxom
The Meijer Team appreciates vour business
10/10/16
Your fast and friendly checkout was
provided by Fast l an2l
GENERAL MERCHA ISE
4613538757 HEADLAMP 11.89 CT
TOTAL
IN 7% Sales Tax .83
TOTAL TAX .83
TOTAL 12.72
PAYMENTS
Primary Account - Debit
ATM/DEBIT CARD TENDER 12.72
XXXXXXXXXXXX4149 (S)
NUMBER OF ITEMS 1
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