HomeMy WebLinkAbout304318 10/20/16 or.4�qy
J�, '� CITY OF CARMEL, INDIANA VENDOR: 358229
t
ONE CIVIC SQUARE NICOLE SPETH CHECK AMOUNT: $********40.00*
�'� CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 304318
'+,;,�*oN.�'r CHECK DATE: 10/20/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 101916 40.00 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
NICOLE SPETH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
C/O DOCS IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$40.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
Nichole gloves 42-390.12 $40.00 1 hereby certify that the attached invoice(s),or 10/19/16 Nichole gloves Nicole Speth safetytwork gloves $40.00
1192 101 1192 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
Wednesday,October 19,2016
Mike Hollibaugh
Director
1 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
UL', C[IY
S U11MIMAY 41
IJt IIAUH , IN Ii8U2
81'2-295-83 i9
11�:ch�nt IU: 4000
Term 11: 9017 Slum I1. 1.2.36
IM n: 0012
Sale
XXXXXXAXXXX8135
MASTERCORD Entry Method: Chip
Total: $ 42.80
10/16/16 13:1.1:39
Inv U: 000012 Rppr Code: H25408
Transaction ID: 1016MDSR3TCGR
Wrvd: Online BAN: 000394
Debit MasterCard
AIN: Auuin nu804I.010
ISI: G`,
IVR: i;:
I:stamrr copy
�7
BOOT C;IT`d'
11800 U.S. HWY. 41 S13UTH
TERRE HAUTE, IN 47802
(812)-299-8379
WWW.BOOTCITY.NET
CUSTOMER@BOOTCITY.NET
Station 42
2844232 10/16/2016 1 :12 pm
Sale
---------------------
2. H211180. @20.00 040�.
LADIES LAMBSKIN GLOVES
2 item(s) sold
Sub Total Y 40.00
Tax A 7.00%
T®1ta 1
CreditCard 5 8135 03.20 QVP
Sold by HH
---RETURNS---
-Must be accompanied by a receipt 'for
-for a full cash refund;if there is
no receipt then an exchange or
store credit will be issuE:d.
-14 Days must pass before receiving a
cash refund after writing a check.
-If a credit card is used then the
refund will go back on the original
card used;the card must be present.
-6 month Manufactuer Defect: returns
will ONLY be exchanged or issued
a store credit.
-Any Special Order items that are
cancelled will be charged 50% of the
original price. NO EXCEPTIONS!
-NO WORN OR WASHED MERCHANDISE WILT_
BE RETURNED OR EXCHANGED.
-ONLY A STORE CREDIT WILL BE ISSUED
FOR SALE ITEMS RETURNED.
Thanks for shopping @ Eloot City!