308135 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 00350224
ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $********29 98*
.,
CARMEL, INDIANA 46032 CHECK NUMBER: 308135
CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4230200 29.98 OFFICE SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350224 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NANCY HECK IN SUM OF$ 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.
Payee
$29.98
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations 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
RECEIPT 42-302.00 $29.98 1 hereby certify that the attached invoice(s),or 1/19/17 RECEIPT $29.98
1203 1011203 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
Tuesday, February 07,2017
-fL I
Heck, Nancy
Director
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
A-p "cainc�
1
Office DEPOT.
OfflceMaX
Office Max Store 6545
14760 Grey Hound Plaza
01/19/2017, 16,9.2 8:34 PM
STR 6545 REG 1 TRN 9581 EMP 772998
SALE
Product ID Description Total
1378504 Jacket Ltr Ass
2 @ 14.99 29.98
You Paw 29,98S
Subtotal: 29.98
IN State Tax 7% 2.10
Total: 32.08
Visa 5916: 32.08
RUTH CODE b19007
TDS Chip Read
AID AOOOOO00031010 VISA CREDIT
TVR 8000008000
CVS Signature Verified
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