318147 11/07/2017 F�.. "". CITY OF CARMEL, INDIANA VENDOR: 371741
��: CHECK AMOUNT: $*"*....178.50"
® ONE CIVIC SQUARE CLAYTON BELL
Y,?Q CARMEL, INDIANA 46032 C/O UTILITIES CHECK NUMBER: 318147
CHECK DATE: 11/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4356000 10 .29.17 178.50 CLOTHING & ACCESSORIE
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Noblesville
Noblesville, IN 46060
(317) 770-4143
10-29-17 3:04P 0610/0001/3654/7 12`i9X:�;K
IOU 999-8970--8284-9564-9389 9863-45(2
** **** **+r* BUY ONE GET ONE xx :xnxx{txx=.x
)MENS JEANS 052 177312363 59.50 4
ITEM PRICE 59 50
RETURN AMOUNT 44.63
)-4 BEANS 0521772061 zl) i9. 15 u
ITEM PRICE 59.50
BUY 1 GET 1 50% 29.75-
RETURN AMOUNT 44.62
** *** * BUY ONE GET ONE x <.xxxxxrxxtr.
?MENS JEANS 052175693082 59.50 U
ITEM PRICE 59.50
RETURN AMOUNT 44.63
)MENS JEANS 039307704861 29.75 A
ITEM PRICE 59.50
BUY 1 GET 1 50% 29.75--
RETURN AMOUNT 44.62
SUBTOTAL 178.50
00321201550
CITYOFCARMEL
T1= 0.00 @ 7.0% TAX 0.00
TOTAL $178,50
VISA XXXXXXXXXXXX1854 178.50
APPROVED 006645 ISSUER
VISA CREDIT
CHIP READ
SIGNATURE CAPTURED ELECTRONICALLY
SEQ: 11
TVR; 8080008000
TSI: 6800
AID: AOOOOO00031010
IAD: 0601OA03A000OO
ARC: Z3
Mr VMLuF _9F
= KOHL'S CASH AND/OR THE REFUND AMOUNT.
SEE DETAILS PRINTED ON KOHL'S CASH.
u i:TEM IS NOT TAXABLE
OFFERS AND COUPONS DO NOT APPLY
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We're Hiring for the Holiday Season!
To learn more about .joining our team
visit kohiscareers.com/team or
text "TEAM" to 36453
THIS PURCHASE IS SUBJECT TO THE
TERMS/CONDTTIONS FOHNn IN IFGAI NOTICES
AI K0141 ' 111M