319186 11/30/17 �4q,�F• CITY OF CARMEL, INDIANA VENDOR: 364386
4-:
ONE CIVIC SQUARE KURT ANDERSON CHECK AMOUNT: $********57.41
*, ?4 CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 319186
" - CHECK DATE: 11/30/17
t tON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4463201 57.41 HARDWARE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 364386 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KURT ANDERSON IN SUM OF$ CITY OF CARMEL
C/O ENGINEERING 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
$57.41
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Engineering
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 44-632.01 $57.41 I hereby certify that the attached invoice(s),or 11/30/17 0 Replacement Surface Tablet battery $57.41
2200 2200 2200 2200
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, November 30,2017
Jeremy Kashman
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
Clerk-Treasurer
Invoice - Order Completed: BatteryMart.com Page 1 of 2
UBATTERYMA
THANK YOU FOR YOUR ORDER 22O° " `'`' 40320 '
ORDER #881315
The details of your order are below. Once your order ships, you will receive tracking information. If you
need to check the status of your order or make changes, visit your account. You will receive a.confir-
mation email shortly at kanderson@carmel.in.gov.
DATE ORDERED ORDER STATUS
11/30/2017 Processing
BILL TO SHIP TO
Kurt Anderson Kurt Anderson
11245 Hearthstone Drive City of Carmel - Engineering
Fishers, IN 46037 One Civic Square
kanderson@carmel.in.gov Carmel, IN 46032
317-402-9774 kanderson@carmel.in.gov
317-571-2308
.ORDER SUMMARY QTY SUBTOTAL
Replacement Microsoft Surface 2 Tablet , S49.95
Battery with Tools
#TLP-042
7.6 Volt/4220 mAh
• Dimensions: 6.5"10.16"13.62"
•Warranty: 1 Year
SUBTOTAL $49.95
SHIPPING $7.46
SALES TAX $0.00 .
.
TOTAL $57.41
https://www.batterymart.com/merchant2/merchant.mvc?Session ID=de7be5ed933fe3489... 11/30/2017