319274 12/05/2017 CITY OF CARMEL, INDIANA VENDOR: 00351564
,d \ ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $*******257.70*
=4 CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK NUMBER: 319274
v, CARMEL IN 46032 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 257.70 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351564 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARY CARTER IN SUM OF$ CITY OF CARMEL
4748 BISHOPSGATE DR 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.
CARMEL, IN 46032
Payee
$17.82
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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 42-390.99 $17.82 1 hereby certify that the attached invoice(s),or 12/1/17 0 $17.82
1120 101 1120 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
Friday, December 01,2017
David Haboush
Fire Chief
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
See back of receipt for your chance
to win $1000
ID #: 7L33FGKBGWI
Wail art ®��.,,
Save money. Live better.
( 317 ) 844 - 0096
MANAGER KYLE LANGSTON
2001 E 151ST ST
CARMEL IN 46033
ST# 01601 OP# 000370 TE# 08 TR# 02059
8.5X11 FRAME 003223103732 4.48 X
8.5X11 FRAME 003223103732 4.48 X
8.5X11 FRAME 003223103732 4.48 X
8.5X11 FRAME 003223103732 4.48 X
SUBTOTAL 17.92
TAX 1 7.000 X 1 .25
TOTAL 19.17
CASH TEND 20.25
CHANGE DUE 1 .08
# ITEMS SOLD 4
TC# 9089 8047 4678 3378 5891
III li 1!111 Il ll 11 i�Ilil 111 IIII!IIIII III I!III !I til I I I III ILII II I II
Low Prices You Can Trust. Every Day.
12/01/17 10:41 :41
Use Walmart Pay to save your receipts.
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00351564 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARY CARTER IN SUM OF$ CITY OF CARMEL
4748 BISHOPSGATE DR 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.
CARMEL, IN 46032
Payee
$239.88
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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 42-390.99 $239.88 1 hereby certify that the attached invoice(s),or 11/30/17 0 $239.88
1120 101 1120 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, November 30,2017
David Haboush
Fire Chief
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
F F OBOY LOBBY.
Super Savings,Super Selection!
2003 E. Greyhound Pass
Carmel , IN 46033
Hobby Lobby Store #182 (317) 818-9217
S-182 R-3 T-7985 GENNIFER F SALE
101500000 Frames \ 239.88 N
50 % Off (39.99-20.00) \
12 5 19.99 ea
SUBTOTAL 239.88
TAX TOTAL 0.00
TOTAL 289 . 88
TAX EXEMPT CUSTOMER
M/C 239.88
ACCOUNT #: XXXXXXXXXXX*4742
AUTH#: 07355Z
ACCT: MASTERCARD INSERTED
MASTERCARD
CARD # XXXXXXXXXX*X4742 EXP
REF # AUTH # RESP 00
100211291042 07355Z ISO 00
AID: AOOOOO00041010
TSI: E800 ARC:00 CUR:0840
TVR: 0000008000
APP: MASTERCARD
IAD: 011OA000012200000000000000000000
DOFF
Signature
CHANGE DUE 0.00
--Continued on Side 2--
HOBBY LOBBY � Rain Check/Special Order
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Date Ordered: �}1 I Employee:
Date Received: Employee:
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