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320635 01/11/18
O�' CITY OF CARMEL, INDIANA VENDOR: 180865ONE CIVIC SQUARE BARBARA LAMBCHECK AMOUNT: S***"'**21.98CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 320635 CACARMEL IN 46032 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 R4230200 101137 21.98 OTHER MISC VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 180865 BARBARA LAMB IN SUM OF$ CITY OF CARMEL C/O HUMAN RESOURCES 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 $21.98 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration 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 101137 5JIYNHYSN2D 42-302.00 $13.99 I hereby certify that the attached invoice(s),or 12/15/17 5JIYNHYSN2D $13.99 1205 Encumbered 101 Prig'Year 1205 101 101137 5LN2MTOEX3W 42-302.00 $7.99 bill(s)is(are)true and correct and that the 12/18/17 5LN2MTOEX3W $7.99 1205 Encumbered 101 Prior Year materials or services itemized thereon for 1205 101 which charge is made were ordered and received except Tuesday,January 09,2018 Crider,James Administration 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 Discover Card: Statements I , 3 Page 1 of 1 I , l DISCOVER GARY/MR LAMB,BARBARA A LAMB Acct.Ending 5188 943 BIRNAM WOODS TRL,INDIANAPOLIS,IN,46280-1798 (317)846-8501 Transaction Details Trans.Date Description Amount Category 12/15/17 AMAZON MKTPLACE PMTS $ 13.99 Merchandise AMZN.COM/BILLWA<BR/>5J 1 YNHYSN2D AMAZON MKTPLACE PMTS 440 Terry Ave N WA 98109 Post Date Friday,December 15,2017 Transaction Date Friday,December 15,2017 Merchant Category BOOK STORES Purchase Method ONLINE ©2014 Discover Bank,Member FDIC. n"-feel To JAN 11 20118 T 4surer t ae t� .T r.a 5 Fro. https:Hcard.discover.com/cardmembersvcs/statements/app/transaction?statementDate=&tran... 1/8/2018 Discover Card: Statements Page 1 of 1 U ! 0 I I '7 DISCOVER GARY/MR LAMB,BARBARA A LAMB Acct.Ending 5188 943 BIRNAM WOODS TRL,INDIANAPOLIS,IN,46280-1798 (317)846-8501 Transaction Details Trans.Date Description Amount Category 12/18/17 AMAZON MKTPLACE PMTS $ 7.99 Merchandise AMZN.COM/13ILLWA<BR/>5LN2MTOEX3 W AMAZON MKTPLACE PMTS 440`ferry Ave N.WA 98109 Post Date Monday.December 18,2017 Transaction Date Monday,December 18,2017 Merchant Category BOOK STORES Purchase Method ONLINE 02014 Discover Bank,Member FDIC. o N JAN 112018 er avul r je https:Hcard.discover.com/cardmembersvcs/statements/app/transaction?statementDate=&tran... 1/8/2018 o INDIANA RETAIL TAX EXEMPT Page 1 of 1 �('�1*�ty ®� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER ll FEDERAL EXCISE TAX EXEMPT 101137 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ONINVOICES,AIP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/14/2017 180865 BARBARA LAMB General Administration VENDOR C/O HUMAN RESOURCES SHIP 1 Civic Square TO Carmel,IN 46032- CARMEL,IN 46032- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 21800 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1205 Fund: 101 General Fund Account: 42-302.00 1 Each Other Misc $21.98 $21.98 Sub Total $21.98 +JJf z= ;1 ° ' r Send Invoice To: t Dept of Administration t W a' 1 Civic Square Carmel, IN 46032- � f; I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $21.98 SHIPPING INSTRUCTIONS 'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE �(� 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY James Crider TITLE Administration CONTROL N0. 101137 CLERK-TREASURER _ - Amazon.com- Order 112-4967329-3093852 s Page 1 of 2 maxan.com, Details for Order #112-4967329-3093552 Print this page for your records. Order Placed: December 13, 2017 Amazon.com order number: 112-4967329-3093852 Order Total: $21.98 Not Yet Shipped Items Ordered Price 1 of: [3-Pack] TheCoos iPhone 8 Plus 7 Plus Screen Protector, Tempered Glass $7.99 Screen Protector For Apple iPhone 8 Plus 7 Plus 6s Plus 6 Plus Sold by: TheCoos (seller profile) Condition: New Shipping Address: Gary Lamb 943 Birnam Woods Trl Indianapolis, IN 46280-1798 United States Shipping Speed: Two-Day Shipping Shipping now Items Ordered Price 1 of: Caseology Parallax Series iPhone 8 Plus/ 7 Plus Cover Case with Design $13.99 Slim Protective for Apple iPhone 8 Plus (2017)/iPhone 7 Plus (2016) - Ocean Gray Sold by: Caseology@ (seller profile) I Product question?Ask Seller Condition: New Shipping Address: Item(s) Subtotal: $13.99 Gary Lamb Shipping"& Handling: $0.00 943 Birnam Woods Trl ----- Indianapolis, IN 46280=1798 Total before tax: $13.99 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$13.99 Two-Day Shipping ---- Payment information Payment Method: Item(s) Subtotal: $VAK%RM Discover I Last digits: 5188 Shipping & Handling: $0.00 https://www.amazon.com/gp/css/summary/print.html/ref=od aui—Print invoice?ie=UTF8... 12/14/2017 Amazon.com- Order 112-4967329-3093852 Page 2 of 2 Billing address Total before tax: $21.98 Gary Lamb Estimated tax to be collected: $0.00 943 Birnam Woods TO ----- Indianapolis, IN 46280-1798 Grand Totai:$21.98 United States To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice© 1996-2017,Amazon.com, Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.html/ref=od_aui—Print_invoice?ie=UTF 8... 12/14/2017