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HomeMy WebLinkAbout321034 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 241253 P3 31 ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $""""*96.66` CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 321034 9 <rtiii�O'?' CIO DOCS CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4230000 75.00 OFFICIAL FORMS 1192 4230200 8.17 OFFICE SUPPLIES 1192 4237000 4.49 REPAIR PARTS 1192 4343001 9.00 TRAVEL FEES & EXPENSE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 241253 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PETTY CASH IN SUM OF$ CITY OF CARMEL C/O DOCS 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. C/O DOCS Payee $96.66 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due POI# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 5294006 42-302.00 $8.17 I hereby certify that the attached invoice(s),or 12/16/17 5294006 Mouse for Surface Pro-Motz $8.17 1192 101 Prior Year 1192 101 Pietrzak 42-300.00 $75.00 bill(s)is(are)true and correct and that the 1/5/18 Pietrzak Title Application Fee x 5 Vehicles $75.00 1192 101 materials or services itemized thereon for 1192 101 NS 42-370.00 $4.49 1/23/18 NS Replacement red light for vehicle-Speth $4.49 1192 101 which charge is made were ordered and 1192 101 NSRPDL 43-430.01 $9.00 received except 1/23/18 NSRPDL Parking and vehicle vacuuming $9.00 1192 101 1192 101 Tuesday, January 23,2018 Mike Hollibaugh Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer P7HKi I'•��v S�• 1 �v. Welcome- to Best Buy #1025 V 17200. MERCANTILE BLVD, NOBLESVILLE, IN 96060 Entered: (317). 776-9693 ` l 2017/11/73 1� �,� � Vim- LL' vY � III IIIIIIIIIIIIIIIIII IIIII III IIIIIII� III \ Ticket#:,2E 1161-917960-719312-917977-013791-936 Duration:3: / pa• �: J2373 12/16/17 11:51 ,7.66: yL, { 910-002726 8.17 Paid•$ !RELESS MINI MOUSE- BLAC t f] Was Price original ( = .Sale Discount change:$ ' �' ' =:`My Best .Buy Certificate UisR 0.57 sc:S Tax, 5000055618 3.81 Merchant ] HOP HOLIDAY GIFT BOX 20CT K-CUPS Was Price $ 1.00 6.uu- CLEARANCE ulsR 3.18- My Best Buy Certificate Tales Tax 0.00 seq# 470000016 00800 C18 ---------- Subtotal 11 .98 Purchase 17/11/13 16:23:26 Sales Tax 0:57 Ruth# 04238c Total 12.55 *******1699 ChipRead USD$ 12,55 RPPROUED a Credit - BBY CARD 'oLISA L I V ` royal 016078 riuuc: Issuer AID: AOOOOO00031010 5% Back in Rewards and Standard Credit Other Savings: 21 .00 Total Savings; 21 .00 My Best Buy ELITE Member ID 2008288966 My Best Buy Certificate XXXXXXXXXXXXXXXX2549 $5.00 My Best Buy Certificate XXXXXXXXXXXXXXXX9163 $5.00 LISA, Thanks for shopping at Best Buy today! Your My Best Buy balance as of 11/27/2017 Posted Points: 1 Go to BestBug.com for, more info - - -- - - --- As a Mu-Best Buy Elite-member,- — - --we are pleased to extend your return and exchange period on eligible products to 30 days from Purchase date, Devices that can be activated and cell phones have a 19-day return policy for all customers. 15-day return period on almost everything else. Restocking fee applies on select,-items Purchases made between Oct. 29, 2017 and Dec. 30, 2017 qualify for our' Holiday Returns and Exchange Promise and most purchases may be returned through Jan. 19, 2018. A valid receipt is required for all returns, Except where prohibited, we may request an ID. ID info may be stored in a secure, encrypted database used for tracking returns and exchanges. Returned items missing accessories are subject to a missing part fee. Best- Buy reserves the right to deny any return. For return policy details and a complete list of exceptions, ask for a policy brochure or go to www,BestBuy.com/Returns. ���esT^reoF COLLECTION OF PAYMENT INFORMATION 0/1-- - ti:'� State Form 56163(7-17) BUREAU OF MOTOR VEHICLES Approved b State Board of Accounts,2017 Central Office Finance r" t pp y 100 N. Senate Avenue, Room N440 �1` = INDIANA BUREAU OF MOTOR VEHICLES Indianapolis, IN 46204 •`- 'i'' (888) 692-6841 •ia�e.. INSTRUCTIONS: 1. Complete in blue orblackink, orprintform. 2. Enter the amount to be charged and the payment type information in Section 2.Payment may be made by Visa,MasterCard, or electronic check.If enclosing a check,money order, cashier's check,or certified check,this form is not required. 3. Mail this form to the address that is specified on the application being submitted and for which you are making payment 4. This form will be destroyed immediately afterpayment has been processed. SECTION 1 ACCOUNT HOLDER INFORMATIQN r _ Name of Account Holder(first,middle,last,or company name) Driver's License Number(DLN)or Federal Telephone Number Identification Number oss MICgA&L q —1618-36a3-7-16'1 Billing Address(number and street) City State ZIP Code 650 LAme: r, r. SECTION 2' PAYMENT INFORMATION _ _s..., Description of the service/application to which the payment is related: Amount to be Charged: $ . 00 5 Tr-c I-e A%O9LI C A�o'rJ Wit. X A ePLI C-Q{T►o a a� ,t Type of Credit Card: Visa ❑ MasterCard Credit Card Number: Expiration Date(mm/yy): _1 19 Routing Number: Account Number: I hereby authorize the Indiana Bureau of Motor Vehicles to charge the credit card or the electronic check information in the amount provided above. Si of Accoun er/ u horized User RoczS ed Name Date Signed.(mm/dd/yyyy) Y -- - �i�c;22 -1< - - (►Z C' i PN C ACCOUNT ACTIVITY(Monday,Jan 08,2018) Virtual Wallet with Performance Spend X2.881 Available Balance$ Balance$ Overdraft Protected by Reserve MONTHLY TRANSACTIONS SEARCH Amount:$75.00-$75.01 Date Description Withdrawal DepositCategoryBalance January Pending IN BMV VEHICLE SER CARD#8149 $75.00 Jan 5 Transactions older than Oct 11 are located in Online Statements» _._...........................m..._.............._....._...i__ ©Copyright 2018.The PNC Financial Services Group,Inc.All Rights Reserved. Need Help?Call us at 1-888-PNC-BANK(762-2265)