321045 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 00350698
ONE CIVIC SQUARE KURT WEDDINGTON CHECK AMOUNT: $*******254.99*
q CARMEL, INDIANA 46032 1102 MAPLE RUN DRIVE CHECK NUMBER: 321045
91 ioi E°'? SHERIDAN IN 46069 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION
102 4467099 254.99 OTHER EQUIPMENT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
vendor# 00350698 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER -
KURT WEDDINGTON IN SUM OF$ CITY OF CARMEL
1102 MAPLE RUN DRIVE 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.
SHERIDAN, IN 46069
Payee
$254.99
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 44-670.99 $254.99 1 hereby certify that the attached invoice(s),or 1/19/18 0 $254.99
1120 102 1120 102
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
Monday,January 22,2018
V4MDr "'q-s_
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
GM Card
Transactions
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KURT L WEDDINGTON#7262:Payments, Credits and Adjustments
Date Description Amount
Dec 29
Jan 2
KURT L WED
Date
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Dec 22 MEIJER INC#230NOBLESVILLEIN $254.99
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Dec 25 _
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17000 Mercantile Blvd. T� �
Noblesville,IN 46060-#230
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The Meijer Team appreciates your business
Your checkout was 12/22/17
SALE provided by HAYLEE
*5094687282 STAND MIXER
was 379.99 now 279.99 CT
$20 Custom Coupon Issued
mPerks Offer
25.00 off
mPerks # -_ rr*ww**,60.00 CT
SUBTOTAL 254.99
TOTAL TAX 00
CREDIT CARDS 25q.99
254 99
XXXXXXXXXXXX7262 TENDER 254.99
APPROVAL CODE 064832 �C�
CAPITAL ONE
AID A0000000041010
TC CACCOSE285337607
SIGNATURE VERIFIED
Signature Captured Electronically
T1 ITEM VALUENUMBER EXEMPTED ITEMS'
TI TAX EXEMPTED 2541
.99
T2 ITEM VALUE EXEMPTED 17.85
T2 TAX T4 ITEM EVALUE EEXEMPTED .00
.00
T4 TAX EXEMPTED
.00
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Tx:254 Op:2013457 Tm:144 St:230 18:26:42
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