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321465 02/07/18
CITY OF CARMEL, INDIANA VENDOR: 363885 ONE CIVIC SQUARE SCOTT CAMPBELL CHECK AMOUNT: $***'****73.20' 4 ?mayCARMEL, INDIANA 46032_ C/O UTILITIES CHECK NUMBER: 321465,- CHECK DATE: 02/07/18 < `TON�♦ DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 36.60 OTHER EXPENSES 651 5023990 36.60 OTHER EXPENSES VOUCHER NO. 177284 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 363885 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER CAMPBELL, SCOTT CITY OF CARMEL CARMEL UTILITIES 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, numbers of units, price per unit, etc. Payee 36.60 363885 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR CAMPBELL, SCOTT Terms Carmel Wasterwater Utility CARMEL UTILITIES Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), ' or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 010218 01-7360-07 $36.60 and received except 1/29/2018 010218 $36.60 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer VOUCHER NO. 174021 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 363885 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER CAMPBELL, SCOTT CITY OF CARMEL CARMEL UTILITIES 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, numbers of units, price per unit, etc. Payee 36.60 363885 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR CAMPBELL, SCOTT Terms Carmel Water Utility CARMEL UTILITIES Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), ' or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 010218 01-6200-07 $36.60 and received except 1/29/2018 010218 $36.60 Lrlyl 1 V Cj 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer Your Order W964142 I Precision Roller Page 1 of 1 F.S:A➢Ll➢HED 1971 � � � OR IAING PREcisio 1 R LLER NOT J USTNINKVF.RYTHIGFANOMTOGNFR Order Confirmation Number#W964142 Your Order Has Been Filled and Shipped. Order Date:01/02/2018 Tracking Number:9405510200829623469492 Ship To: Bill To: Carmel Utilities Billing Address Scott Campbell Carmel Utilities 30 W Main St 220 14225 Vestal Ct Carmel,IN 46032 US Carmel,IN 46033'US Shipping Method: Payment Method: USPS Priority Mail Credit Card Customer Contact Info: Payment Details: Credit Card Scott Campbell scampbell@carmel.in.gov PO#: Special Instructions: -!?:%sP�--,ai rnsirtict ins- Description QTY Price Ext. [M4751]Canon CR-1901 ImageFORMULA Scanner Exchange Roller Kit Genuine Canon Scanner Parts Kit Includes: (1)Pickup Roller[MA2-9111-000] 2 $32.95 $65.90 (1)Feed Roller[MA2-9112-000] (1)Separation Roller[MA2-9113-000] Replace when feeding errors begin to occur frequently Subtotal: $65.90 AZ Tax: $0.00. Handling: $0.00 Shipping: $7.30 Order $73.20 Total: ` df. t t �.i V https:Hsecure.precisionroller.com/show-cart.php?prnt=l&order id=964142&rk=sdvl]7r8kk... 1/5/2018 1/5/2018 CREDIT CARD-chase.com CHASE !i Printed from Chase Personal Online CREDIT CARD (...3714) Account activity Date Description Type Amount Jan 2, 2018 PRECISION ROLLER Sale $73.20 This transaction posted on Jan 3, 2018 Additional merchant and transaction information 623-5813330, AZ 850270000 US Online, Mail, or Telephone transaction Rewards earned with this transaction + 1% (1 Pt)/$1 earned on all purchases 73.20 Total Points 73.20 JPMorgan Chase Bank,N.A.Member FDIC ©2018 JPMorgan Chase&Co. Equal Opportunity Lender 0 https://secure0la.chase.com/web/auth/dashboard#/dashboard/creditCardAccounts/overviewDashboard/singleCard 1/1