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322925 03/14/18 CITY OF CARMEL, INDIANA VENDOR: 00352899 a, ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: $***.....14.99* CARMEL, INDIANA 46032 C/O DOCS CHECK CHECK NUMBER: 925 03 1 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4230200 AMAZON 14.99 OFFICE SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00352899 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ADRIENNE KEELING IN SUM OF$ 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. Payee $14.99 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 Amazon 42-302.00 $14.99 I hereby certify that the attached invoice(s),or 3/9/18 Amazon Phone case for new upgraded phone-Keeling $14.99 1192 101 1192 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 Tuesday, March 13,2018 Mike Hollibaugh Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 3/12/2018 AmazonSmile-Order 112-1223002-371 629 amazonsmite Final Details for Order #112-12230012-3718629 Print this page for your records. Order Placed: March 9, 2018 Amazon.com order number: 112-1223002-3718629 Order Total: $14.99 Supporting: Carmel Elementary School PTO Inc Shipped on March 10, 2018 Items Ordered Price 1 of: iPhone 6s Case, TORRAS[Love Series] Liquid Silicone Rubb ,rr iPhone 6 6S $14.99 Shockproof Case with Soft Microfiber Cloth Cushion (4.7 inches)- dight Blue Sold by: TORRASp seller profile) Condition: New Fulfilled by Amazon pig Address: Item(s) Subtotal: $14.99 Adrienne Keeling Shipping & Handling: $0.00 6, ----- CARMEL,-IN 46032-1335 Total before tax: $14.99 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$14.99 Two-Day Shipping ----- Payment information Payment Method: Item(s) Subtotal: $14.99 American Express I Last digits: 1000 Shipping & Handling: $0.00 Billing address Total before tax: $14.99 Adrienne Keeling Estimated tax to be collected: $0.00 621 2ND AVE NE CARMEL, IN 46032-1335 United States Grand To al:$14.99 Credit Card transactions AmericanExpress ending in 1000: March 10, 2018: $14.99 To view the status of your order, return to Order Summary_. Conditions of UseI Y Notice Privac c �nc. or its affiliates O 1996-2018 Amazon.com, https://smile.amazon.com/gp/css/summary/print.html/ref=oh_aui_pi_o00_?ie=UTF8&orderlD=112-1223 02-3718629 1/1