HomeMy WebLinkAbout324037 04/11/18 CITY OF CARMEL, INDIANA VENDOR: 357174
.;; ONE CIVIC SQUARE RICHARD ALVAREZ CHECK AMOUNT: $*******104.99*
CARMEL, INDIANA 46032 9562 WINDBREAK COURT CHECK NUMBER: 324037 FISHERS IN 46037 CHECK DATE: 04/11/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER;, AMOUNT DESCRIPTION
1110 4356003 104.99 SAFETY ACCESSORIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
Vendor# 357174 ACCOUNTS PAYABLE VOUCHER
RICHARD ALVAREZ IN SUM OF$ CITY OF CARMEL
9562 WINDBREAK COURT 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.
FISHERS, IN 46037
Payee
$104.99
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police 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 43-560.03 $104.99 1 hereby certify that the attached invoice(s),or 4/9/18 0 work boots $104.99
1110 101 1110 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,April 10,2018
&� 1EE?3-6.Aw%,3
Jim Barlow
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
DSjer Number: 2426695085 810 DSW Drive
Order
Date: 03/31/2018 Columbus, Ohio 43219
DESIGNER SHOE WAREHOUSE' Ship Level: standard
dsw.com 1.866.DSW.SHOES(1.866.379.7463)
Page Number: 1 of 1 service@dsw.com
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VendorTotal You Save
Vendor Color,,, bes8"n-13tillih Quantity'.,',,,'
P"
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Color
396465 CMW6274 Dark Brown CRAZY HORSE E 11.5D Carhartt-6-inch Steel Toe Work Boot 1 $104.99 $104.99
lease note:gems may ship in more than one package,but your order summary reflects your entire order.
Order
SUTT
Merchandise Subt
t Zia
Rewards Certificate Subto $
Offer Code Subtotal: $0.00
Payment Method:CREDIT3529 Shipping: $7.95 $7.95
Tax: $7.00
Rewards Member N.umber:400358277008 Total Charge: $ 106.99
Please keep this top portion for your records. You Saved: 1 7.951
Return&Exchange Form
See reverse side for return and exchange instructions.
Ordered By: Shipped To: Order Number: 2426695085
EAlv.re7
E Alvarez Control Number: 242669508501
9562 Windbreak Ct 9562 Windbreak Ct
Fishers,In 46037 Fishers,In 46037
Rewards Member Number: 400358277008 508599993001033120180001
Ti: e re Windbreak
to have you as a customer,and we hope you enjoy your purchase.
If you have questions,please contact shoephorial Center at 1.866.DSW.SHOES(1.866.379.7463)or service@dsw.com.
If you need to return all or part of your order,simply fill out the required information below.(For exchanges,see the back of this form.)
RequiredfiorReturns:
"06an
tity 'Aeturn Reason
DSW Price Quaniilty,,
-PurcK sed�' etumed
tern#. �,Sl �,-�`Mnn Description'
Z
*es Below),
'�
396465 Dark Brown 11.5D Camant-6-inch Steel Toe Work Boot $104.99 1
Return Reason Codes
11.
1. Dion tfit-Too Small 17. Ordered multiple sizes and colors Please Check One:
12. Didn t fit-Too Large 18. Received wrong item ❑
13 Didn't fit-Too Narrow 19. Merchandise was damaged Exchange
BlaDS 14' Didn't fit-Too Wide 20. Merchandise arrived late
15. Quality not as expected 21. Changed mind ❑ Return
16. Item not as pictured
See reverse side for return and exchange instructions.