324419 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 358694
ONE CIVIC SQUARE AMY LUNN CHECK AMOUNT: $ ......
•MkR!59.74*
sq; CARMEL, INDIANA 46032 20069 GREGORY CIRCLE CHECK NUMBER: 324419
z.yi rdi.a�� NOBLESVILLE IN 46062 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER" AMOUNT DESCRIPTION
2201 4239011 59.74 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 358694 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AMY LUNN IN SUM OF$ CITY OF CARMEL
20069 GREGORY CIRCLE 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.
NOBLESVILLE, IN 46062
Payee
$59.74
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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 42-390.11 $59.74 1 hereby certify that the attached invoice(s),or 4/20/18 0 $59.74
2201 2201 2201 2201
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,April 23,2018
Huffman, Dave
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
"BIG LOTS,'STORES -' #5117,
MARSH'CENTER,
1930 E. CONNOR ST
NOBLESVILLE -IN A6060=3128
317-773-6135
04/18/2018'6:57 PM C1663977
SALE
, IIIID IllllillllVIIIIIIIIilllil IIII ,. .Y
"SO5117 R001' T9118 D20180418'XOO
5: OT COLANDER -. 4.75'T C
3;10014200 1 @ 4.75
GREEN 4PC MIXING BOWLS 10.00 T C
810320264 1 @ 10.00
GG 4OPC COOKWARE SET W/ 39.99 T C%
$10045990. 1 @ 39:99
WILTON MEDIUM COOKIE PAN 5.00 T C;
810114844 1 @ 5.'00
Sub-Total 59.74
IN'7% Taxable 59.74
IN 7t Tax- 4.18
To1.61: Sales Tax" 4.18
Total '63.92
MC 'USD$63.92
Account: ' 0559;
Token: 0559'
Authorization 'Code: 442711
CTroutd.:,540100045
.,Card Entry Mode: ChipRead .
CVM:NO CVM
CVM,Resufts:1F.0302
AID:A0000000042203
App Pref'er'Name:Debit .
App'Labe l :Debi t
App Cryptogram:6EBB6C9733ED2E5F
Total Tender _ 63.92
Ch-ange Due 0.00
Thank you for shopping at Big Lots;!
See back of rece.i'p.t for refund details
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Customers,Copy .