The URL can be used to link to this page

Home My WebLink About328361 08/08/18 �y'� � CITY OF CARMEL, INDIANA VENDOR: 027850 ONE CIVIC SQUARE JAMES BRAINARD = CHECK AMOUNT: $*******378.00* j?�; CARMEL, INDIANA 46032 CHECK NUMBER: 328361 .I; �;• *.,roN�� CHECK DATE: 08/08/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4239099 99.00 OTHER MISCELLANOUS 1160 4350000 279.00 EQUIPMENT REPAIRS & M VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# '027850 IN SUM OF$ JAMES BRAINARD CITY OF CARMEL . 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 $378.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Mayor's Office. 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 RECEIPT 42-390.99 $99.00 1 hereby certify that the attached invoice(s),or 8/1/18 RECEIPT $99.00 1160 101. 1160 101 RECEIPT 43-500.00 $279.00 7 bill(s)is(are)true and'correct and that the 8/1/18 RECEIPT $279.00 1160 101 materials or services itemized.thereon for 1160 101 Which charge is made were ordered and received except Tuesday,August 07,2018 Kibbe, Sharon Executive Office Manager hereby.certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: Mayor Jim Brainard ADDRESS: TOTAL$AMOUNT OF RECEIPT(S)ON THIS PAGE:$ 378 . 00 PURPOSE OF EXPENSE: Replacement of cellp one screen n hone Use separate sheet for different purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE Replacement of cellphone screen, A/C 4350000 , $279 . 00 Purchase of case for cell phone, A/C 4239099, $99 . 00 I Apple The Fashion Mall at Keystone 8702 Keystone Crossing Blvd.STE 128 Indianapolis,IN 46240 keystone@apple.com (317)574-8601 www.apple.com/retail/keystone August 01,2018 12:29 PM Repair ID R390656304 SVC,DISPLAY,IPHONE X $279.00 Part Number:661-09294 Item Warranty Code:OW No Returns For Support,Visit:support.apple.com Sub-Total $279.00 Tax@7.00% $19.53 Total $298.53 Payment Method Amount Paid Via AMERICAN EXPRESS(Chip) $298.53 ••••2000 848071 IIII IN * R 0 6 6 5 4 1 2 0 9 0 Please debit my account ••••2000 by$298.53(Sale) Card Number:••••2000 Date/Time:2018/08/0109:28:14 Application ID:A000000025010801 Terminal ID:)o=0112 Application PAN Sequence Number:0 Device Id:0112 Card Type:Credit Verified by Signature TVR:0000008000 TSI:F800 http://a pple.com/legal/sales-su pport/sa les-policies/retail.html Apple The Fashion Mall at Keystone 8702 Keystone Crossing Blvd.STE 128 Indianapolis,IN 46240 keystone@apple.com (317)574-8601 www.apple.com/retail/keystone August 01,2018 11:10 AM IPHONE X LEATHER FOLIO BLACK-ZML $99.00 Part Number:MQRV2ZM/A Return Date:Aug.15,2018 For Support,Visit:www.apple.com/support Sub-Total $99.00 Tax@7.00% $6.93 Total $105.93 Payment Method Amount Paid Via AMERICAN EXPRESS(Chip) $105.93 ••••2000 808895 r I IIIIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII * R 0 6 6 6 2 3 1 6 3 5 Please debit my account ••••2000 by$105.93(Sale) Card Number:»••2000 Date/rime:2018/08/0108:09:48 Application ID:A000000025010801 Terminal ID:)o=0137 Application PAN Sequence Number:0 Device Id:0137 Card Type:Credit No CVM TVR:0000008000 TSI:F800 http://apple.com/legal/sales-support/sales-policies/retail.html For more information about Indiana's recycling program visit http://www.in.gov/idem/recycle237Zhtm