HomeMy WebLinkAbout328898 08/14/18 �� CITY OF CARMEL, INDIANA VENDOR: 356693
j ® ter• ONE CIVIC SQUARE JOHN MASCARI CHECK AMOUNT: $*******176.00*
:q ate, CARMEL, INDIANA 46032 6655 E 52ND STREET CHECK NUMBER: 328898
�,«Sn,c�` INDIANAPOLIS IN 46226 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 176.00 OTHER EXPENSES
VOUCHER NO. 182345 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rey 1995)
ALLOWED 20
Vendor# 356693 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MASCARI,JOHN CITY OF CARMEL
CARMEL WATER An invoice or bill to be properly itemized must show: kind of service,where performed,
dates service tendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
176.00 356693 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MASCARI,JOHN Terms
Carmel Water Utility CARMEL WATER 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
MASCARI 01-6200-03 $176.00 and received except 8/7/2018 MASCARI $176.00
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
Page: 1
ILDMAH
Invoice
IMPRINTS Invoice Number: 0557017-IN
800 S Buffalo St Invoice Date: 7/16/2018
Warsaw, IN 46580 Order Number: 0440976
Ph:800-477-0276 Web Number:
www.wildmanimprints.com
Order Date 7/3/2018
Salesperson: 0036
Customer Number: 50-0000113
Sold To: Ship To:
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
4915 E 106TH ST 4915 E 106TH ST
Indianapolis, IN 46280 ATTN:JAIMIE FORMAN
Indianapolis, IN 46280
Customer P.O. Ship VIA F.O.B. Terms
JOHN MASCARI DROP SHIP Net 30 Days
Item Code Ordered Shipped Back Ordered Price Amount
LU200-INDIGOBLUE-32X30 8 8 0 22.00 176.00
DICKIES CARPENTER JEANS
BLANK
Received :. .I Z
Date : -I12,JLa
P ® # : -"
ACCT # :
Use . tinr
Net Invoice: 176.00
Less Discount 0.00
Freiqht: 0.00
Tracking Number(s): Sales Tax: 2.32
Invoice Total: 1 .32
Thank you for your business!
Please contact your internal sales representative to find out about our sale special of the month.
ibaker
Save this Copy 29915866.
for your records. FIFTH THIRD BANK-
MONEY ORDER - Customer Receipt June 26, 2018.
Pay to the -
Order of: $**********176.00
Amount: ONE HUNDRED SEVENTY SIX 00/100 US DOLLARS
Not payable for more than $1,500.00 Method of Purchase: Cash/Check
The customer procuring the personal Money Order form,corresponding Transaction it: 869284122
in number and amount to that shown hereon,agrees to insert thereon in Cost Center: 0296
ink the date,payee,his signature and address and assumes
responsibility for all errors made possible by his failure to do so.
NON-NEGOTIABLE
IL VERIFY THE AUTHENTICITY OF THIS MULTI—TONE SECURITY DOCUMENT. _CHECK BACKGROUND AREA CHANGES COLOR GRADUALLY FROM TOPTOBOTTOM.
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Drawn On: Fifth Third Bank, Kentucky, Inc Transaction Number: 869284122 ° <'
ssLexington, KY Cost Center: 0296 jgnature.
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s Not payable for more than
$1,500.00 ,
0 299 15BP.E, 1:0L� 20003 1b1: 70 25 29739611'
THE ORIGINAL DOCUMENT HAS A WHITE REFLECTIVE WATERMARK ON THE BACK._ _HOLDATAN ANGLE TO.SEE THE MARK WHEN CHECKING THE ENDORSEMENTS.
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FROM: WILLIAMSON-DICKIE MFG. CO. TO: CITY OF CARMEL UTILITIES
9400 BLUE MOUND ROAD 4915 E 106TH ST
FORT WORTH, TX 76131 PACKING LIST ATTN: JAIMIE FORMAN
i
BO1 �F ,� ' INDIANAPOLIS IN 46280
I
I DICKIES ORDER NO. PICK ORDER NO. MANIFEST NO. CUSTOMER NO. CUSTOMER PO NO.
6376542 04847800 500212 154230/440976
ITEM NUMBER SIZE QTY PACKED CUSTOMER PRODUCT ID UPC CODE DESCRIPTION
LU20ORNB 32/30 8 607645244532 M RND NB CARPENTER JEAN 32 /30
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