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HomeMy WebLinkAbout330543 09/26/18 `%'�_,q,,f. CITY OF CARMEL, INDIANA VENDOR: 372817 Y, ONE CIVIC SQUARE TYLER CLARK CHECK AMOUNT: $*******120.00* 9, =a; CARMEL, INDIANA 46032 103 N MERIDIAN ST CHECK NUMBER: 330543 M,�TON�. GOLDSMITH IN 46045 CHECK DATE: 09/26/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 090118 60.00 OTHER EXPENSES 651 5023990 090118 60.00 OTHER EXPENSES VOUCHER NO. 186540 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 372817 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER clark, tyler CITY OF CARMEL carmel utilities 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, numbers of units, price per unit, etc. Payee 60.00 372817 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR clark,tyler Terms Carmel Wasterwater Utility carmel utilities 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 090118 01-7200-07 $60.00 and received except 9/24/2018 090118 $60.00 l I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer VOUCHER NO. 182848 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 372817 IN SUM of$ ACCOUNTS PAYABLE VOUCHER clark, tyler CITY OF CARMEL Carmel utilities 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, numbers of units, price per unit,etc. Payee 60.00 372817 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR clark,tyler Terms Carmel Water Utility carmel utilities 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 090118 01-6200-07 $60.00 and received except 9/24/2018 090118 $60.00 ('v 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer FIN11H LINE., Castleton Square 6020 E 82nd St 822A Indianapolis, IN 46250 317-594-9232 trans #: 25531 Date: 9/1/18 Store: 100 Register: 4 Salesperson: g),00 0313143 (Jamaica) Cashier: 0300172 Stile/Color_ Sine Price AMOUNT 342838/001 12.0 120.00 120.00 r'REE RN FLYKNIT 2018 Subtotal 120.00 Tax 7% ------ -------------------Total-----128.40 )ebit--Card - - USD $1-28:40 - Auth #:161088 Transaction Type:Sale Entry Method:Chip Read Auth Time:5:34 PM Trace Number:4111 Result:'CAPTURED Application Label : Debit AID: A0000000042203 TVR: 8000048000 IAD: 0114600001220000000000000000000000FF TSI: 6800 ARC: 00 CVM: Verified by PIN Change 0.00 I agree to pay the above amount according to my card holder agreement. SOLD ITEM COUNT = 1 I,III II I II I II I I l li'i I I it I II II I II Illi lil III II III II til I I I II I I IIII o T 1 1 3 1 6T 1 1 7 1.3GPY4AQQH3o Receipt expires on 10/16/2018 Customer Copy