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
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Receipt expires on 10/16/2018
Customer Copy