HomeMy WebLinkAbout333410 12/14/18 c., CITY OF CARMEL, INDIANA VENDOR: 360690
�s ONE CIVIC SQUARE JOHN THOMAS CHECK AMOUNT: $*******426.00*
M �a�; CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK NUMBER: 333410
='�iTON.�. CARMEL IN 46033 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 61448444085 426.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 360690 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JOHN THOMAS IN SUM OF$ CITY OF CARMEL
11576 CREEKSI DE LANE 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.
CARMEL, IN 46033
Payee
$426.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering
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
61448444085 43-553.00 $426.00 1 hereby certify that the attached invoice(s),or 12/12/18 61448444085 EnviroCert Renewal-John Thomas $426.00
2200 2200 2200 2200
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
Friday, December 14, 2018
Jeremy Kashman
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
2200— L4355SO-0
12/12/2018 Transaction Receipt
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Merchant: ENVIROCERT INTERNATIONAL,
INCORPORATED
6 East Medical Court Drive
MARION, NC 28752 828-655-1600
US
Description: CPESC, CPMSM reinstatement
Order Number: P.O. Number:
Customer ID: Invoice Number:
Billing Information Shipping Information
JOHN THOMAS
11576 CREEK SIDE LANE
CARMEL, IN 46033
UNITED STATES
Shipping: 0.00
Tax: 0.00
Total: USD 426.00
DateMme: 12-Dec-2018 10:31:55 EST
Transaction ID: 61448444085
Transaction Type: Authorization w/Auto Capture
Transaction Status: Captured/Pending Settlement
Authorization Code: 063110
Payment Method: Visa XXXX7707
https://account.authodze.net/ui/themes/capitalbankcard/Transaction TransactionReceipt.aspx?transid=61448444085 1/1
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Date Description Type Amount Balance
Pending 0 -
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t 5 DEB filliEi�`RC[@ERT E TER A!O AL2 655 6i C tsc.d26 O —
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