334301 01/10/19 CITY OF CARMEL, INDIANA VENDOR: 00352853
ONE CIVIC SQUARE JIM BLANCHARD CHECK AMOUNT: $*******129.98*
CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 334301
CARMEL IN 46032 CHECK DATE: 01/10/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4344100 405358 129.98 CELLULAR PHONE FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00352853 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JIM BLANCHARD IN SUM OF$ CITY OF CARMEL
C/O DOCS 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 46032
Payee
$129.98
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
405358 43-441.00 $129.98 1 hereby certify that the attached invoice(s), or 1/4/19 405358 Mofie charger and cord to extend the life of cell $129.98
1192 101 1192 101 phone-Blanchard
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
Monday, January 07,2019
Mike Hollibaugh
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Verizon Tireless
1950 E Greyhound Pass
Carmel, IN 46033-7787
(317) 580-9548
www.verizonwireless.com
Order Number: 405358
Order Location: M4912 01
Order Type: IS
Receive Location: M4912 01
Receipt Date/Time: 01/04/2019 13:20 ET
Rep: hadlka3-EOQXM
Register: 51
Pmt 1 of 1
Payment Type: CREDIT CARD
Trans Type: SALE
CHIP READ: CONTACT
AP CODE: 00863C
TRN REF: 469004660286009
VAL CODE: JTP7
REWARDS PROGRAM: 739894
AID: AOOOOO00031010
AID NAME: CHASE VISA
ATC: 0085
AC: A2CB349B908A25B6
TSI: E800
Retail Sale
Item Price Price
------------------------------------------
Accessories:
TVL24LGHT-M1
Lightning Wall Charger $29.99 $29.99
IP7PMOPHJPABLK
juice pack air for
iPhone 7 Plus $99.99 --E9—.33-
9 .q%
9.9 .a%
IN State Sales Ta
Total Taxes/Fees: $9.10
Total Due *: $139.08
Total Savings: $0.00
. This Payment $139.08
Payment Method:VISA XXXXXXXXXXXX4433
Payment Signature:
--------------------------------------------
Y r