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HomeMy WebLinkAbout334295 01/10/19 4�r_C!IgyF! �+;® CITY OF CARMEL, INDIANA VENDOR: 364386 ONE CIVIC SQUARE KURT ANDERSON CHECK AMOUNT: S******.*86.69* �e C/O ENGINEERING CHECK NUMBER: 334295 �9� =Q, CARMEL, INDIANA 46032 CHECK DATE: 01/10/19 ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4356001 REIMB 86.69 UNIFORMS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 364386 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KURT ANDERSON IN SUM OF$ CITY OF CARMEL C/O ENGINEERING 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. Payee $86.69 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 112-029065- 43-560.01 $86.69 1 hereby certify that the attached invoice(s), or 12/5/18 112-029065- Department Uniform-Boots $86.69 4986655 4986655 2200 2200 Prior Year bill(s)is(are)true and correct and that the 2200 2200 materials or services itemized thereon for which charge is made were ordered and received except Monday, January 07, 2019 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Amazon.com- Order 112-0290965-4986655 Page 1 of 1 amazomcom 27-00 — ti 3 5 (00O 1 Final Details for Order #112-0290965-4986655 Print this page for your records. Order Placed: December 5, 2018 Amazon.com order number: 112-0290965-4986655 Order Total: $86.69 Shipped on December 5, 2018 Items Ordered Price 1 of: Merrell Men's Moab 2 Waterproof Hiking Shoe, Beluga, 10.5 M US $86.69 Sold by: 24/7 Footwear(seller profile) Condition: New Shipping Address: Item(s) Subtotal: $86.69 Kurt Anderson Shipping & Handling: $0.00 11245 HEARTHSTONE DR ----- FISHERS, IN 46037-4278 Total before tax: $86.69 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$86.69 Two-Day Shipping ----- Payment information Payment Method: Item(s) Subtotal: $86.69 Visa I Last digits: 2375 Shipping & Handling: $0.00 Billing address Total before tax: $86.69 Kurt Anderson Estimated tax to be collected: $0.00 11245 HEARTHSTONE DR FISHERS, IN 46037-4278 Grand Total•$86.69 United States Credit Card transactions Visa ending in 2375: December 5, 2018:$86.69 To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice © 1996-2019,Amazon.com, Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.html/ref--oh aui pi o05 ?ie=UTF8&order... 1/7/2019