334357 01/10/19 (9,
CITY OF CARMEL, INDIANA VENDOR: 358229 'AONE CIVIC SQUARE NICHOLE SPETH CHECKMOUNT: $"*""""*129.82"
CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 334357
CHECK DATE: 01/10/19
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT I DESCRIPTION
1192 4356001 REIMB 129.82 UNIFORMS
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 358229 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NICHOLE SPETH IN SUM OF$ 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.
Payee
$129.82
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
Speth 43-560.01 $129.82 1 hereby certify that the attached invoice(s),or 12/14/18 Speth Winter coat for Speth $129.82
1192 101 Prior Year 1192 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday,January 04,2019
Mike Hollibaugh
Director
hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
� FST.19LQ }
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C169-Terrace 00950'
19395 Clay Terrace Blvd.
Carmel ,IN 46032
317-817-9338
----------------------------------------- -
12/19/18' --5;43 PM =1
Trans. : 6155 Store: 00960—
Reg. ; 001 Till: 001 .1
Cashier: Natalie Sales: 491459 '
SALE;
115520181211 11ll�illl�I!l�illlllll�I�lillll�l��l�II�i�lI�I�IlIIli�ll�!!I�!!!!!I!
00950001615520181214
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MR POWDER SEARCH 3-IN-1 J 139.82 "1
`90001.-1p29944. 1 L 329.00
Store Coupon,50 0;0% (164 'i0)
50i%$O�ENTIRE�PURCHASE �} .
Store`Coupon'15.00% (29'68)'
MILITARY DISCDUNT 15%-/$0
4277
4427
Total Dr�s'rount � X189:18.)
I 1
Subtotal 139.82
f Total Sales Tax 9.09 X
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Total-,198.91
"ji Reward -_10.00
Debit 138.91
i CARD # * ** # *8135
-? -Ruth: 559619 (A)
I Entry Insert
DRfE/TIME ;1Z/19/2018 ,.z 17 92 99,
,REF,r:# RUTf # _RESP 0:
20591 559619 ISO _
AID : AOOO0000042203
TSI_- 6800_
ARC: 0
CUR.:e 810-?
TUR':=.8000018000
RPP: Debit
IAD: 011060i0032200000000000000000000
OFF
• MERCHANT # 0
TERMINAL V00000001
DIRECT PAYMENT
Approved
Verified bu PIN
Total'Tender 148.91
Change Due 0.00
• Loyalty #: 875287799,.,_
transaction Details Ks (,kb
Page 1 of 1
14Dec L/ pos exa eddie bauer 95 carmel in -$138.91
Debit Card
Date Amount of this Debit Card
Friday, December 14, 2018 $138.91 Q O w
How this will appear on your statement
POS EXA EDDIE BAUER 95 CARMEL IN i
T2
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