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182938 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363746 Page 1 of 1 ONE CIVIC SQUARE ANTHONY MOWERY CARMEL, INDIANA 46032 CHECK AMOUNT: $92.00 298N600E GREENFIELD IN 46140 CHECK NUMBER: 182938 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356001 92.00 SHOES THE AfHLETE$•SOOT =269 E HUY 36 AVON, W. 451.23 31'i- 432 -5661 mercha:it. 1D: 800996,616 Tern, ID: 0FQ05400008U0996761601 Sale Entri Method: k ;ped total: 1 0 Al U/16/ 1:1:19 Inu N; i�V��l pppr Code: 8 2681 Wrud: Online Customer Cow THANK YOU! THANK YOU FOR SHOPPING AT T THE A i.E S FOOT 9269 EAST U.S. HIGHWAY 36.. AVON, IN 46123 317- 209 -URUN (8786) 2/16/2010 5:46 PM 1/1/9805 _.3172134333 TONY MOWERY CARMEL FIRE SYNCRO FLOAT 3 5188--13 1 115.00 Discount 20% 23.00- Net Price 92.00 Subtotal 92.00 Sales Tax 6.44 Total 98..44 98.44 FREQUENT BUYER PLAN Qty Purchased, 1 Estimated Discount 46.00 YOU SAVED 23.0 Store Receipt REQUIRED, FOR REFUND return within 10 days in sellable coedit. other 30 days for store credit. NO 7 extremely worn shoes accepted. VOUCHER NO. WARRANT NO. ALLOWED 20 Anthony Mowery IN SUM OF $92.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 43- 560.01 $92.00 1 hereby certify that the attached invoice(s), or 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 FEB 2 6 2010 0 /7 `:17 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $92.00 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 Clerk Treasurer