183021 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363749 Page 1 of 1
ONE CIVIC SQUARE ERIK THORDARSON
CARMEL, INDIANA 46032 5267 IVY HILL DR CHECK AMOUNT: $92.00
o� CARMEL IN 46033 CHECK NUMBER: 183021
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 92.00 UNIFORMS
THE ATHLETES FOOT
92WE V 36
AVON, IN. 46123
31 i'- 432 -566'
Merchant ID: 8009967616
Term ID; 0U1k 54UU0t3dk10596 i'6166.1
Sale
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Customer Coav
THANK 'IOU!
THANK YOU FOR SHOPPING AT
THE ATHLETE'S FOOT
9269 EAST U.S. HIGHWAY 36..
AVON. IN 46123
317- 209LURUN (8786)
2/16/2010 5:14 PM 1/1/9803
3175741416
.ERIK THORDARSON
CARMEL, IN 46033
Pace III_,
5190 10 1 115.00 -a%
Discount 20% 23.00- t
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 23.00
Store Receipt REQUIRED, FOR REFUND
return within 10 days in sellable condit
other 30 days for store credit. NO
extremely worn shoes accepted.,
-T
VOUCHER NO. WARRANT NO.
ALLOWED 20
Erik Thordarson
IN SUM OF
$92
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
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
FE8 B 2u�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts D'; 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