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183259 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 356380 Page 1 of 1 ONE CIVIC SQUARE DICK'S SPORTING GOODS CHECK AMOUNT: $51.96 CARMEL, INDIANA 46032 300 INDUSTRY DR •c oa"`o PITTSBURGH PA 15275 CHECK NUMBER: 183259 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 51.96 AMMUNITIONS ACCESSO -r EVERY SEASON STARTS AT Sales Invoices 18530 It Date 2/25/2010 DICK'S SPORTING GOODS PO BOX 7000 CORAOPOLIS PA 15108 CITY OF CARMEL POLICE DEPT. fERESA ANDERSON ACCOUNTS PAYABLE 3 CIVIC SQUARE CARMEL IN 46032 Purchase Order Customer ID Territory Payment Terms ID DWIGHT FROST 13399 13399 00183 NET 30 Sales $51.96 Please see attached detailed sales transaction. Subtotal $51.95 Freight $0.00 Please Remit to: Payment $0.00 DICK'S SPORTING GOODS Total Due $51.96 ATTN: ACCOUNTS RECEIVABLE PO BOX 7000 CORAOPOLIS PA 15108 For Questions Regarding This Billing Please Call (800) 690 -7655 Ext. 3899 Fax: (724) 227 -1108 EMAIL: Store. Charges @dcsg.com 03/03/2010 18:23 3176188590 PA 01 t DICK'S SPORTMG GOOD,( Carmel, IN (317) 818 -3467 02/25/10 01;32 PM RECEIPT EXPIRES ON 05/26/10 S -00163 R -14 T -3524 A- 0209124 SALE F JN i 1 NG GOODS Your associate today i s; Whitney 3rmei, IN 017) 818 -3467 TAX EXEMPT SALE 02/25/10 01 :32 PM SALES AUDIT COPY S -00183 R -14 T -3524 A- 0209174 SALE 026285511246 HOPPESPINT/N 12.99 N Your associate today 1s: Whitney 026285511246 HOPP£SpINTjN 12.99 N TAX EXEMPTION CERTIFICATE 026205511246 HOPPESPINT /N 12.99 N Tax Exempt Nunber: 0031201550 026285511246 HOPPESPINT /N 12.93 N THIS CERTIFICATE APPLIES FOR THE AMOUNT ITEM TOTAL 51,86 STATED WITHIN SUBTOTAL 51,96 HOSE SALE AMOUNT 51.96 TOTAL 51 96 CUSTOMER INFORMATION: DWIGHT FROST TAX EXEMPT 10031201550 f� CITY OF CARMEL STORE CHARGE P0. 5].96 "I ONE CIVIC SQUARE ACCOUNT 013399 CARMEL IN 46032 PO #1653 (317) 571.2599 CHANGE DUE 0.00 REASON: GOVERNMENT THE UNDERSIGNED HEREBY CERTIFIES THAT THE ITEM(S) BEING PURCHASED ARE TO BE CONSUMED CUSTOMER INFORMATION IN CONNECTION WITH THE OPERATION OF THE DWIGHT FROST EXEMPT INSTITUTION DR AGENCY NAMED ABOVE. CITY OF CARMEL POLICE DE ONE CIVIC SQUARE CARMEL IN 46032 SIGNATURE DATE (317) 571 -5289 SIGNATURE: STORE ;NAGN SIGNATURE DATE REASON ;GOVERNMENT (ATTACH THE EXEMPT CERTIFICATE TO RECEIPT) DWIGHT FROST CITY OF CARMEL ONE CIVIC SQUARE CARMEL IN 46032 (317) 571 -2599 SCORECARD 986382690001 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 Dick's Sporting Goods Purchase Order No. ATTN: Accounts Receivable P.O. BOx 7000 Terms Coraopolis, PA 15108 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/25/10 payrne nt for range supplies Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Dick's Sporting Goods IN SUM OF ATTN: Accounts Receivable P.O. BOx 7000 Coraopolis,, PA 15108 51.96 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT, I hereby certify that the attached invoice(s), or 1110 390 -10 51.96 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 March 9 20 10 &4ZA,,9 -�b Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund