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183893 03/29/2010 a CITY OF CARMEL, INDIANA VENDOR: 00352791 Page 1 of 1 ONE CIVIC SQUARE JASON OGLE CHECK AMOUNT: $59.99 CARMEL, INDIANA 46032 3860 MADELINE LANE •c, CARMEL IN 46033 CHECK NUMBER: 183893 CHECK DATE: 3/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356003 REIMBURSE 59.99 BOOTS Hlgner Smnderds d� mei ller ,l W. Carmel Dr. Carmel, IN H 130 (317; 573 8300 mai)eccom i; The Meijer Team appreciates your business 03/191:10 Your fast and friendly checkout was provided by F6stlanel07 GENERAL MERCHAN ISE a 7789615469 STEEL HIKER 59.99 C TOTAL TOTAL TAX 4.20 TOTAL 64.19 PAYMENTS CREDIT CARD TENDER 64.19 Acct:XXXXXXO XXXX2663 NUMBER OF ITEMS 1 illll II I III II III I II II I I IIII I Ii l 11 II I I IIII II A013�0MXNO2F6RS Tx:52 Op:558 Tm:107 St:130 11:15:50 HOW ARE WE DOING? sate Your Shopping Experience and You May Win a $1000 Meijer Gift Card! Visit us at www.meijer:com /ratemeijer or call 1-888--634-5371- User ID:005201300 Password:007801079 Survey should be completed within 72 hrs Presm�yd by State Board of Accounts City Form No. 201 (Rev. 1995) 41 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 Morn, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee J ason W. Ogle Purchase Order No. 3 860 Madeline Lane Terms Carmel, IN 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/19/10 reimburse Jason Ogle for boots 59.99 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. v ALLOWED 20 r Jason W. Ogle IN SUM OF 3860 Madeline Lane CaRindl IN 46033 59.99 ON ACCOUNT OF APPROPRIATION FOR polic g ener lafu Board Members PO# or D PT INVOICE NO. ACCT #ITITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 560 -03 59.99 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 24 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund