187215 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364386 Page 1 of 1
ONE CIVIC SQUARE KURT ANDERSON
e 0 CHECK AMOUNT: $17.11
CARMEL. INDIANA 46032 cto ENGINEERING
CHECK NUMBER: 187215
CHECK DATE: 7/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 6/23/10 17.11 OTHER MISCELLANOUS
�r
-C) Invoice
Moorehead Communications Inc. dba The Cellular Connection 111111111111 HE 1111111111111111111111 Ill 1111111111 IN 1111
Invoice 0418AIN267
0418 Carmel
One E Carmel Dr., Ste 120
Carmel IN USA 46032 Tendered On: 23 -Jun -2010 01:39 PM
(317 )843 -2900 Sales Person: Brandan H
Merchant ID: 8013824431 Tendered By: Brandan H
Tendered At: 0418 Carmel
BIII To: Kurt Anderson
IN USA
Product SKU Description Qty List Price Discount Your Price Your Total
ASHOPD000080 PCD CASIO C731 ROCK RUBBERIZED HOLSTER 1 $19.99 $4.00 $15.99 $15.99
Payment: Subtotal: $15.99
Visa $17.11 Ref #:043913 IN: $1.12
5296
Total: $17,11
ANDERSON KURT M
I agree to pay the above total according to the card holders agreement. Total Discount Applied: $4.00
X
Change: $0.00
Comments:
Discount: Customer Satisfaction
"Items may be returned within 10 days of purchase, in original packaging and acompanied by original receipt. All prepaid and special order sales
are final. Phones must have less than 60 minutes of talk time."
Page 1 of 1 0418AIN267
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
Kurt Anderson
f Purchase Order No.
Engineering Department
1 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/23/10 n/a Holster for cell -phone $17.11
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
_Kurt Anderson IN SUM OF
Engineering Dept.
$17.11
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 6/23/2010 2200 4239099 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund