190962 10/13/2010 f CITY OF CARMEL, INDIANA VENDOR: 363532 Page 1 of 1
ONE CIVIC SQUARE DENISE SNYDER
CHECK AMOUNT: $39.98
s CARMEL, INDIANA 46032
o CHECK NUMBER: 190962
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 39.98 OFFICE SUPPLIES
BED BATH BEYOND 0564
1950 -6 GREYHOUND PASS
CARMEL, IN. 46
317- 574 -0300
00564 10 10/04/10• 1157,388893 51 -7323
RVN 0 0056 -4732- 3051 -1004 1000
LAMPBASE MRBL BRNZ 1T
68189901500 OUR PRICE 24.99
LAMPSHD BURG CUT11 1T
8280391586 OUR PRICE 14.99
SUBTOTAL 39.98
IN 7.00% SALES TAX 2.80
TOTAL 42.78
4m 42.78
ACCTU: XXXXXXXXXXX� (S)
EXPDT: XX /XX
AUTHU: 853004
CHANGE .00
II��I II III �II II
III III II III III IIIIIIII III
RVN 0 0056 -4732- 3051 -1004 -1000
THANKS FOR SHOPPING BED BATH BEYOND
Visit us at www,bedbathandbegond.com
GIFT CARDS AVAILABLE
ORIGINAL RECEIPT REQUIRED FOR REFUNDS
00561 10 10104110 1200 388893 51 -7323
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if you find a lower price at any of our
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Some exceptions may apply.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Denise Snyder
IN SUM OF
$39.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
POP/ Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1 120 42- 302.00 $39.98 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
R
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))
Desk Lamp $39.98
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