192876 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 358232 Page 1 of 1
ONE CIVIC SQUARE DARREN MAST CHECK AMOUNT: $99.00
CARMEL, INDIANA 46032 112 MEADOW LN
•ti,_ FISHERS IN 46038 CHECK NUMBER: 192876
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356001 99.00 UNIFORMS
Tr OOX 1 *AS Z_ o vitr rCN N'40 011180920 000001
89964459 WH01 N 99999
C167 642,10 L.L.Bean
Guaranteed Our products are guaranteed to give 100% satisfaction in every way. Return anything purchased from us at any
You Have Our Word time if it proves otherwise. We do not want you to have anything from L.L.Bean that is not completely satisfactory.
Customer Order Number: 010082726999 000 N 11111111111111111111111111 Return Tracki b a lD: 124825360612478197
CUSTOMER COPY 5357414951
Item No. Product Name Item Status Qty Total Price Summary
TC264628 Maine Lodge Boot Wedge MocTo M's 12 W(EE) Dark Brown 1 99.00 MERCHANDISE VALUE 99.00
TAX
S &H FREE
ORDER TOTAL
PAYMENT
DISCOVER CH 99.00
TOTALPAYMENT
This top portion is for your records. If you have any questions about your order or a backordered item, please call us anytime at 800- 221 -4221
y
A h c4 32069 AD (10/10)
EASY RETURN OR ExCHANGE ALTERNATE SERVICE Return using your choice of carrier:
Follow Step 1 in the "Send by Mail in Two Easy Steps" section
USE L.L.BEAN QUICKEXCHANGE AT 800- 2214221 Cut out the L.L.Bean return address label below, affix to package
We'll place your new order right away and waive the cost of Regular and take to carrier dropoff; you will be required to pay all postage
Delivery on your new item(s).
APO/FPO/CANADIAN/INTERNATIONAL
VISIT ONE OF OUR STORES On the reverse side, you will find a return address label to affix to your
Returns and exchanges are accepted at any of our retail or outlet package. Use your preferred carrier and pay all postage required.
stores. For a complete list of stores, go to llbean.com /stores.
TRACK YOUR RETURN ONLINE AT UPS.COM:
SEND BY FAIL IN TWO EASY STEPS: Use the Return Tracking ID on the Customer Copy top right corner.
No need to call Customer Service for authorization.
1. Fill out the front and back of the Exchange Order Form below. QUESTIONS?
Place a "Reason Code" next to the item(s) you are returning
US AND CANADA: J
on the front of the form Phone 800221.4221
Be sure to include the form in the package UK:
2. Use our Prepaid UPS Return Label.
Pay nothing up front; your refund Fax 207.552.4080 ill be reduced by the return Phone 0800.891.297
fee of $6.50 (free for L.L.Bean Visa cardmembers)
Take your package to a UPS drop box or a UPS Store, OTHER COUNTRIES:
or give to a UPS driver
Phone 207.552.6879
For UPS locations, visit UPS.com /dropoff Fax 207.552.4080
VOUCHER NO. WARRANT NO.
ALLOWED 20
Darren Mast
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$99.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOGS Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 43- 560.01 $99.00 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
Mo ay, ber 13, 2 10
Z L
irector, DO
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 r
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))
12/10/10 New work boots $99.00
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
2Q
Clerk- Treasurer