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Home My WebLink About193053 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 036500 Page 1 of 1 0 ONE CIVIC SQUARE LUCKIE A. CAREY CHECK AMOUNT: $81.42 CARMEL, INDIANA 46032 523 WINDSKIP CIRCLE WESTFIELDIN 46074 CHECK NUMBER: 193053 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 81.42 OTHER MISCELLANOUS Walmart:':.. Save money. Live better. l MANAGER CHRIS HAGEMEIER 317 844 0096 STN 1601 OP# 00003158 TE# 20 TR4 03911 COLEMAN PROP 007650100035 2.86 0 COLEMAN PROP 007650100035 2.86 0 SUBTOTAL TOTAL CASH TEND CHANGE DUE 0.28 ITEMS SOLD 2 TC4 4761 4418 0024 6269 6435 III (III II II II I II III II III I II I I I I it I IIIIII I II III IIII IIII IIII We sladla accept valid manufacturer Internet coupons. 12/14/10 13:36:15 Walmart.com Page i of 2 CLOSE (�x Thank you for your order! O Print Here's what happens next: You will receive an order confirmation email. We will process your order as soon as your payment method is approved. We will send you another email when your order has shipped. We will ship your order using the method you selected. If you chose Site to Store, you'll receive an email (and text message if you signed up for alerts) when your items are ready for pickup. For most orders, you can use the Track This Order feature in My Account to follow your package's progress. Please keep your order number handy and print this page for future reference. Order Summary Billing Information Subtotal: $73.76 Payment Method: Billing Address: Shipping: $1.94 V -XXXX- Luckie A. Carey Tax: $5.30 XXX -0609 523 Wind Skip Circle Order Total: Westfield, IN 46074 $81.0 Shipping Information Ship to Home Luckie Carey 3 Civic Scl Carmel, IN 46032 -7570 https://www.walmart.com/piinterFiiend]yThankyou.do 12/14/2010 Walmart.com Page 2 of 2 Walmart.Com O rder Number: 2677689316394 Standard Shipping Items Qty Estimated Arrival Date Price Coleman PowerPack 1- 2 Fri 12/17/10 to Wed $36.88 Burner Stove 12/22/10 Will arrive on or before Dec 24 Gift Wrap Not Available Item Total: $73.76 Shipping: $1.94 Tax: $5.30 See our No -cost Returns. Total for this Shipment: $81.00 CL05E https:// www. walmart.com /piinterFiiendlyThankyou.do 12/14/201.0 VOUCHER NO. WARRANT NO, Luckie A. Carey ALLOWED 20 IN SUM OF 523 Windskip Circle Westfield, IN 46074 $81.42 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1110 42- 390.99 $81.42 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 Wednesday, December 15, 2010 —h A'aA Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale 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)) 12/17/10 payment for burners and propane for LAB $81.42 1 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