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Home My WebLink About193250 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 362872 Page 1 of 1 ONE CIVIC SQUARE ANDREW J WEHNER CHECK AMOUNT: $47.98 CARMEL, INDIANA 46032 23827 HOBBS ROAD NOBLESVILLE IN 46060 CHECK NUMBER: 193250 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 31.24 OTHER EXPENSES 651 5023990 16.74 OTHER EXPENSES Westfield Village Park Plaza Carmel, IN 46033 (317) 844 -3996 12 -07 -10 11:09A 0084/0007/8326/9 1001XXX IOU 999- 8792 8988 9074- 9915 9216 -7364 MENS LEVI JEANS 052176602175 32.99 Ti ItemPrice 34,99 YouSave 2.00 YM DENIM 755107459892 24,99 Ti ItemPrice 29.99 YouSave 5.00 SUBTOTAL 57,98 T1= 57.98 7.0% TAX 4.06 1018E $62 r 01 MASTERCARD XXXXXXXXXXXX4465 62.04 APPROVED 128345 10181 SAVED: $7, 00 THANK YOU FOR SHOPPING AT KO L'S $10.00 KOHL'S CASH ACTIVATED 146500077534745 $10 EARNED FOR'EVERY $50 PURCHASED KOHL'S CASH MUST BE PRESENTED TO BE REDEEMED. RETURNS OF ITEMS IN THIS TRANSACTION MAY REDUCE THE VALUE OF KOHL'S CASH AND /OR THE REFUND AMOUNT. SEE DETAILS PRINTED ON KOHL'S CASH, IIIIIIIIIIIIIIIIIIII) IIIIII IIIIIIII I IIIIIIIIIII IIIII III IIII II Our hasa! i At Kohl's Complete Satisfaction. Is Our Goall However, If our merchandise does not meet your expectations, we offer the following return options: Original receipt an even exchange or refund based upon the original tender. Please note: Debit cants using a personal ID at the pin pad will be refunded cash. Gift receipt an even exchange or Kohl's Merchandise Credit No receipt an even exchange or Kohl's Merchandise Credit Defective Merchandise will be retumed/exchanged following the above_policies. Checks cash or Kohl's Merchandise Credit When paying by check, you authorize us to use Information from your check to make a one -time electronic fund transfer from your account or to process the payment as a check transaction. For inquiries, please call 1- 800 -564 -5740. Price adjustments and. even exchanges require a receipt Purchases that earn Kohl's Cash Coupons or purchases in which Kohl's Cash Coupons were tendered, may result in an adjusted refund amount Valid state- issued identification maybe required for a return or adjustment At Kohl's Complete Satisfaction Is Our Goall However, if our merchandise does not meet your expectations, we. offer the following return options: Original receipt- an even exchange or refund based upon the original tender. Please note: Debit cards using a personal ID at the.pin pad will be refunded cash. Gift receipt even exchange or Kohl's Merchandise Credit No receipt an even exchange or Kohl's Merchandise Credit Defective Merchandise will be retumedlexchanged following the above policies. Checks cash or Kohl's Merchandise Credit check, you authorize us to use _ake a one -time nrnr ANDREW J WEHNER ACN: 1860278 SSN: 311 -02 -1276 16DEC10 TRAN EFF TRAN FEE/ FINANCE SHARES/ SF DATE -TIME DATE TRN -SC AMOUNT PNLTY CHARGE PRINCIPAL BALANCE TLR S -2 08DEC10- 08:18AM 07DEC10 DW 62.04 -62.04 555.82 800 Trace 421076 POS 99999999- 3297040 07DEC10 08:22:50A 5311 KOHL'S #0084 CARMEL INUS 08DEC10- 08:18AM <POS PREAUTHORIZATION HOLD $62.04 COMPLETED 800 receipt 000010165255 authcode: 128345 placed 07DEC2010 10:10 Mach# 00840000 KOHL'S #0084 CARMEL INUS completed on 08DEC2010 08:18 800 VOUCHER 103698 WARRANT ALLOWED TC704 IN SUM OF WEHNER, ANDREW Carmel Utilities Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code r 122010 01- 6200 -07 Voucher Total $36.24 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T0704 WEHNER, ANDREW Purchase Order No. Carmel Utilities Terms Due Date 12/1612010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/16/201( 122010 $36.24 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have 2— same in accordance with IC 5- 11- 10 -1.6 J 2 Date Officer Officer i o H 00 o U o0 W N TZ-1 U 1 00 rl i i W i Ln Lf) i un o U Westfield Village Park Plaza N O (d d+ Carmel. IN 46033 cv 00 —1 cc) 317 844 -3996 00 Q o Q0 o W Ln #k n 12 -07 -10 11.090 0084/0007/8326/9 1001XXX u+ N H d 00 1011 999 8792 -8988 -9074- 9915- 9216 -7364 H W W H U)H U U WN ao0 W n H x o HENS LEVI JEANS 052176602175 32,99 T1 O x H i U I temPr i ce 34.99 YouSave 2.00 H w o N YM DENIM 755107459892 24,99 T1 d 'd i O ItemPrice 29.99 YouSave 5.00 (y) W o O N U ry o W SUBTOTAL 57.98 Z x aJ o Q T1 57.98 7.0% TAX 4.06 Z U Q (d co TOTAL $62-01 U) H r a F-: O u1 o O W P I x .n MASTERCARD XXYXXXXXXXXX4465 62.04 W Z (N :w 10 APPROVED 128345 raw E ZLn 4 a O �o U y CD P (D X TOTAL SAVED; 00 El N o O r N Ey0 i C\1 Hr,0 O O O O THANK YOU FOR SHOPPING AT KO L'S ax HU) X 4t Z $10.00 KOHL'S CASH ACTIVATED 04 F:� H H 1465000775347,95 a g W .j O $10 EARNED FOR'EVERY U D� 04 N a $50 PURCHASED i a a) W U L11 i o rn oo M U Q KOHL'S CASH MUST BE PRESENTED TO BE H O a) r` REDEEMED. RETURNS OF ITEMS IN THIS Ei i N °1 Q' �4 U TRANSACTION MAY REDUCE THE VALUE OF i Q rn KOHL'S CASH AND /OR THE REFUND AMOUNT. w W o rn ul SEE DETAILS PRINTED ON KOHL'S CASH. P14 E-1 H W 4 1 coU=It rn,� o0 Q' H W x H z C) co Lill {Il{ Ili {II1f1 {1II {i� {llli {�I {�III1ti {{I {III {i�ll{114i {Ilflll� {IIII�I1 x H 1 O p W H O Ln Our hassle free return policy U i W means you can shop with confidence. Q Q Return any item, anytime, for a full. of refund with a receipt. No receipt? U W i No problem. -You'll get a Merchandise Credit good toward anything in the store. Q i N G4 i i VOUCHER 106782 WARRANT ALLOWED T0704 IN SUM OF WEHNER, ANDREW Carmel Utilities Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 122010 01- 7200 -07 X ,$2%,..74 7 V! Voucher Total $21.74 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T0704 WEHNER, ANDREW Purchase Order No. Carmel Utilities Terms Due Date 12/16/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12!161201( 122010 $21.74 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-- X 11- 10 -1.6 Date Officer