HomeMy WebLinkAbout195338 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365175 Page 1 of 1
ONE CIVIC SQUARE CODY BARLOW CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032
CHECK NUMBER: 195338
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 100.00 UNIFORMS
Your. Receipt -Thank you
B1ueMile- Fishers
8965 East 116TH Street
Fishers, IN 46038
(317) 579 0909
2/26;2011 01:40 PM 2/6/7466
3175769660
CODY BARLOW
FISHERS, IN 46037
Regular Sale
ZOOM STRUCTURE+ 14, "in GREY /BLUE
415343 -001 11.5 �100-0
Subtotal: 100.00
State 7.00
Total: 107.00
3 MC /VISA 107.00
MasterCard #XXXXXXXXXXXX9467
Approval #398049
Items Sold: 1
i
Plan 1 Summary:
Dollars Purchased: $100.00
Dollars To Go: $149.00
Reward,Value: $25.00
IF MERCHANDISE NEEDS TO BE RETURNED
PLEASE DO SO IN SELLABLE CONDITION WITH
A STORE RECEIPT,WITHIN 14 DAYS FOR A
REFUND OR STORE CREDIT. OTHER RETURNS
MUST TAKE PLACE WITHIN 30 DAYS AND ARE
FOR STORE CREDIT ONLY.
INFO @BLUEMILE.COM
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cody J. Barlow
IN SUM OF
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 43- 560.01 $100.00 I 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
Thursday. March 10, 2011
Chief of Police
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))
02/26/11 reimburse Officer Cody Barlow for academy tennis shoes $100.00
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