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162773 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 354296 Page 1 of 1 0 ONE CIVIC SQUARE HOBBY LOBBY STORES CARMEL, INDIANA 46032 PO BOX 960070 CHECK AMOUNT: $1,236.28 OKLAHAMA CITY OK 73196 -0070 CHECK NUMBER: 162773 CHECK DATE: 8120/2008 DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR 111160 4230200 106.88 OFFICE SUPPLIES 1046 4239037 232090 1,117.42 CLUB ACTIVITY SUPPLIE 1046 4239039 232090 11.98 GENERAL PROGRAM SUPPL F I ��Ll L7� LJ I__I LJ L_I �I� me 7707 SOUTHWEST 441h STREET PAGE: 1 of 1 OKLAHOMA CITY, OKLAHOMA 73179 FED. I.D. #73- 1438801 FAX (405) 745 -1512 Accounl Inquiries (877) 303 -4938 acctsrec @hobbylobby.com DATE: 07/31/08 CARMEL CLAY PARKS RECREATION STATEMENT NO. 1320330 1411 EAST 116TH STREET CARMEL IN 46032 ACCOUNT NO. 232090 CARD NO. r r r r r r r r r r r r 06/03/08 iDAYS': it r r r 1,040.55 1,241,49 0.00 0.00 1,252.15 1,029.$9 0.00 2,282.04 Hobby Lobby Fund 1046 Club General Activ. Program Supplies Supplies 4239037 4239039 06/04/08 233813 31.94 06116!08 316768 67.57 07/01/08 409942 163.00 07/01/08 409976 -10.661 07102/081 415319 75.78 07107/08 439322 11.98 07/07/087 443809 14.94 07109/081 454818 39.74 07/10/08 462942 9.95 07/15/081 4941371 63.86 07/16/081 496803 43.66 07/17/08 505509 11.98 07/17/08 5075071 47.23 07/21/08 527156 33.56 07/22/08 537822 87.08 07/24/08 548603 59.77 07128108 569100 75.73 07/29/08 575618 164.90 07/30/08 5825961 33.93 07/301081 5823161 103.46 I 1,117.42 11.98 $1,129.40 Hobby Lobby Fund 1046 Total Club General Activ. Program Supplies Supplies 4239037 4239039 s rs 2206 E. 116th Street 2206 E, 116th Street C Carmel IN 46032 Carmel IN 46032 1� (317) 818 -9217 (317) 818 -9217 HOB -LOB #182 HOB -LOB #182 www,hobbylobby.com uww,hobbylobby.com 11:39AH Jun 4/08 11:39AM Jun 4/08 01 -0001 005 BRITTS 01 -0001 005 BRITTS #02910 #02910 *MERCHANT COPY *COPY* ART SUPPLY $9.99 CARD 24 B $0.79 kA U PO NUMBER 23090 ART SUPPLY $18,96 OPERATOR ID BRITTS CRAFTS $2.99 APR# C A233813 TAX EXMP AR CARD $31.94 CARD X_ J PO NUMBER 23090 CUSTOMER SIGNATURE APR# C A233813 Cordholder acknowledges receipt of goods and /or services in the anouni of the total shown herein X �IC lfT So�I and agrees to perform the obliga tion set forth in the cardholder Buygers ers Name agreement with the issuer. (Please Print) CE IVED 1 x JUL 2 4 2008 -�i-Si;naii� B re BY: TOTAL $31.94 AR CARD $31.94 THANK YOU PLEASE COME AGAIN PFTURN POLICY ON BACK OF RECEIPT New Card# STORE g2 Prcvlo,uy laawe Card AMOUNTS 2� Form of Payment ONE MUST BE MARKED!! CHECK GOVERNMENT OR COMPANY CREDIT CARD OMPANYCHECK I— ST.tos INDIANA GENERAL SALES TAX EXEMPTION CERTIFICATE (Rcv yea) (Re` trop) (May not be used as an AGRICULTURAL OR UTILITY EXEMPTION CERTIFICATE,) Name f Addre D C fop o TIDa r�o 2 0 i SaSh t,e. 11(ar� city C y yy q Date 1 L., Y iaA KET Y SINGLE PURCHASE Slate Zip Code N(�032 DESCRIPTION OF ARTICLES N1s d Crags Y Sale to Retailer, Whdesake or ManuhcWrer for Resale Only. Y Sale of Manufacturing machinery tools and eq Pmenl t0 be used directly 1n dfrec produc7on. Y Sate of Notfor~1I Organizations, ct... e>,empl Purchases pursuant to bulbtln p10. NOTE: Many purchases by Not- For- Proril Organizations are subject to Sales Tax: therefore. purchese, is caulioned to read bulletin p10 before signing this certificate. Y Sales to Govermhental units. Y Other (Explain) I hereby Willy under the penawes of perjury, that he ppeny trial is to be purchased by the use of this exemption certificate is to be used for an exe p pursuant to the STATE GROSS RETAIL SALES TAX ACT. Signature L Title Sku: p831651 OHPA� EXEMPTION CERTIFICATES ARE NO7 VALID FOR PERSONAL PURCHASE V ISO r Form #020 NOB ICY way- L 1. 2206 E. 116th Street 2206 E. 116th Street 1 �j Carmel IN 46032 Carmel IN 46032 I vo (317) 818 -9217 (317) 618 -9217 111 JJJ I HOB -LOB #182 HOB -LOB #182 V www.hobbylobby.con www.hobbylobby.com MOM Jun 16/08 3:24PM Jun 16/08 v 01 -0001 003 ALEXAJ 01 -0001 003 ALEXAJ #04895 #04895 FABRIC (13.45 1 k* *MERCHANT COPY**** FABRIC $14.67 CARD FABRIC $12,39 OPERATOR ID ALEXAJ TAX EXMP APR# C A316768 AR CARD $67.57 CARD X APR# C A316768 CUSTOMER SIGNATURE Cardholder acknowledges receipt I� kz of goods and /or services in the X amount of the total shown herein tt----- and agrees to perform the obligo Buyers Nome Lion set forth in the cardholder (Please Print) agreement with the issuer. —CE FBY: IVED X 2 4 2008 Buyers Signature TOTAL $67.57 AR CARD $67.57 THANK YOU PLEASE COME AGAIN RETURN POLICY ON BACK OF RECEIPT New card STORE 10 Card J AMOUNTS S Form of Payment ONE MUST BE MARKEDII PERSONAL CHECK GOVERNMENT OR COMPANY CREDIT CARD ()COMPANY CHECK Form s T•tos INDIANA GENERAL SALES TAX EXEMPTION CERTIFICATE (Rcr 31114) (Rev h am) (May not be used as an AGRICULTURAL OR UTILITY EXEMPTION CERTIFICATE.) Name r 1 0� 1 11J'\ TID9, Address I City CIS State Zip Code Y BLANKET Y SINGLE PURCHASE DESCRIPTION OF ARTICLES Ann A_Craf�s SuPofies Y Sale to Retailer. Wholesaler of Manufacturer for Resale Only. Y Sale of Manufacturing mach$'". lolls and equipment to be used directly In direct production. Y Sale of Nol- For -Profit Organizations, claiming exempt purchases pursuant to bulletin 910. NOTE: Many purchases by Not- For Profit Organizations are subject to Sates Tax; therefore, purchaser is cautioned to read bulletin 910 before signing this certificate. Y Saks to Governmental units. Y Other (Explain) I hereby certify under the perrehres of perjury, that the property that is to be purchased by the use or this exemption certlneate is to be used for an exempt purpose pursuant to the STATE GROSS RETAIL SALES TAX ACT. Signature Title �S Form #020 skU: #93765 i ,iXOMPANY P.XEMPTION CERTIFICATES ARE NOT VALID FOR PF�RSONAL PURCHASES. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 18850 F Date Due 354296 Hobby Lobby P.O. Box 960070 Oklahoma City, OK 73196 -0070 Inv40icjEVj Description Amount D r note attached invoice(s) or bill(s)) 1,117.42 713ity supplies 11 98 7/3232090 rogram supplies Total 1,129.40 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 Voucher No. Warrant No. Allowed 20 354296 Hobby Lobby P.O. Box 960070 Oklahoma City, OK 73196 -0070 In Sum of 1,129.40 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 232090 4239037 1,117.42 1 hereby certify that the attached invoice(s), or 1046 232090 4239039 11.98 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 8 -Aug 2008 4 Signature 1,129.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund f v) 013 '3v 2206 E. 116th Street Carmel IN 46032 317) 818 -9217 HOB -LOB #182 www.hobbylobby.com 3;21PN Aug 8/08 01 -0001 001 ALEXAJ #10369 AU- C.O. 6� 1e•_�k Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 8/18/08 CITY OF CARMEL r 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 H obby Lobby Purchase Order No. P 0. Box 960070 Terms O klahoma City, OK 73196 -0070 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Rec eipt Mayor' 106.88 Total AAx)t6 $106.88 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 VOUCHER NO. WARRANT NO. 8�18�08 ALLOWED 20 r Hobby Lobby IN SUM OF P. 0. Box 960070 Oklahoma City, OK 73196 -0070 106.88 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayors 4230200 Office Supplies Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or Receip 4230200 $106.88 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 20 Si nature Cost distribution ledger classification if Title claim paid motor vehicle highway fund