166437 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 362217 Page 1 of 1
ONE CIVIC SQUARE Z -COIL
1 CARMEL, INDIANA 46032 1362 S RANGELINE ROAD CHECK AMOUNT: $159.99
CARMEL IN 46032
CHECK NUMBER: 166437
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
2201 4356003 960 159.99 SAFETY ACCESSORIES
4
F-
1
J
11!19/2008 2:20 PM Sales Receipt 4960
Stote: 1
Z-Coil- Pain Relief Footwear
1362 S Range Line Pd
Carmel, IN 460'
Bill To: City of Carmel- Street Depaitn
Eric Russel!
Cashier. Sysadmin
Rpm Name Qty Price. Ext Price
C'ofra Moscow 1 5159.09 S15S.99
M100
Subtotal: 5159 99
Exempt 0 Tax $0,010
RECEIPT TOTAL $1159.99
-Account: $159.99
S 1 g i i a I u r e
I agree to pay above amount according to card
issuer agreement /merchant agreerne
if credit VOLIChel).
Previous Account Balance: $0.00
Account Balance: $159.99
City of Carmel- Street Department
RETURN POLICY ON Z-COIL FOOTWEAR
1 st 14 Days After Purchase $25.00 re-stocking fee
will he applied to cover [lie casts of Insole
replacement, shoe sanitation
and repackaging.
Shoes not in llke-nee condition may be a
restocking fee of up to S
H0 RETURNS OR EXCHANGES ON:
FitFlops Crocs; OiIholics, Knoty Cuys; Aetfe,K; or
Opened Socks
i 11111i Bill 111111111111111 poll loll
i 11111116111111111141111111i 1111 loll
1 11111 11111 11111 Will 111il 1611 1111
960
VO UCHER NO. WARRANT NO.
ALLOWED 20
Z -Coil
IN SUM OF
1362 S. Rangeline Road
Carmel, IN 46032
$159.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 960 43- 560.03 $159.99 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
Thursday, November 20, 2008
Street Commissioner
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))
11/19/08 960 $159.99
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
,20
Clerk- Treasurer