159046 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361201 Page 1 of 1
ONE CIVIC SQUARE SHAWN REYNOLDS
CHECK AMOUNT: $319.54
CARMEL, INDIANA 46032 21423 TOOLEY COURT
NOBLESVILLEIN 46060 CHECK NUMBER: 159046
CHECK DATE: 4/3012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 319.54 OTHER MISCELLANOUS
I
W e s t f i e l d V i 1 la��e Park Plaza
Carmel IN 46033
317 811- -3996
01-12-08 9 38A 0081/0011/6644/0 1069X
IDO 99979S87-9190-6159-')915-8833-5531
COOKWARE 631899303820 h 299 99 M
KITCHEN GAOGEIS 057517194579 s 0.00 rb
SALE PRICE 29.99
ITEM MARKDOWN 29 99-
CUTLEkY 015908007119 19. !1
CUTLERY 015908007102 11 99 0
KITCHEN GROUTS 024 "IDA567 13.99 V,
BAKEWARE 631899521507 18.74 V)
KITCHEN GADGETS 057517191142 11,21 11
SUBTOTAL 375.91
TRANSACTION 6.10--
SACTION DISCOUNf 15 X.
15= 302.55 0.0% TAX 0.00
T1= 16,99 7.0 FOX 1 11—
TOTAL 30 .7 3
0 1 \O 70�
-Ix�
444-401
SREFERRAL-APP 008730
'III II III �I II II I I.I I I I C I II li I i'i.I II' I'I I II' I I 1'
THANK YOU FOR SHOPPING Hr KOHL'S
VOUCHER NO. WARRANT NO.
Shawn Reynolds ALLOWED 20
IN SUM OF
$319.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 390.99 $319.54 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
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))
Supplies for Sta. 44 $319.54
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