HomeMy WebLinkAbout199703 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1
ONE CIVIC SQUARE JOHN THOMAS CHECK AMOUNT: $113.63
io CARMEL, INDIANA 46032 11576 CREEKSIDE LANE
CARMEL IN 46033 CHECK NUMBER: 199703
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 113.63 STORM WATER PHASE II
0 Order Confirmation 6uY-SmOA�_
Web Confirmation Number: 125857575
Updated On: 07 -12 -11
Source: Web
ITEMS LIST
Line Product Item Qty US Price Total Price
1 2745250 Total Hardness Test Strips, 0 -425 mg /L, 50 tests 2 $10.25 $20.50
2 2745050 Free Total Chlorine Test Strips, 0 -10 mg /L, 50 tests 1 $14.69 $14.69
3 2755325 Ammonia (Nitrogen) Test Strips, 0 -6.0 mg /L, 25 tests 1 $19.25 $19.25
Subtotal: $54.44
Shipping: $15.95
Total (before Taxes): $70.39
CONTACT INFORMATION
Name: Sara McMullen
Phone: 317 571 -2314
e -mail smcmullen @carmel.in.gov
BILLING ADDRESS SHIPPING ADDRESS
Company: CARMEL ENGINEERING DEPT Company: CARMEL ENGINEERING DEPT
Dept /Div: Dept /Div:
Attn name: Attn /Rcvng:
Address: 1 CIVIC SQ Address: 1 CIVIC SQ
City: CARMEL City: CARMEL
State: Indiana State: Indiana
)Zip: 46032 -7569 Zip: 46032 -7569
Country: United States Country: United States
Phone: Phone:
Fax:
PAYMENT
P.O. Number: 12345
Credit Card Number:
Credit Card Type:
Credit Card Bolder Name: John G Thomas
Credit Card Ref. Number:
Tax Exempt order: Yes
Promotions Reward Program
Offer Code:
P3 Account Number:
SHIPPING DETAILS FREIGHT INFORMATION
Freight Payment Method
Freight Payment Method: Pre -paid
Shipping Options and Shipping Method
Shipping Option: Ship order complete
Shipping Method: Standard surface shipping
TERMS
Orders containing hazardous items may require special shipping. If changes to your shipping method are required, you
T— MOBILE 9536
1 1-13 US -31 Register #6
CARMEL, IN 46032 -1020 Trans #998
(317)575 -8184 06-28-201111:26:42
Fax: (317)575 -8284
city carmel Mobile 3172523308 Sales Rep: 001.1802
Quantity Unit SKU Description Price Extension
(Reflects Any
Discounts)
ELECTRONIC PIN $30.00
1 EACH EPIN30 RETAIL STORE 30.00 30.00 T
Not Discount Eligible
Serial 247566040
ifE —Pin 5943 3391 625491 Redeemed in Store?
No
SALE AMOUNT 30.00
911 1@$ 0.25 0.25
TOTAL 30.25
—30.00
Reference 793330334
Cash —0.25
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overage. Data plans may also have throughput and other limits.
I
i
DICK'S SPORTING GOODS
Carmel, IN
(317) 818 -3467
06/30/11 03:19 PM
RECEIPT EXPIRES ON 09/28/11
S -00183 R-4 T-3968:A- 0241914•SALE
ybur associate tuda�� is': 131
TAX E -xE�MP r ;,sAi_E
Customer Copy
022188803471 HOTPINK /NCOL 14.99 N
I
812424011216 CONTINUOUS /N 9.99 N
ITEM TOTAL 24.98
SUBTOTAL 24.98
TOTAL 24.98
TAX EXEMPT #0031261550
CHANGE 'DUE'.
REASON:GOVERNMENT
SARA MCMULLIN
CITY OF CARMEL
10911 ALLEY VORG.
CARMEL
(317) 873 0248
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:7' 1'00183 043968 Ei8011 1'4
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DICE S SPORTING GOODS
Carmel, IN
(317) 818-3467
06/30/11 03:19 PM
RECEIPT EXPIRES ON 09/28/11
S -00183 R -4 T-3968 A- 0241914 SALE
Your associate 11day 15: Brandon
TAX F_)<FM 'T SALE
Customer Copy
022188803471 HOTPINK /N(:OL 14.99 N
4 0 (s WOLS 812424011216 CONTINUOUS /N 9.99 N
Xc AAW ITEM TOTAL 24.98
SUBTOTAL 24.98
rid TOTAL 24.95
TAX EXEMPT #003120i55o
CHANGE DUE 0.00
u
REASON:GOVERNMENT
SARA MCMUL.IN
CITY OF CARMEL
10911 VALLEY VORGE
CARMEL IN 460:s'2
(317? 873 -0248
IIIIIIIIIIIi11�llIIIIIIII1111
130 98Ei 11 4
n Need More Gear?
DICK'S Sporting Goods offers the best
of both worlds stores stocked
with as much of the latest football
and soccer equipment, cleats, apparel
and training aids as our shelves
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from the best brands in the game online
at D i cksSpurtingGoods.coin.
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*x WWW *7YWXr *'x *NxxWti x'x *W *xWW
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i
DICK'S SPORTING GOODS
Carmel, IN
(317) 818 -3467
07/06/11 01:47 PM
RECEIPT EXPIRES ON 10/04/11
S -00183 R -1 T -8946 A- 0218121 EXCHANGE
Your associate today is: Draw
Customer.Copy
SELL STORE 00183
RECEIPT NO 00183004396806301.1014
DATE 06/30/11
RETURN TYPE: Return /Exchange
022188803471 HOTPINK /NCOL 14.99 -N
END RETURN
022188801.71.2 POOKETMOOE /N 12.99 N
ITEM TOTAL 2.00
SUBTOTAL 2.00
TOTAL 2.001-
TAX EXEMPT #0031201550
CHANGE DUE 0.00
10911 VALLEY VORGE
CARMEL- IN 46032'
(317) 873 -0248
1001830018946070611025
For DICK'S Sporting Goods Mobile Alerts
Text "MOBILE "to DICKS (34257)
Msg Data Rates May Apply.
Reply "HELP "for help or "STOP "to cancel.
For more info go to dcsq.com /mobile
Manage Your ScoreCard Rewards Account at
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:t Hf 71x Y[7CMY'XR%'Yf YCXx k''KxM1C'.If 1[1t li lc M'M AX'K
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No_ 201 (Rev. 1995)
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
John Thomas
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Stormwater tester cell minutes (intern) $30.25
Pepper spray $12.99
es ing supplies
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
John Thnmas IN SUM OF
Engineering Dept.
$113.63
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 2 =M62838 $38.25
bill(s) is (are) true and correct and that the
2 1:4#62838
materials or services itemized thereon for
which charge is made were ordered and
received except
20 i
Sjgnature
T e
Cost distribution ledger classification if
claim paid motor vehicle highway fund