166676 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 357166 Page 1 of 1
0 ONE CIVIC SQUARE GANDER MOUNTAIN
CARMEL, INDIANA 46032 ATTN MAO THAO CHECK AMOUNT: $234.97
s 180 EAST FIFTH STREET STE 1300
CHECK NUMBER: 166676
ST PAUL MN 55101
CHECK DATE: 12/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 120108 234.97 MATERIALS SUPPLIES
GANDER MOUNTAIN #272
(317)577 -1114
Mon -Thur 9am -9pm
Fri -Sat 9am -10pm
Sunday 10am -7pm
TAX EXEMPT
'AX EXEMPT 00031201550020
DEERSKIN SKI GLOVES:LIGHT BROWN:M
671973500059 29.99 N
SANDSTONE DUCK ARCTIC JACKET :DARK BR0WN:
035481385476 84.99 N
TITANIUM BUGABOOT XTM OMNITECH :ESPRESSO,
883834262987 119.99 N
TOTAL $234.97
HOUSE CHARGE $234.97
FIRST NAME: Carmel
LAST NAME: Utilities
ADDRESS: 370 1st Ave Sly
CITY: Carmel
STATE: IN
ZIP CODE: 46032
PURCHASER'S NAME: Pat Rigdon
P.O. NUMBER: PatRigdon
Receipt required for all
Returns and Exchanges
CUSTOMER COPY
ITEMS 3 Tony 8
12 -01 -2008 11:50 :51 0272 21 527297 8735
3 Ways to Shop:
In Store, Online and Catalog!
Enter to win the Holiday Sweepstakes
at www.GanderMTN.com!
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357166
GANDER MOUNTAIN Purchase Order No.
ATTN: MAO THAO Terms
180 EAST FIFTH STREET Due Date 12/1/2008
ST PAUL, MN 55101
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2008 120108 $234.97
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
1
VOiJCHER 086758 WARRANT ALLOWED
r
357166 IN SUM OF
GANDER MOUNTAIN
ATTN MAO THAO
180 EAST FIFTH STREET
ST PAUL, MN 55101
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
120108 01- 7200 -08 $234.97
t
Voucher Total $234.97
Cost distribution ledger classification if
claim paid under vehicle highway fund