HomeMy WebLinkAbout200927 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 361926 Page 1 of 1
ONE CIVIC SQUARE DOUG KIZER
CARMEL, INDIANA 46032 CHECK AMOUNT: $59.50
13504E 131 ST
FISHERS IN 46037 CHECK NUMBER: 200927
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 59.50 OTHER EXPENSES
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Billing Information. Shipping Information
Company: Company:
Name: Douglas Kizer Name: Douglas Kizer
Address: 11373 Loch Raven Blvd Address: 11373 Loch Raven Blvd
City: Fishers City: Fishers
State I Zip: IN 146037 State I Zip: IN 146037
Country: United States Country: United States
Phone: 317 -201 -1624 Phone: 317- 201 -1624
E -mail: doug.kizer @northviewchurch.us E -mail: doug.kizer @northviewchurch.us
The following In -Stock Items ship now:
Item No. QTY Description Price Total
PHD2997 10 Fire Dog Beanie Dalmatian $5.95 $59.50
Shipped Via: UPS GROUND ODI FLAT FEE Shipping (in-Stock Items): $0.00
Shipping (Out -of -Stock Items): $0.00
Taxes: $0.00
Order Total: $59.50
Our Designs, Inc. 1 1212 W. Fourth Plain Blvd. Vancouver WA, 98860 USA (800) 382 -5252 INTL: +1 -360-567-25301 Email Us
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https://www,ourdesigns.com/checkout/CheekoutCo,mplete.aspx 6/5/2011
VOUCHER WARRANT NO.
ALLOWED 20
Doug Kizer
IN SUM OF
13504 E. 131st Street
Fishers, IN 46037
$59.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
1120 1 120- 851.00 I $59.50 i 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
AU 2 1 9 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form Wo. 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))
$59.50
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