163269 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00351599 Page 1 of 1
ONE CIVIC SQUARE KOHL'S DEPARTMENT STORES
/o CARMEL, INDIANA 46032 N56 W17000 RIDGEWOOD DRIVE CHECK AMOUNT: $268.90
ATTN PURCHASE ORDER REC DEPT
CHECK NUMBER: 163269
MENOMONEE FALLS WI 53051
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 168.06 MATERIALS SUPPLIES
651 5023990 100.84 MATERIALS SUPPLIES
i
I
LLQ A
08-25-08 Z:1Zp 0081/0025/9251/1
u# Y99-9)7+�\D6-6757-YV|5'7�O7-�G)7
P 5LIp nCTG
GUYS LEVI JEANS 039N709Z8i� 31.99 w
wEwS LEVl JE8wS 0393076+0107 '3).99 w
mEw3 LEVI JEANS 062177117l65 31. u
:ENS LEVI JEANS 052177501539 9Y o
mEN5 LEv) JEANS 03930795130 31.99 x
M[wS LEVI JEANS 0]9}07640081 31.99 o
CASUAL FRAIL Sn 7258}383')56 28.99
mEwS RUNNING 5* 88315375n585 11 97 w
SUBTOTAL 268.90
0031201550
Tl~ 0.00 7 TAX 0.08
TOTAL 268.90
PO VOUCH 1170 268.90
$50 .00 KOHL'S CASH ACTIVATED
136710085716921
mU EARNED
FOR EVERY $SV PURCHASED
4 ITEm IS NOT TAXABLE
CUSTV JAI
X
P U
REMITTANCE r0 BE poIO BY CHECK ONLY
KOHL'S 0EPoRrmEwT S78R[D
N56 W17008 RlOGEW00y DRIVE
HEwOm0wE[ FALLS, WI 53051
oTTw: PURCHASE ORDER RECEIVABLE U[pT
F Checks cash or Kohl's Merchandise Return Credit.
When paying by check, you authorize us to use
information from your check to make a one -time
electronic fund transfer from your account or to process
the payment as a check transaction. For inquiries, please
call 1- 800 564 -5740.
Price adjustments and even exchanges require a receipt.
Purchases that earn Kohl's Cash Coupons or
purchases in which Kohl's Cash Coupons were
tendered, may result in an adjusted refund amount.
Valid state issued identification may be required
for a return or adjustment.
At Kohl's Complete Satisfaction is Our Goal!
However, if our merchandise does not meet your
expectations, we offer the following return options:
Original receipt an even exchange or refund based
upon the original tender. Please note: Debit cards using a
personal ID at the pin pad will be refunded cash.
Gift receipt an even exchange or Kohl's Merchandise
Return Credit.
No receipt an even exchange or Kohl's Merchandise
Return Credit.
Defective Merchandise will be returned /exchanged
following the above policies.
Checks cash or Kohl's Merchandise Return Credit.
When paying by check, you authorize us to use
information from your check to make a one -time
electronic fund transfer from your account or to process
the payment as a check transaction. For inquiries, please
call 1- 800 564 -5740.
Price adjustments and even exchanges require a receipt.
Purchases that earn Kohl's Cash Coupons or
purchases in which Kohl's Cash Coupons were
tendered, may result in an adjusted refund amount.
Valid state issued identification may be required
for a return or adjustment.
At Kohl's Complete Satisfaction is Our Goal!
However, if our merchandise does not meet your
VOUCHER 086203 WARRANT ALLOWED
"351599 IN SUM OF
V KOHL'S DEPARTMENT STORES
N56 W17000 Ridgewood Drive
Attn: Purchase Order Receivabl
Menomonee Falls, WI 53051
�r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
082808 01- 7200 -07 $100.84
l
Voucher Total $100.84
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 241 (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
r
351599
KOHL'S DEPARTMENT STORES Purchase Order No.
N56 W17000 Ridgewood Drive Terms
Attn: Purchase Order Receivabl Due Date 8/27/2008
vienornonee rails, Wi 53051
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2008 082808 $100.84
1
hereby certify that the attached invoice(s), or bill(s) is (are) true and
s
orrect and I have audited same in accordance with IC Q 5- 11- 10 -1.6
r
Date Officer
'.1
08 -25 08 2:12P 0084/0025/9251/4 1005XYX
ID# 999 -9174 -9185 -5757 9915 7 4 0 7 -4817
P O SLIP AC TG
GUYS LEVI JEANS- 03930709281 31.99
MENS LEVI JEANS 039307640107 31.99 4
MENS LEVI. JEANS 052177117265 31.99
MENS LEVI JEANS 052177504539 31.99
MENS LEVI JEANS 039307795180 39.99
MENS LEVI JEANS 039307640084 31.99
CASUAL TRAIL SH 725033837156 28.99
MENS RUNNING SH 883153750585 44.97 a
SUBTOTAL 268.90
0031201550
T1= 0.00 7.0% TAX 0.00
TOTAL 268.90
PO VOUCH 1170 268.90
$50,00 KOHL'S CASH ACTIVATED
136710085746924
$10 EARNED
FOR EVERY $50 PURCHASED
4 ITEM IS NOT TAXABLE
CUSTOMER GNAT RE
X
P. D NUMBER
REMITTANCE TO BE PAID BY CHECK ONLY
KOHL'S DEPARTMENT STORES
N56 W17000 RIDGEWOOD DRIVE
MENOMONEE FALLS, WI 53051
ATTN: PURCHASE ORDER RECEIVABLE DEPT
VOUCHER 082872 WARRANT ALLOWED
351599 IN SUM OF
KOHLS DEPARTMENT STORES
N56 W17000 Ridgewood Dr.
Attn: Purchase Order Receivabl
Menomonee Falls, WI 53051
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
A
Board members
PO INV ACCT AMOUNT Audit Trail Code
082508 01- 6200 -07 $168.06
l�
a
Voucher Total $168.06
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351599
KOHLS DEPARTMENT STORES Purchase Order No.
N56 W17000 Ridgewood Dr. Terms
Attn: Purchase Order Receivabl Due Date 8/27/2008 y
Menomonee Fails, yv'l 53051 1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8127/2008 082508 $168.06
p
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with 1C 5- 11- 10 -1.6
Date Officer