202258 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 358229 Page 1 of 1
Q J M�t ONE CIVIC SQUARE NICOLE PASSINEAU
CARMEL, INDIANA 46032 C/O DOCs CHECK AMOUNT: $35.94
CHECK NUMBER: 202258
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356001 35.94 UNIFORMS
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))
09/13/11 New shirts $35.94
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
Nichole Passineau
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$35.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 43- 560.01 $35.94
I hereby certify that the attached invoice(s), or
I I
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
Thur day, September 22, 2011
W7 V1 1//
Di for
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
_DICK'S SPORTING GOODS
Carmel IN
(317) 818 -3467
09/13/11 01:28 PM
RECEIPT EXPIRES ON 12/12/11
S -00183 R -1_ T. A- 0241116 SALE,
a
Your asso(. ?i ate today i s: David
TAX ,E>(EMPT SAL-E
Customer Copy
886081038084 SSCORETEE /ME 11.98 N
Current Price 20.00
886081001002 SSCORETEE /1.1 11.98 N
Current Price 14.97
886081038183 SSCORETEE /PL 11.98 N
Current Price 20.00
ITEM TOTAL -35.94
SUBTOTAL 35.94
ti TOTAL '35.94
b
TAX EXEMPT 40031201550
35.94
ACCOUNT *x w -
AUTH# 213132
CHANGE DUE
0.00
TOTAL SAVINGS '19:'03
REASON: GOVERNMENT
NICHOLE PASSINEAU
CITY OF CARMEL.
ONE CIVIC SQUARE
CARMEL IN 46032
(317)571 -2417
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1 018 30017291091311016
Bic? Break Ireland
pr, 20 9PM ET..
Only "on Go 1-f Channel
Get $10 off your next' purchase -of $50!
Complete our online Customer Survey at
www.Dick sSportingGoods.com /feedback
:SUrVey must be completed within
7 days of store visit:
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Shop us online or mobile at
DicksSportingGoods.com
RP represents the return price for
an item based on all discounts
that have been applied.
r Dascoau oats, vas and Lie
cannot be returned if the package_;is opened
or the factory seal is broken.
A valid driver's license is required for
returns or exchanges without an original
sales receipt.
Dick's reserves the right to limit or decline
returns and exchanges.
An original sales receipt dated
withitr90 days is required for all
returns exchanges.
All returns and exchanges must be new, in
the original packaging and contain the
accessories.
Returns with an original sales receipt will
receive a refund based on the initial form
of payment.
Returns or exchanges without a receipt
will be offered a store credit for the lowest
price or offered the manufacturers' contact
information.
Returns with a gift receipt will be offered a
gift card or an exchange.
Returns where a ScoreCard reward
certificate was redeemed, may result in an
adjusted refund amount:
Firearms and Ammunition cannot be
returned.
Baseball bats, Gas and Electric Scooters
cannot be returned if the package is opened
or the factory seal is broken.
A valid driver's license .is required for
returns or exchanges without an original
sales receipt.
Dick's reserves the right to limit or decline
returns and exchanges.
All o "sales "receipt dated
within 90 days is required for all
returns exchanges.
All returns and exchanges must be new, in
the original packaging and contain the
accessories.
Returns with an original sales receipt will
receive a refund based on the initial form
of payment.
Returns or exchanges without a receipt
will be offered a store credit for the lowest
price or offered the manufacturers' contact
information.
Returns with a gift receipt will be offered a
gift card or an exchange.
Returns where a ScoreCard reward
certificate was redeemed, may result in an
adjusted refund amount.
Firearms and Ammunition cannot be
returned.
Baseball bats, Gas and Electric Scooters
cannot be returned if the package is opened
or the factory seal is broken.
A valid driver's license is required for
returns or exchanges without an original
sales receipt.
Dick's reserves the right to limit or decline
returns and exchanges.
An original sales receipt dated