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Home My WebLink About203083 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 355473 Page 1 of 1 ONE CIVIC SQUARE DAREN MINDHAM CHECK AMOUNT: $139.99 CARMEL, INDIANA 46032 221 CORRAL COURT `o FISHERS IN 46038 CHECK NUMBER: 203083 CHECK DATE: 10/25/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4239012 139.99 SAFETY SUPPLIES DICK'S SPORTING GOODS Noblesville, IN j x:,(3.17) 'T16�.1687'_ ,10/15/11 04 :31 PM,� A RECEIPT EXPIRES ON 01/1.3!12 1 S -bO7 i R -5 •T -8391 A- 0236683 SALE Your -assoc I ate today, is Step!ianie TAX EXEMPT SALE Customer Copy 797240561995 REFUGECORE /B 139.99 N ITEM, TOTAL' 1: i- _139.99_. SUBTOTAL /139:99 TOTAL T XEMP?l 00031201550 1.39 A COUNT r -K,; wkxKA'� AUTH# 51514B CHANGE DUE 0.00 RE AS ON:GO VERNMENT DAREN MINDFIAM CITY OF CARMEL a ONE CIVIC SQUARE�.� CARMEL IN 46032 (3.17) 571 -2283 k7 II IIIIII III IIIIII IIIIII IIIIIIIIIIIIIIIIIIII 100 7310058391101511013 Get Ready for the Hunt at DICK'S Sporting Goods! Convenient Lodge Services. Knowledgeable Staff. .Top Name. ..Brands. We _want_ .yor_rr_ op if, i on, Visit DicksSportingGoods.`.com to write a review of ;the products .to bought in -store or online! JC 1C M'X lF 1Y'K 11 i1"X'X K)r'X'X'A'l1'Ir 11 i1' iC Y(K 11 ri"Y. 'A' X ]1'11 Get 'of f. Your next purclziasc of.$50.!, Compl ete.' our _on.l.i rie:Gu'stniner`. S irvey at www.D icksSportingGoods.com/feedback. Survey must be completed within 7 days of store visit. X X'X iC>r>Y YC Y( YC Y! X 1C'X Y( :C 1t 1r >t' 7Y 1C :1' 1t /c 1t 11' )t' X X >r ;t• Shop us online or mobile at DicksSportingGoods.com RP represents the return price for an item-based-on all, discounts 4 hart'haVe�been•'appI i'ed- 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 2 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 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- I", 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 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 exchange. Returns where a ScoreCard reward certificate was redeemed, may result in an adjusted refund amount. Firearms and Ammunition cannot be VOUCHER NO. WARRANT NO. Daren Mindham ALLOWED 20 j IN SUM OF c/o One Civic Square Carmel, IN 46032 $139.99 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1192 42- 390.12 $139.99 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 Monday, October 24, 2011 Director Title Cost distribution ledger classification if claim paid motor 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 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)) 10/15/11 Safety Boots $139.99 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