HomeMy WebLinkAbout204886 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 358818 Page 1 of 1
ONE CIVIC SQUARE BRENT LIGGETT
CARMEL, INDIANA 46032 12571 TRESTER LANE CHECK AMOUNT: $101.62
FISHERS IN 46038 CHECK NUMBER: 204886
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4231400 51.62 GASOLINE
1192 4357004 50.00 EXTERNAL INSTRUCT FEE
Customer Qty Item Sub -Total Discount Paid Balance
Liggett Brent 1.00 Renew 1 Certification $50.00 $0.00 $50.00 $0.00
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Shopping Cart I Receipt
Thank you for your order.
Your Confirmation Number Is VZNP3B49449F. You May Print This Page For Your Records.
item Iquantity 1price Idiscount I tax shipping
et•totaI
il Renew I Certification 1.00 $50.00 $0.00 $0.00 $0.00 $60.00
9illihmlShippfng Inform8lion
Customer Name: Liggett Brent Billing Name: Liggett Brent
email: bliggett@carmel.in.gov Contact:
phone: (317)571 -2491
Shipping Label: Brent Liggett Billing Label: Brent Liggett
City of Carmel City of Carmel
12571 Trester Ln 12571 Trester Ln
Fishers, IN 46038 Fishers, IN 46038
Payment Infarrndion
Payment Amount: $50.00 Net Total: $50.00
Payment Method: Amex Applied: $50.00
Cardholder's Name: Brent Liggett Net Balance: $0.00
Credit Card Number. 37
Date: 2015/04
Authorization Code: 252737
Reference Number. VZNP3B49449F
Susffilnable Attnbtrtes Venficatron and Evatuatron Pr ram
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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))
12/09/11 Gas for travel to meeting $51.62
12/13/11 Inspector certification $50.00
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
Brent Liggett
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$101.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1192 42- 314.00 $51.62
bill(s) is (are) true and correct and that the
1192 43- 570.04 $50.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 19, 2011
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund