205159 01/05/2012 CITY Or CARMEL, INDIANA VENDOR: 00351009 Page 1 of 1
ONE CIVIC SQUARE BONNIE CALLAHAN CHECK AMOUNT: $471.85
CARMEL, INDIANA 46032 C/0 CARMEL STREET DEPT
C/0 CARMEL STREET DE CHECK NUMBER: 205159
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 471.85 OTHER MAINT SUPPLIES
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Transaction Details
Shopping Cart Payment Sent (Unique Transaction ID #9PL31835UK297810G)
Original Transaction
Date Type Status Details Amount
Dec 20, 2011 Payment To LifeProof Completed $471.85 USD
Related Transaction
Date Type Status Details Amount
Dec 20, 2011 Charge From Credit Card Completed Details $471.85 USD
Business Name: LifeProof (The recipient of this payment is Verified)
orders @lifeproof.com
Shopping Cart Contents
Qty Item Options Price
15 LifeProof Belt Clip for Rhone 4/4S Case $449.85 USD
Item LP- iPH4- MNT- BC -3 -2
Shipping
1 Item United States Postal Service Priority $22.00 USD
Mail
Amount $471.85 USD
Order Description: Shopping Cart
Item Total: $471.85 USD
Sales Tax: $0.00 USD
Shipping: $0.00 USD
Handling: $0.00 USD
Total amount: $471.85 USD
Fee amount: $0.00 USD
Net amount: $471.85 USD
Invoice ID: 1220- 4455526615
Date: Dec 20, 2011
Time: 11:11:14 PST
Status: Completed
Shipping Address: Bonnie Callahan
1251 Bentley Way
Carmel, IN 46032
https:// history. paypal .com /us /cgi- bin/webscr ?cmd= _history- details &info =wGKXR x7Q1... 12/29/2011
0 F3 020120830009769500
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LET'S GO!
Packing List
LifeProof Customer Ref: 90629
4711 VIEW RIDGE AVE. Order Date: 12/21/2011
SUITE 150
San Diego, CA 92123
Customer Service: orders @lifeproof.com
Customer Reference 90629
Bill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
Bonnie Callahan Bonnie Callahan
1251 Bentley Way 3400 W 131st St
Carmel, IN 46032 -7109 Carmel, IN 46074 -8267
(317) 733 -2001 (317) 733 -2001
bcallahan @carmel.in.gov bcallahan @carmel.in.gov
Qty Product Pick Seq. Description
15 LP- IPH4- MNT -BC- FAA01 BELT CLIPS
3 -2
Total Pieces to ship: 15
RETURN POLICY
You have 30 -days to try out your new product. Please obtain a Return Authorization Number before attempting to return a package.Order discrepancies
must be reported within 30 business days of receiving your merchandise. A 15% restocking fee will be applied on all returns. For complete and
updated information on our Return Policy, see: www.lifeproof.com /returns.htm Thank you,
Ship To:
CARMEL STREET DEPARTMENT
Bonnie Callahan
3400 W 131st St
020120830009769500 074 -8267
(317) 733-2001 Shipping Instructions:
Ship By: 09 USPS Priority Mail
0337 -EX -291 Packed by:
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))
12/20/11 $471.85
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
VOUCHER NO. WARRANT N
ALLOWED 20
Bonnie Callahan
IN SUM OF
1251 Bentley Way
Carmel, IN 46032
$471.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 42- 389.00 $471.85 1 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
Tuesday, /January 03, 2012
c Street Commissioner
3Fr'P Pt nrTlwi z- intlPr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund