HomeMy WebLinkAbout205228 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 358232 Page 1 of 1
ONE CIVIC SQUARE DARREN MAST CHECK AMOUNT: $144.00
CARMEL, INDIANA 46032 112 MEADOW LN
FISHERS IN 46038 CHECK NUMBER: 205228
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 70810198 144.00 SAFETY SUPPLIES
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EST. 1920
VISIT WWW.EDD EBAUERFRIENDS.COM TO CHECK III 1 11111111111111111 I 1 11 jj I IIII PAGE OF 1 OF
YOUR REWARD BALANCE, 016 3707866 o
AND REVIEW ALL BENEFITS OF EDDIE BAUER 00000300794906 00 0
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ORDER SUMMARY Pick Ticket# 105560272 Order# 70810198 USPM 03C I A 3
ITEM NUMBER Color Size Description Ship GB Status Total$
Y
019 2267 792 926 ANTIQUE B 12M M SHOE WOLV 1 N SHIPPED 144.00
Location X 037 09 04 2
Customer Number 4720012071 ITEM TOTAL 144.0
Order Number 70810198 TAX 8
Order Date 12/13/2011
Payment Method
Order Type Regular
PACKAGE TOTAL 1.08
pp—
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City state Zip
VOUCHER NO. WARRANT NO.
ALLOWED 20
Darren Mast
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$144.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT /TITLE I AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1192 I 70810198 I 42- 390.12 $144.00
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
Wed day, January 04, 2012
Arl cx l--- 7
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))
12/13111 70810198 Safety Boots- Darren Mast $144.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and R have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer