HomeMy WebLinkAbout205181 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350028 Page 1 of 1
ONE CIVIC SQUARE FRED GLASER CHECK AMOUNT: $130.49
CARMEL, INDIANA 46032 10538 LAKESHORE DR E
o� CARMEL IN 46033 CHECK NUMBER: 205181
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 130.49 OTHER MISCELLANOUS
City Form No. 201 (Rev. 1995)
COUNTS PAYABLE VOUCHER
ed Wing Shoe Store CITY OF CARMEL
Castleton Village gust show: kind of service, where performed, dates service rendered, by
6653 East 82nd St. per hour, number of units, price per unit, etc.
Indianapolis, IN 462504577
(317)577 -0760
01/02/12 10 :11 00051035595 Purchase Order No.
Sold By Employee #80200
GLASER, FRED (317)844 -8095 Terms
SALES
06670D 115 HIKER, GRAY, WATERPROOF 144.99T Date Due
Safety Footwear
Major /Nat'l Account 10% -14.50 Description Amount
96404 110 ORTHOTIC, L400M NEUTRAL 59,99T (or note attached invoice(s) or bill(s))
Major /Nat'l Account 10% -6.00
SUB -TOTAL 184.48 afety Boots 39.62
7.00% SALES TAX 12.91
TOTAL $197.39
197.39
Auth 00280B
Sold Items 2
0000510355950
Total Total $139
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
VOUC)J R NO. WARRANT NO.
ALLOWED 20
Fred Glaser IN SUM OF
Engineering Department
f
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a n/a 2200 4239099 $139.62 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund