HomeMy WebLinkAbout205415 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 361329 Page 1 of 1
ONE CIVIC SQUARE CLAY CAMPBELL
CARMEL, INDIANA 46032 9003 MAX COURT CHECK AMOUNT: $75.98
FISHERS IN 46037 CHECK NUMBER: 205415
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 122311 47.48 OTHER EXPENSES
651 5023990 122311 28.50 OTHER EXPENSES
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Manage Categories Completed On: 12/23/2011
Create a banking report Description: POS PURCHASE POS PURCHASE TERMIN_4L 00000190
SOU JCPENNEY STORE 061 INDIANAPO IN 12 -23 -11
9:57 AM SEQ 135764005477
Amount: $81.30
Transaction Type: WITHDRAWAL
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Guarantee personal Note: Clay's work pants
Category: Not Categorized
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Ho•.i do i? Glossary PAQs
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Banking deposit and loan products and services are provided by BMO Harris Bank N.A., Member FDIC. M &I is a trade name used by BMO Harris Bank N.A.
and its affiliates. Copyright 2011, BMO Financial Corp., All Rights Reserved. Advertising Disclosures Site Disclaimers I Your Privacy
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FoPrescrd by rm No. 301 S'( CCOUnts ACCOUNTS PAYABLE VOUCHER
Form 301'(Rev. 1995)
TO
ADDRESS
Invoice Date Invgice,humber Item Amount
—r.
I 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
19
Signature Title
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.
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT A
CARMEL, INDIANA
c 1iii CAtMp 6e l Favor Of
tai; i �ie5 t
Total Amount of Voucher
l Deductions
7200• o 7 2 5 c7
Amount of Warrant
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandi
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800 382 -8702 325
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Account Overview Transaction Detail
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Manage Categories Completed On: 12/23/2011
Create a banking report Description: POS PURCHASE POS PURCHASE TERMINAL 00000190
SOU JCPENNEY STORE 061 INDIANAPO IN 12 -23 -11
9:57 AM SEQ 135764005477
Amount: $81.30
Transaction Type: WITHDRAWAL
Online Banking Personal Note: Clay's work pants
Guarantee
Guarantee
Category: Not Categorized
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BMO A part of 8M0 Financial Group
Banking deposit and loan products and services are provided by BMO Harris Bank N.A., Member FDIC. M &I is a trade name used by BMO Harris Bank N.A.
and its affiliates. Copyright 2011, BMO Financial Corp., All Rights Reserved. Advertising Disclosures Site Disclaimers I Your Privacy
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LENDER
https: /cibng. ibanking services. com/ cib/ CEBMainServlet /TransactionDetailConfirm 1/12/2012
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1006
CAMPBELL, CLAY Purchase Order No.
CARMEL UTILITIES Terms
Due Date 12/30/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' 122311 $47.48
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
Date Officer
VOUCHER 113461 WARRANT ALLOWED
T1006 IN SUM OF
CAMPBELL, CLAY
CARMEL UTILITIES
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
122311 01- 6200 -07 $47.48
Voucher Total $47.48
Cost distribution ledger classification if
claim paid under vehicle highway fund
ul Invy
XPENNEY 0218 -8
6020 E.'182ND' STREET
CASTLETON SO"MALL
INDIANAPOLIS,IN 46250
317- 849 -6500
523/4173/117310 RT 559 RELAX /STRT
UPC No. 05217707371
QTY 1 54.00
Sale Disc -16.01
Iota] Discounts -16,01
Discounted Price 37.99
Net Sales /Return Value 37.99T
523/4173/107410 RT 559 RELAX /STRT
UPC No. 039307738132
OTY 1 54.00
Sale Disc -16.01
Total Discounts -16.01
Discounted Price 37.99
Net Sales /Return Value 37.99T
Subtotal 75.98
Sales .Tax 7.0000% 46250 5.32
Total 81,30
Total Items Sold: 2
Total Items Returned: 0
Your total Savings Today: 32.02
DEBIT CARD 81x30
XXXXXXXXXXXX7565 /06136200 M
Cardholder acknowledges receipt of
goods /services in the amounT shown and
agrees to pay for them according to their
card agreement.
W \kl
Store: 0218 Term: 190 Tran: 1255
Date: 12/23/11 Time: 09:57 AM Assoc: 0518
Holiday Portraits, No sitting fees!
2 free enhanced sheets, $3.99 adnl. sheets
Details at studio. Exp. 1/18/12 PC1813618
71YCY(71 X71 K717C 71 yC 7171717171 Y(7t 7171 iC 71 Y(71 NYC �71X X11'x XYf Y(71 Y(xX X7171
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of the full returri policy.
07171
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tell us about your
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Only one survey per household may be
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Valid on purchase within next 30 days. Some exclusions apply.
Complete terms and conditions available on our survey website.
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