HomeMy WebLinkAbout205492 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00352767 Page 1 of 1
ONE CIVIC SQUARE WILLIAM HOHLT CHECK AMOUNT: $70.00
CARMEL, INDIANA 46032 Ci0 DOGS
CJ DOCS CHECK NUMBER: 205492
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 226856 70.00 ORGANIZATION MEMBER
Confirmation of 226856 Page 1 of 1
Hohlt, William G
From: CustomerRequest @iccsafe.org
Sent: Thursday, January 05, 2012 9:49 AM
To: Hohlt, William G
Subject: Confirmation of 226856
This message is to confirm the receipt of your recent order.
Customer's Name: William G Hohlt
Date: 1/5/2012
Payment Code: 226856
Transaction Date: 01/05/2012
Total: $70.00
Payment Amount: $70.00
Balance: $0.00
Bill To:
William G Hohlt
city of carmel
13539 shelborne road
Carmel, IN 46074
Payment Method:
Master Card
Customer Qty Item Sub -Total Discount Paid Balance
Hohlt William G 1.00 Renew 2 Certifications $70.00 $0.00 $70.00 $0.00
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1/5/2012
Edit Centralized Order Entry Page 1 of 1
Home MyICC
Shopping C art j Receipt
Thank you for your order.
Your Confirmation Number is VKNP3CA72517. You May Print This Page For Your Records,
item Iquantity 1price idiscount tax shipping net -total
Ranew2 Certifications 1.00 1$70.00 1$0.00 ISO.00 1$0.00 1$70.00
9illingfShipping inrarmalion
CustomerName: Hohit William G Billing Name: Hohlt William G
email: whohlt @carmel.in.gov Contact:
phone: (317)571 -2470
Shipping Label: William G Hohlt Billing Label: William G Hohlt
city of carmel city of carmel
13539 shelborne road 13539 shelborne road
Carmel, IN 46074 Carmel, IN 46074
Payment Informdian
Payment Amount: $70.00 Net Total: $70.00
Payment Method: Master Card Net Applied: $70.00
Cardholder's Name: william hohlt Net Balance: $0.00
Credit Card Number. 54 *4159
Expiration Date: 2012/02
Authorization Code: 081078
Reference Number. VKNP3CA72517
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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))
01/05/12 226856 Dues ICC $70.00
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
William Hohlt
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$70.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# /Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I 226856 I 43- 553.00 I $70.00 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
Friday, January 13, 2012
ect
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund