HomeMy WebLinkAbout173288 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352524 Page 1 of 1
ONE CIVIC SQUARE ANN DAVIS
CARMEL, INDIANA 46032 C/0 CLERK TREASURER CHECK AMOUNT: $90.19
C/0 CLERK- TREASURER
CHECK NUMBER: 173288
CHECK DATE: 6/1012009
DEPAR TMENT ACCOUNT PO NUMBER IN VOICE N UMBER A MOUNT D ESCRIPTION
1701 4239099 49.99 OTHER MISCELLANOUS
'"1701 4343004 24.20 MILEAGE
1701 4343004 16.00 PARKING
F r L PA
H7-
N I HR. r,
15:4 L4 9 2 Tyri#N497
0 Z H.
Ai rtij,3 qg n 4 i rs 'o fP 15-65, Out
T k t 0 3"3
RP.Quh. �ate
L ir dL b.—
Totdl Fee 1� Afl
I- J.
s 1�,.Oo-
Ref-rence No.
Chari
g p
e Due
A
THANKYOL-11
25210 Easl 116th Streel
Carmel,
317) 81
6/ 1 /2009 10:50:92 AM CST
I f ris r 79 Sl ore 00297
Reg.: 001 Till:001
!'ashier: 9�'910( ':;ales: 929100100
SHLI.
Neo:; Keep Yo Rcceipt
Peiu•n Before 7/31./2009
x0029'700 5)079.�
551 -f-ABRI c 99. T
20 070$2"r 1 0 1') 19.99
Sub-Total �99.99
T ax 7.0y, 3.50
Tota 53.99
AAA" 53.19
Account
ALJfh: 006130 (A)
Total Tender 53.19
Change Due 0.00
1V PLII ised 1 69.00
Your Stein M=flrl Savi,riwi: 19.01
Thank You For Shor ai Slc-ir, Mart
We can save ioij
www.steillmari cum
CLISfomer "CIP4
i lit
Returns with a vaUd recei ?t
Merchandise returned within 60 days will
refunded for 4 the purchase price i,±sed on the
method of payment. /-%`ter 60 days of the'date of
your purchase, an exchange, credit or refund
depending on your method of payment will be
issued for the current selling price. There is a 10
day waiting period for any refund on purchases
made with a check.
Returns with a lid receipt
Merchandise returned within 60 days with a gift
receipt will be refunded for the purchase price in
the form of an exchange or e- credit. After 60 days
of the date of purchase the current selling price
will be issued in the form of an exchange or e- credit.
Returns without a receipt
An e- credit will be issued at the current selling
price. For your protection please present a valid
ID. Stein Mart reserves the right to deny a
refund on any merchandise returned without a
receipt.
Price adjusfineuts
Price adjustments will not be made on clearance
merchandise.
Return Policy
Returns with a Vaud recei ?t
Merchandise returned within 60 days will be
refunded for the purchase price based on the
method of payment. After 60 days of the date of
your purchase, an exchange, credit or refund
depending on your method of payment will be
issued for the current selling price. There is a 10
(�y waiting period for any refund on purchases
made with a•check.
Returns with a go receipt
Merchandise returned within 60 days with a gift
receipt will be refunded for the purchase price in
the form of an exchange or e- credit. After 60 days
of the date of purchase the gWr- ei��¢�i4Mice
will be issued in the form of and Inge o'r'e-credit.
Returns without a receipt
An e- credit will be issued at the current selling
price. For your protection please present a valid
ID. Stein Mart reserves the right to deny a
refund on any merchandise returned without a
receipt.
Price ad�natments
Price adjustments will not be made on clearance
merchandise.
Return lE oncy
Returns with a valid receipt
Merchandise returned within 60 days will be
refunded for the purchase price based on the
method of payment. After 60 days of the date of
your purchase, an exchange, credit or refund
depending on your method of payment will be
issued for the current selling price. There is a 10
day waiting period for any refund on purchases
made with a check.
Returns with a gift receipt
Ai ze. returned with 60 days with a gift
a gift
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)))
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
oqq 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
4 Document Management Document imaging System Laserfiche (g) Page 1 of 2
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Prescribed by State Board of Accounts MILEAGE CLAIM General Form No. 101 (1955)
8, 0 ''nn
�6Q TO I DR.
G ver me I Unit �l2
On Account of Appropriation No. �T J� for
(Office, Board, Department or Institution)
DATE FROM TO ODOMETER READING" NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
S
fVPiqV 5
goe
Auto License No. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and
hereby certify as follows:
In to FAVOR OF
S That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority,
That it is apparently come ect
On Account of Ap opriation No. Y for
✓L� Disbursing Officer
Allowed 20 ;D n 0
Q
in the sum of o
(D 5
N
(D
x
(D
m
(D
N
0 (D
(Board or Commission)
(D
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(Official Title) D
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