HomeMy WebLinkAbout177186 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 083900 Page 1 of 1
ONE CIVIC SQUARE JOHN R. ELLIOTT CHECK AMOUNT: $23.99
CARMEL, INDIANA 46032 3041 E CURRY LANE
a s� CARMEL IN 46032 CHECK NUMBER: 177186
CHECK DATE: 9/15/2009
DEP ACCOUN PO NUMBER I NUMBER AMOUNT DESCRIPTION
1110 4239099 23.99 OTHER MISCELLANOUS
FRY'S ELECTRONICS Customer Copy INVOICE 2628323
Store #43 Fishers INVOICE CUSTOMER 25955516
9820 Kincaid Drive REGISTER 19
Fishers, IN 46038 PAGE
PHONE.: (317) 594` -3101 Theibert,.Ashle E. 134009
FAX:::. (.3!17) 594-3 Sat Aug:.2'9 1 >5y05:03 2009
CUSTOMER BILLING: INFORMATION CUSTOMER. SHIPPING :INFORMATION
nancy heck,:: nancy heck
CITY OF.CARMEL CITY OF CARMEL
one civic square one civic square
indianapolis, IN 46032 indianapolis, IN 46032
VOICE: (317) 571 -2494 Ext: VOICE: (337) 571 -2494 Ext:
FAX: Ext: FAX: Ext:
RESALE INFORMATION,
'00312.01550020
�il,INEJ PRODUCT CODE PLU ^IFEM'DESCRIPTION Unit Price I Adjustments Net Price Quantity[ Ext Price SALES ASSOCIATE(s)
I I
1 1 672792500305 1 32373711 Togear 6 -6 Cable 10 1 23.99 j 0.00 1 23.99 1 1 23.99 1
Iogear, 1394 6.6:Cable.l0._
IEEE1394 /Firewire /:iLink NONTAXABLE RESALE
'10 €t. 6 i to 6.. Pin.
G2L,13946 -10 �I
I i
ITEM COUNT: 1
Invoice Subtotal: 23.99
Sales Tax 7 0.00
INVOICE TOTAL. 2
MASTER CARD 23.99 I AGREE TO PAY THIS TOTAL AMOUNT
Acct: xxxxxxx_xxxxx5762 ACCORDING TO CARD ISSUER AGREEMENT.
Holder: ELLIOTT /JOHN R
07434.0 04009356 X
Merchant: 172191`050993 "'F4" M2 ELLIOTT/JOHN Ri Signature'
Q I hereby certify that 1 hold a valid seller's:permitand the steps
TOTAL TENDER: 99 listed on this invoice purchased from Fryea Electronic, Inc.
will be resold by me in the regular course of our business.
X
CHANGE 0.00 nancy heck Signature
Continued on Next Page
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
John R. Elliott Purchase Order No.
3041 E. Curry Lane Terms
Carmel, IN 46033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/29/09 reimburse John Elliott for cable 23.99
Total
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 2Q
John R. Elliott
IN SUM OF
3041 E. Curry Lane
Carmel, IN 46033
23,99
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT_ I hereby certify that the attached invoice(s), or
1110 390 -99 23.99 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
September 2 20 09
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund