159383 05/15/2008DEPARTMENT
1160
CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
VENDOR: 00350224
NANCY HECK
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
Page 1 of 1
CHECK AMOUNT: $80.65
CHECK NUMBER: 159383
CHECK DATE: 5/14/2008
4230200 80.65 OFFICE SUPPLIES
04 29 -08 8:110 0084/0005/3148/1 1812XXX
ICI# 999 -9570- 9179- 8844 9915 -9468 -5201
LUGGAGE
0031201550
T1= 0.00
�uu
ICQNtS
f k, 230a00
Westfield i lase P ark Pla-a
Carmel, IN 46033
(317) 844 -3996
047505294114
SUBTOTAL
7.04 TAX
TOTAL
88888XXXXXXX
PPROVED 029078
ITEM 1S NOT TAXABLE
Rdlot
I�
66_9911
66,99
0.00
66 99
66.99
THANK YOU FOR SHOPPING AT KOHL'S
u
7_,e2\m 6rvx koAL
k01
atvi
46.
2/230206
111111111ll III IHI ICIIIIi IIIIIVIII
IARACDXQACDA*
H ri ccsck Fabr d C:. 2X 1 430
1635 E 116TH STREET
CARMEL
IN 46032 1- 317 571 -9594
*?h3 *KX ***7fR?i ii.xff.a y >li *-Y:
QTY ITEM PRICE TOTAL
1.000 002103968 $0.35 $0.35N
SPLLO O RIBBON 24 1261 WHITE
Original Price: $0.50
On Sale! New i Off Price
0.333 000881141 $9.99 $3.33N
WARM &WHT90 "X20YD B 2511H
On Sale! New Dollar Amount
0.222 000/89701 $15.99 $3.55N
1.5HD 2824830 2 "829 "830'
On Sale! New Dollar Amount
0,222 000189701 $15.99 $3.55N
1.5HD 2824830 2 4 '824 '830'
On Sale! New Dollar Amount
0.361 000189696 $7.99 $2.88N
1.5HD 1824860 1 "824 "8 60'
Reason: GOVERNMENT
On Sale! New Dollar Amount
Sub Total
Tax Amount
Total:
iffiAMO
Acct *o *x5 *S0
Auth03033B
III
II
Tax Exempt
Tax ID 003120155002GOVERNMENT
$13 66
$0.00
$13.66
$13.66
E 24 T 2642 S R 02 4/30/08 9:55
III III,
For Exempt Organization:
The undersigned hereb;l certifies tit
the merchandise being purchased is to he
used or consumed in connection with th,
operation of the exempt institution or
a9encw named in the space provided below
and that the consideration For this
purchase moves from the funds of the
designated institution or agency.
Name/Address-
Payee
Nancy Heck
Purchase Order No.
1326 Cool Creek Drive
Terms
Carmel IN 46033
Date Due
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
4/29/08
Receipt
Project computer equipment case
$66.99
$13.66
4/30/08
Receipt
Supplies for case
Total
P80 -65
Erescribed'y State Board of Accounts
5/12/08
20
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.
Clerk- Treasurer
City Form No. 20t (Rev. 1995)
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.
VOUCHER NO. WARRANT NO.
5/12/08
Nancy Heck
Car,el IN 46033
ON ACCOUNT OF APPROPRIATION FOR
Office Supplies
INVOICE NO.
Receipt
Receipt
ACCT #/TITLE
4230200
4230200
$66.99
PO# or
DEPT.
1326 Cool Creek Drive
80.65
1160 Mayors 4230200
Cost distribution ledger classification if
claim paid motor vehicle highway fund
AMOUNT
$13.66
ALLOWED 20
IN SUM OF
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
Title
Board Members