206482 02/14/2012 CITY OF CARMEL INDIANA VENDOR: 00350735 Page 1 of 1
ONE CIVIC SQUARE BOB VANVOORST
CARMEL, INDIANA 46032 23402 MULE BARN ROAD
SHERIDAN IN 46069 CHECK AMOUNT: $24.92
i
CHECK NUMBER: 206482
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 REIMBUR 24.92 REPAIR PARTS
Payment Due Date New Balance Past Due Amount Minimum Payment
12/05/11 $
Make your check payable to:
Chase Card Services.
Please write amount enclosed.
New address or e-mail? Print on back.
42668410825258800000480000233682000000000000005
ROBERT J 3 1211 VANVOORST II 1' 1 1�11I I I II111 'Jill 1'1I111"11 J Jill 1111111'
LEANNA K VANVOORST
23402 MULEBARN RD CARDMEMBER SERVICE
SHERIDAN IN 46069 -8718 PO BOX 94014
PALATINE IL 60094 -4014
CHASED
free Manage your account online: Customer Service Additional contact
www.chase.com/creditcards 1-800 -945 -2000 information on back
ACCOUNT SUMMARY PAYMENT INFORMATION
Account Number: New Balance $
payment
$78 3 years $2,807
(Savings $1,172)
If you would like information about credit counseling services, call
1 -866- 797 -2885.
CHASE FREEDOM REWARDS SUMMARY
Previous Points Balance
As a Chase Checking sM customer, you earn more cash back for all your spending! You get 1 point for every $1 you spend, plus
you will receive 10% bonus points per $1 spent and 10 bonus points on every purchase. Redeeming your points for cash back is
easy! You can receive a check, statement credit, or even direct deposit into your Chase Checking account.
ACCOUNT ACTIVITY
Date of
Transaction Merchant Name or Transaction Description Amount
PAYMENTS AND OTHER CREDITS
10/17
oruar_uecoc
I
CHASE FREEDOM REWARDS SUMMARY v.
Previous Points Balance
As a Chase Checking sM customer, you earn more cash back for all your spending! You get 1 point for every $1 you spend, plus
you will receive 10% bonus points per $1 spent and 10 bonus points on every purchase. Redeeming your points for cash back is
easy! You can receive a check, statement credit, or even direct deposit into your Chase Checking account.
ACCOUNT ACTIVITY
Date of
Transaction Merchant Name or Transaction Description Amount
PAYMENTS AND O THER CRE DITS
10/07 SS *IGLOO CNSMR SVC 800 364 -5566 CT 24.92
This Statement is a Facsimile Not an original
0000001 FIS33338 C 1 000 N Z 08 11/11/08 Page 1 of 2 00225 MA MA 22920 31210000010002292001
v naio iwgi.;naR
Igloo Online Store 20 CONSTITUTION BLVD S
SHELTON CT 06484
ACCOUNT ORD.# SHIP TO:
BILL TO: 0151751963 W843325800019
ROBERT VANVOORST
ROBERT VANVOORST
23402 MULEBARN RD
23402 MULEBARN RD SHERIDAN, IN 46069 -8718
SHERIDAN, IN 46069 -8718
iii;, o a o e o
MOM
GT17CCO3 3 IGL 9590 Beverage Cooler Spigot 1, 2, 3, 5, 10 Gallon5.99 17.97
11�
Our Return Policy
Not what you were expecting? Returns are easy and convenient. You may return your purchase within 30 days of purchase for a refund or exchange. Just fill
out the return information below and send it back to us in new condition. Before completing the return information, please refer to any special item specific
return policies printed underneath the product on your pack slip or in the area below in the lower right hand corner as certain items are not returnable or have
specific restrictions and limitations. You will receive your credit within 7 -10 business days. Shipping charges are not refundable. Send your package via a
traceable method. We are not responsible if there is no proof that the product was delivered to us: Returns Department, 20 Constitution Blvd South,
Shelton, CT 06484.
Return for Refund Return for Exchange Reason:
Item(s) Being Returned:
Exchange For Item(s):
FORM NO. BLUE PL -MAX2L (09109)
j Net
P H f 17.97
Total 6.95
i Amt C1 24.92
24.92
i
10/06/11 IG;
Thank You fo /11 00 02378077 06 08
iloo Products!
Our Website is, 1
ts store.co
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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))
$24.92
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
Bob VanVoorst
IN SUM OF
$24.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 I I 42- 370.00 I $24.92 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
FE B �n9�
0
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund