HomeMy WebLinkAbout178182 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY
CARMEL, INDIANA 46032 CIO DEPT OF LAW CHECK AMOUNT: $222.01
C/O DEPT OF LAW CHECK NUMBER: 178182
CHECK DATE: 10/14/2009
DEPART A CCOU NT PO NUM BER INV OICE NUMBER A MOUN T DESCRIPTION
1180 4230200 97.99 OFFICE SUPPLIES
1180 4343003 12.92 TRAVEL LODGING
1180 4343004 111.10 TRAVEL PER DIEMS
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0064980816 W183731900016
SOLD TO DOUGLAS HANEY SHIP To DOUGLAS HANEY
13828 SMOKEY RIDGE DRIVE 13828 SMOKEY RIDGE DRIVE
CARMEL, IN 46033 CARMEL, IN 46033
Shipping charges on partial shipments and back orders are prorated so that you pay no additional shipping.
We ship back orders as soon as they're available, and charge credit card orders only when the merchandise ships.
WHSE. LOC QTY. I ITEM DESCRIPTION PRICE EACH TOTAL PRICE
AC04CC01 1 AL7240 SKB Coin Wallet Sky Blue GWP 0.00 0.00
BA06AA05 l AL6610 ES 'NM Leather -Rope. Letter Espresso 68.00 68.OG
BA06AA05 l *AL6610 ES NM Leather Rope, Letter Espresso
1 AL6610 ES IN Leather -Rope, Letter Espresso W /Monogram 74.00 74.00
DCH'
1 *MM1510 3 Initial Monogram general
09/23/09 ''9'0'8A000N9JHlA00A 09/24/09 0001263748 07 01 Net Product 142.00
P H 15.00
Total Shipment 157.00
Amt Charged to MC 00
AC BA
ou r
BOX 7A30 Th oour order Y f Y
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and insured to: Levenger, Returns Department, 3530 E. Raines future purchase f Al
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Pr ibed byState 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.
Douglas C. Haney Payee
13828 Smokey Ridge Drive, Purchase Order No.
C Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
93009 Reimbur e Douglas G. Haney for monies he personally $68.00
expended fur Depanment office supplies per the attached
reGe i pt OrdeF No. W! 83731900016
TOTAL: Total $68 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
il�ualas C. Haney IN SUM OF
13828 Smokey Ridge Drive
Carmel, Indiana 46033
$68.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
420 -30200 Office Supplies
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 $68.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 Q
qqnature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
GENERAL FORM NO. 101 (1986)
CLAIM C
TO
ON ACCOUNT OF APPROPRIATION NO. 3 00 FOR
EDOMETER AUTO MILEAGE
;ADING NATURE OF BUSINESS MILES @a 55
FINISH TRAVELED PER MILE
g
S
4 D
o G io D
0 9 3 8S
C4L-
TOTALS Q
lined by fixed mileage or official highway map.
.ccount is just and correct, that the amount claimed is legally due, after allowing all just credits
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE
(GOVERNMENTA NIT)
(OFFICE, BOARD, D ARTMENT OR INSTITUTION)
�q1 FROM TO I
DA
+16 o POINT POINT STAR
C
O
AUTO LICENSE NO.
SPEEDOMETER READING columns are to be used only when distance between points cannot be deter
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing
and that no part of the same has been paid.
Date
weicume cU:
INDIANA SQUARE GARAGE
Management By:
Denison Parking, Inc.
INSERT BAR CODE LIP
WHEN PRYING AT PRY STATION
Entered:
211119/119/28 111:118
ticket #:01156918919
Dur:65:56
Paid On:
211119/119/28 11:14
Paid:$ 5.00
Original Fee:$ 5.110
CST:$ 11.1111
PST:$ O.h11
Change:$ 11.00
SC:$ h.HIJ
Merchant ID: 011351395
orrrwo- -»**11882 Swiped
Purchase 119/09/28 11:16:26
Seq# POF
Ruth# 001046
0 APPROUED
aki
El 0 0
wORLVWIOE PARKING SOLUTIONS
IBC EEF
MECIROP7
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WORWWInE PARKING SOLUTIONS
K LIE E P IT H Is
McDonald's Corporallon
Apply Online al.
WAI L 96fH SWF{
1NDIANAPOW5, !N 46240-1433
THANK YOU
061H AS KEYSIONE TELP (3l7j580-?795
70 KS013 JO I 11
STORE# 2130"1
]&S MSHIRNCOS MEAl-. 429
I COG D COKE 130
SUB TOTAL 5 19
TAKE OUT IAX 0.53
GA2
CASH TENDERED 10.00
CHANGE ].m
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Douglas C. Haney Payee
Purchase Order No.
13828 Smokey Ridge Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10 -2 -09 Reimburse Douglas C. Haney for monies he personally
expended while on City business:
06 11 09 lMLA Sern'nar in Indianapolis, Indiana $i. G
Parkinq Fees
09 -20 -09 ICLEF /ISBA Meeting in Indianapolis Indiana $11. 42
Lunch and parkin
p er the attached receipts
Total $12.92
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
D_�las C'_ HanPV IN SUM OF
1382$ Smokey Ridge Drive
Carmel, Indiana 46033
$12.92
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -43003 Travel Lodging Non Training
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 $12.92 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
u re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
DOW DEP01
CARMEI_: TN 960
317 571 1300
SALE SIN531 REG001 TRM263
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82'21i'Sul2 M E:WRLS,3000,BLUE 29.99
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1 N 7.0% SALE`_; TAX 2.10
101 Al- 32,09
32.09
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En Espanol
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TF YOU il(iVE ANY Qt.JESTTONS
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STORE MANAGER
Technology Furniture 14 Day Return Policy with Origina ecetp
Your orlglnal race[ t�padkin.__* lip or order confirmation
"Original Recelot rggrrired for all returns or exchanges
of technology and furniture
Technology products may be returned or exchanged within_ 14 days of
purchase with Original Receipt, in original packaging and with UPC code. If
product box is opened, we will offer an Exchange A,15% Restocking
Fee will be applied if box is missing any components. Th% applies to all
technology products including, without limitation: Computers, Monitors,
Cameras, Camcorders, Projectors, GPS, Printers, Copiers, Faxes, Shredders,
Telephones, Wireless Technology, MP3s, TVs, DVD Players, Media,
Accessories, Hard Drives, Peripherals and Software. Opened software may
be exchanged for the same item only.
Furniture in new condition, unassembled, in original packaging, with Original
Receipt and with UPC code may be returned within 14 days of purchase.
Removal of Personal Data on Returned/Exchanged Products
Please remove all personal data from returned /exchanged product. Office
Depot is not responsible for any personal data left in or on a retumed /exchanged
product.
Supplies 30 Day Return Policy With Original Receipt.
Supplies with Original Receipt may returned within 30 days of purchase for a
full refund.
Supplies No Receipt
Returns of supplies without an Original Receipt require valid government
identification. Supplies still active in our computer system will be refunded in
the form of an Office Depot Merchandise Card in an amount equal to the
lowest retail price during the 90 days preceding the return. If that amount is
under $10, however, we will refund in cash.
Catalog and Web Purchases
May be returned /exchanged in accordance with policies above by contacting:
1- 888 -GO -DEPOT (1- 888 463- 3768)or by returning merchandise to any
store with Original Receipt.
Refund Method for Returns with Original Receipt
If You Paid With: Your Refund Will Be: i
Cash or check greater than 10 days ago Cash
Check less than 10 days ago or Office Office Depot Merchandise Card
Depot Gift Card
Credit Card or Debit Card Same Card
Non Refundable
Tech Depot Services are non refundable once services have been
performed.
Special.Order /Custom Items and Manufacturer Direct items cannot be
returned or exchanged unless damaged upon receipt.
Pre -Paid Cards such as Gift Cards and Phone Cards are non refundable,
and cannot be returned or used to purchase other gift cards. Special terms
and conditions are included with each card.
Office Depot reserves the right to amend these terms at any time and to
make exceptions on case -by -case basis.
100% Satisfaction Guarantee
All returns and exchanges must be in original condition and include all
accessories. Office Depot reserves the right to deny any return or exchange
and may request identification as a condition of return or exchange.
Pellev with Original Receint.
We Fix Computers!
No Matter Where You.Bought It!
F•(=e PC Check Up hAng sow PC* to a local
Office Depplyd we will quickly evaluate it
arld
C
POWFormance and securi1q,
*Must have Windows XP Service Pack 2 or
newer. PC check u1 d•!'iecis s�lmpfomF of PC
Issues but does rod impair specific PC
Problem s. LaptUP users are required to briny
a p0ae 'o duri nq,-requLar
1 U i 'e alr`i: j L i m a_
r�e s dr v i s I r, i
at ww (:Clm,'FE
For more it v1sil
www. OFF i cekpoi culTed5eprd Sew ices or ask
an associate for details. Civaildbip during
regular business hows, or visit us online
any jimpja 1 1
l,j
ww. ofr-fceda'-, 1� co./,Fea f.Li",e�/-Pr'checki-iP).
("Original Receipt") Is required
of technology and furniture
Technology products may be returned or exchanged within 14 days of
purchase with Original Receipt, in original packaging and with UPC code. If
product box is opened, we will offer an Exchange Only. A 15% Restocking
Fee will be applied if box is missing any components. This'applies•to all
technology products including, without limitation: Computers, Monitors,
Cameras, Camcorders, Projectors, GPS, Printers, Copiers, Fores, Shredders,
Telephones, Wireless Technology, MP3s, TVs, DVD Players, Media,
Accessories, Hard Drives, Peripherals and Software. Opened software may
be exchanged for the same item only.
Furniture in new condition, unassembled, in original packaging, with Original
Receipt and with UPC code may be returned within 14 days of purchase.
Removal of Personal Data on Returned/Exchanged Products
Please remove all personal data from returned /exchanged product. Office
Depot is not responsible for any personal data left in or on a returned/exchanged
product.
Supplies 30 Day Return Policy With Original Receipt.
Supplies with Original Receipt may returned within 30 days of purchase for a
full refund.
Supplies No Receipt
Returns of supplies without an Original Receipt require valid government
identification. Supplies still active in our computer system will be refuno2d in
the form of an Office Depot Merchandise Card in an amount equal to the
lowest retail price during the 90 days preceding the return. If that amount is
under $10, however, we will refund in cash.
Catalog and Web Purchases
May be returned /exchanged in accordance with policies above by contacting:
1- 888 -GO -DEPOT It- 888 463- 3768)or by returning merchandise to any
store with Original Receipt.
Refund Method for Returns with Original Receipt
If You Paid With: Your Refund Will Be:
Cash or check greater than 10 days ago Cash
Check less than 10 days ago or Office p
Depot Gift Card Office Depot Merchandise Card
Credit Card or Debit Card Same Card
Non-Refundable
Tech Depot Services are non refundable once services have been
performed.
Special Order /Custom Items and Manufacturer Direct items cannot be
returned or exchanged unless damaged upon receipt.
Pre -Paid Cards such as Gift Cards and Phone Cards are non refundable,
and cannot be returned or used to purchase other gift cards. Special terms
and conditions are included with each card.
Office Depot reserves the right to amend these terms at any time and to
make exceptions on case -by -case basis.
100% Satisfaction Guarantee
All returns and exchanges must be in original condition and include all
accessories. Office Depot reserves the right to deny any return or exchange
act identification as a condition of return or exchange.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Douglas C. Haney
Purchase Order No.
.13828 Smokey Ridge Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10 -2 -09 Reimburse Douglas C. Haney for monies he personally 9
expended for Department office supplies per the
attached receipt
TOTAL: Total $32.09
1 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
Clo�.l
!as Hanpy IN SUM OF
13818 Smokey Ridge Drive
Carmel, Indiana 46033
2q
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
420 -30200 Office Supplies
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 bill(s) is (are) true and correct and that the
<21 materials or services itemized thereon for
which charge is made were ordered and
received except
20 0?
ature
e ll
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund