HomeMy WebLinkAbout180107 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $68.00
s ?o CARMEL, INDIANA 46032 C/O DEPT OF LAW
a o C/O DEPT OF LAW CHECK NUMBER: 180107
CHECK DATE: 12/8/2009
DE ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4230200 68.00 OFFICE SUPPLIES
Receipt Page 1 of 1
Confirmation Thank you for placing your order DOUGLAS HANEY.
Order Number: W1837319 You will receive an email confirmation shortly.
Your Billing Address: Ship By Product Total $142.00
DOUGLAS HANEY USPS /SmartPost Sales Tax $0.00
13828 SMOKEY RIDGE
DRIVE Shipping $15.00
CARMEL, IN 46033
317- 571 -2472 Grand Total $157.00
dteck31 @earthlink.net
Payment:
Credit Card: $157.00
Ship To: Me Product Qty Each Total
Shipping Address:
DOUGLAS HANEY
13828 SMOKEY RIDGE
DRIVE
CARMEL, IN 46033
317 571 -2472
I Leather -Rope, Letter Espresso 1 $68.00 $68.00
ITEM: AL6610 ES NM
Item:AL7240 SKB
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https: /www.levenger.com/ shop /Cart/Receipt.asp ?amount 157.00 9/23/2009
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))
12 -7 -09 Reimburse Douglas C. Haney for monies he personally $68.00
expended for Departmental office supplies per the
attached receipt on Irma ion Urder Number VV1 831319)
TOTAL: Total $68.00
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
Dduglas 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 Confirmation Order 68.00 bill(s) is (are) true and correct and that the
o. W1837319 materials or services itemized thereon for
which charge is made were ordered and
received except
20
ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund