169501 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00351599 Page 1 of 1
ONE CIVIC SQUARE KOHL'S DEPARTMENT STORES CHECK AMOUNT: $312.90
CARMEL, INDIANA 46032 N56 W17000 RIDGEWOOD DRIVE
ATTN PURCHASE ORDER REC DEPT CHECK NUMBER: 169501
MENOMONEE FALLS WI 53051
CHECK DATE: 3/4/2009
DEPARTMENT 710' ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 021609 195.56 OTHER EXPENSES
651 5023990 021609 117.34 OTHER EXPENSES
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351599
KOHL'S DEPARTMENT STORES Purchase Order No.
N56 W17000 Ridgewood Drive Terms
Attn: Purchase Order Receivabl Due Date 2/23/2009
Menomonee Falls, WI 53051
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2009 021609 $117.34
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
l,OUCHER 095112 WARRANT ALLOWED
X51599 IN SUM OF
KOHL'S DEPARTMENT STORES
N56 W17000 Ridgewood Drive
Attn: Purchase Order Receivabl
Menomonee Falls, WI 53051
G;armel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members.
PO INV ACCT AMOUNT Audit Trail Code
021609 01- 7200 -07 $117.34
Voucher Total $117.34
Cost distribution ledger classification if
claim paid under vehicle highway fund
MILWAUKEE,WI
02 -16 -09 12:25P 0084/0026/1639/6 1150XXX
ID# 999 9783- 9087 7986- 9915- 7383 -6097
Merchandise 039307738132 31.99 4
Merchandise 052177073271 31.99 4
Merchandise 052177098731 31.99 4
Merchandise 039307604604 31.99 4
Merchandise 039307704854 31.99 4
Merchandise 039307738118 31.99 4
Merchandise 039307738088 31.99 4
Merchandise 083624854822 24.99 4
Merchandise 039307091527 31.99 4
Merchandise 052177204989 31.99
SUBTOTAL 312.90
00031201550010
T1= 0.00 7.0% TAX 0.00
TOTAL 312.90
PO VOUCH 1170 312.90
ITEM IS NOT TAXABLE
P.O. NUMBER:
REMITTANCE TO BE PAID BY CHECK ONLY
KOHL'S DEPARTMENT STORES
N56 W17000 RIDGEWOOD DRIVE
MENOMONEE FALLS, WI 53051
ATTN: PURCHASE OR D R R CEIVABLE DEPT
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THANK YOU FOR SHOPPING AT KOHL'S
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351599
KOHLS DEPARTMENT STORES Purchase Order No.
N56 W17000 Ridgewood Dr. Terms
Attn: Purchase Order Receivabl Due Date 2/23/2009
Menomonee Falls, WI 53051
Invoice Invoice Description
Date Number (or note attached invoice(s) or WIN) Amount
2/23/2009 021609 $195.56
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
JGUCHER 091232 WARRANT,# ALLOWED
351599 IN SUM OF
<OHLS DEPARTMENT STORES
X156 W17000 Ridgewood Dr.
Vin: Purchase Order Receivabl
A- nomonee Falls, WI 53051
7
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
021609 01- 6200 -07 $195.56
0 1
\v
1
Voucher Total $195.56
Cost distribution ledger classification if
claim paid under vehicle highway fund