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Home My WebLink About172623 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362217 Page 1 of 1 ONE CIVIC SQUARE Z -COIL CHECK AMOUNT: $439.98 r a CARMEL, INDIANA 46032 1362 RA 6LINE ROAD CHECK NUMBER: 172623 CHECK DATE: 511312009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT 'DESCRIPTION 2201 4356003 1507 184.79 SAFETY ACCESSORIES 601 5023990 1627 127.20 OTHER EXPENSES 601 5023990 1655 127.99 OTHER EXPENSES x/72009 156 PM" Sales Recei @t #1655 5/11/2009 2:22 PM' Sales Recelpt #1627 Siore 1 Store: oil_ Rai ft Relief Footwear. Z -CoiL Pain Relief Footwear 1362 S Range Line Rd, 1362 S Range Line Rd Carmel, IN'46032 Carmel, IN 46032 BIII To: City of Carmel Water Department BIII To: Carmel Water Department Matthew McNulty Carmef Water Department Cashier: Sysadmin Cashier: Sysadmin Item Name Qty Pric Price Item N ame Qty Price Ext Price Cofra Vancouver 1 $159.99 $159.99 Cota Vancouver 1 $159.00 $159.00 Wide M 10.5 Men's Wide M08.5 Subtotal: $159.99 Subtotal: $159.00 20 Disc: -$32.00 20 Disc: -$31.80 Exempt 0 Tax: $0.00 Exempt 0 Tax: +$0,00 RECEIPT TOTAL: $127.99 RECEIPT TOTAL: '$1 Account: $127.99 Account: $127.20 Sl,gnature _v.1 d'6G Signature ly bovearn.ount"according L -J I agree to pay above amount acc rding to card I agree t to card" issuer agreement (merchant agreement issuer agreement (merchant agreement if credit voucher). if credit voucher). Previous Account Balance: $0.00 Previous Account Balance: $0.00 Account Balance: $127.99 Account Balance: $127.20 Total Sales Discounts: $32.00 Total Sales Discounts: $31.80 RETURN POLICY ON Z -COIL FOOTWEAR RETURN POLICY ON Z -COIL FOOTWEAR 1st 14 Days After Purchase $25.00 re- stocking fee 1st 14 Days After Purchase $25.00 re- stocking fee will be applied to cover the costs of insole will be applied to cover the costs of insole replacement, shoe sanitation replacement, shoe sanitation and repackaging, and repackaging. Shoes not in like -new condition may be assessed a Shoes not in like -new condition may be assessed a restocking fee of up to $50.00. restocking fee of up to $50,00. NO RETURNS OR EXCHANGES ON: NO RETURNS OR EXCHANGES ON: Fit Flops; 1, IBTs; ,Clogs; Orthotics; Knoty Boys; Aetrex; Fit Flops; MBTs; Klogs; Orthotics; KnotyBoys;'Aetrex;. or Opened Socks or'Opened Socks lull 119 �Ifil ll�l .1655 .T. Y 5 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 TZCOI L Z -COIL PAIN RELIEF FOOTWEAR Purchase Order No. 1362 S RANGELINE RD Terms CARMEL, IN 46032 Due Date 5/7/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/7/2009 1627 $127.20 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 s ,F/I Date Officer VOUCHER 091772 WARRANT ALLOWED TZCOIL INSUM OF Z -COIL PAIN RELIEF FOOTWE 1362 S RANGELINE RD CARMEL, IN 46032 ��r 6 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV'# ACCT AMOUNT Audit Trail Code 1627 01- 6200 -06 $127.20 s Voucher Total 0 rj 3,'9 Cost distribution ledger classification if claim paid under vehicle highway fund 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)) 04/09/09 1507 $197.73 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. WARR NO. Z -Coil ALLOWED 20 IN SUM OF 1362 S. Rangeline Road Carmel, IN 46032 $1477 'ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 1507 43- 560.03 $4�� 1 hereby certify that the attached invoice(s), or e W bill(s) is (are) true and correct and that the 7 materials or services itemized thereon for which charge is made were ordered and received except Thurs y, 4 2009 Str t C mission %free��ommiesion Title Cost distribution ledger classification if claim paid motor vehicle highway fund