HomeMy WebLinkAbout171152 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362217 Page 1 of 1
q 0 ONE CIVIC SQUARE Z -COIL CHECK AMOUNT: $197.99
CARMEL, INDIANA 46032 1362 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 171152
1 Q,1 G
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 1509 197.99 SAFETY ACCESSORIES
M
4/912009 2:32 PM Sales Recelpt 01509
Store- 1
z -COIL Pain Relief Footwear
1302 S Ronge Line Rd
Carmel, IN 46032
Bill To. Carmel Street Department
WIII Davis
Cashier: Sysadmin
Item Name Oty Price Exl Prlca
Coto Edmonton 1 $219.99 $218.88
Wide M10.0
Pawerstep Pinnacle 1 $0.00 $0.00
M100 0% 100%
Subtotal: $219.99
10 Disc: $22.oO
Exempt 0 Tax: +$0,00
RECEIPT TOTAL: 1197.99
Account: $197.99
8lgnature
I agree to pay above amount according to card
issuer agreement (merchant agreement
it credit voucner).
Previous Account Balance: $0.00
Account Balance: 3197.99
Total Solos Discounts: $56.99
RETURN POLICY ON Z -COIL FOOTWEAR
1st 14 Days After Purchase. $25.00 re-stocking fee
WIII be applied to cover 1ne costs of Insole
replacement, shoe sanitation
and repackaging.
Shoes not In like-new condition may be assessed a
restocking fee of up to $50,00.
NO RETURNS OR EXCHANGES ON:
FltFlnps; Crocs; Orthotics; Knoty Buys; Aetrex, or
Opened Socks
1509
T00 /T00 z Ydd ZO :LT 60OZ/60/rO
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 1509 $197.99
i
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. WAR NO.
ALLOWED 20
Z -Coil
IN SUM OF
1362 S. Rangeline Road
Carmel, IN 46032
$197.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 1509 43- 560.03 $197.99 I 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
I Frid pril 10, 200
I 11p 4
Street Commis er
Strtlut it el stoner
Cost distribution ledger classification if
claim paid motor vehicle highway fund