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208287 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 357166 Page 1 of 1 ONE CIVIC SQUARE GANDER MOUNTAIN CARMEL, INDIANA 46032 CHECK AMOUNT: $139.99 ATTN SALES AUDIT JOANNE H 180 EAST FIFTH STREET STE 1300 CHECK NUMBER: 208287 ST PAUL MN 55101 CHECK DATE: 4125/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 272116731 139.99 OTHER EXPENSES Gander Mountain Store Location: Castleton, IN If your records show this been paid, please fax a copy of the check (front back) using the contact information below so we can locate your payment. Thank you. AMOUNT Purchase 3/21/2012 See attached for itemization 139.99 Purchaser, if given: Chad Zapf Please include all invoice numbers with your remittance when paying multiple invoices. If you need additional documentation, please call the number below to indicate what you need. Please forward questions or information to: JoAnne Hannula 651 325 -4519 or 1- 888- 9GANDER ext. 4519 Fax: 651 325 -2043 JoAnne .Hannula @GanderMountain.com (Please use fax cover sheet) Transaction Detail Hierarchy Gander Mountain Gander Mountain Gander Mountain Region 1 Young Dist 4 Miller 00272 Indianapolis IN Register 011 Transaction Transaction Number:002720116731 Date: 03/21/2012 Tirne:02:32 CDT Type:Sale Employee Name:527288 Employee ID:10014 Items Sold Rocky Ironclad 61n 1 139.99 0.00 139.99 E PT:Dark Brown: 10 M 10465103 Totals 139.99 0.00 0.00 1.00 139.99 Tenders Applied PRCH 139.99 Confidential Page 74 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 357166 Gander Mountain Purchase Order No. Attn: SALES AUDIT JOANNE H Terms 180 E. Fifth Street Ste 1300 Due Date 4/17/2012 St. Paul, MN 55101 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/17/2012 272 -11 -6731 $139.99 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 __4 Date 6i VOUCHER 114318 WARRANT ALLOWED 357166 IN SUM OF Gander Mountain Attn: SALES AUDIT JOANNE H 180 E. Fifth Street Ste 1300 St. Paul, MN 55101 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 272 -11 -6731 01- 6200 -06 $139.99 Voucher Total $139.99 Cost distribution ledger classification if claim paid under vehicle highway fund