208590 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 365824 Page 1 of 1
ONE CIVIC SQUARE JON ALVERSON CHECK AMOUNT: $24.64
s s CARMEL, INDIANA 46032 C/O CFD
CHECK NUMBER: 208590
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 24.64 UNIFORMS
4!212012 11 23 AM
Scrubs B evo rid #f 12
C lea nruater Springs
5151 Ea t82nd Street
Indianapolis, IM 46'?50
317- 570-122D
-r, rub_ -andbeyond.co rr
Receipt '159 5
Cate: 4�'Z Str: 012A V4 1
Ass oa: Irnan i C: as hie r: I ma ni
Bill To: ion atuerson
3
ITeotN Ctrs. QTy PRICE EKT PRICE
43757 E655 1 24.54 24.64
8655 CARGOhdENS PANT
B t•J P L Dig: Disc:: 15.01 4;35
C
1 Unitisj Sutdotal: 24.64
71700 `.6 Tax 1,72
RECEIPT TOTAL:
1 Tender: 2rj.35
0
Credit: 20.30 VISA
1111 F 97!9
Re!W: C 0W3C►44 Aut#: O72345
Signature
THANKYOU FORSHOPPING
AT SCRUB S BEYOND
PLESE SAE'E YOUR RECEIPTS
A receipt dat�d withiui3odays
is required for all rehires
exchanges. ID maybe
required. Urnerulundise
insist be new and iuumed.
'Asitm L
lease Complete Our
Custorrer Experience Siuvey
Xkriithin 5 days acid Receive
ov off i ,vuri xtinsbre
purcltiase.
To tial:e o ur siuvey, %isit
w;"v scrubslirik�corn/siu-vey
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))
$24.64
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
VO UCHER NO. WARRANT NO.
ALLOWED 20
Jon Alverson
IN SUM OF
$2 4. 6 4
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I I 43- 560.01 I $24.64 1 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
MAY 7 2017
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund