211394 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366435 Page 1 of 1
' ONE CIVIC SQUARE JUAN NAVARRETE
CARMEL, INDIANA 46032
CHECK NUMBER: 211394
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356002 257 . 03 UNIFORM ACCESSORIES
Walmart ;'�,.
Save money. Live better.
( 317 ) 783 - 0950
MANAGER DOUG CERMAK
4650 S EMERSON AVE
INDIANAPOLIS IN 46203
ST# 5443 OP# 00000420 TE# 14 TR# 01034
FOL PANT 088530603821 4 X
FOL CREW 088530603885 6.
SUBTOTAL 11 3.88
TAX 1 7.000 %
TOTAL 14.86
DEBIT TEND 14.85
CHANGE DUE 0.00
EFT DEBIT PAY- FROM PRIMARY
14.85 .TOTAL PURCHASE
ACCOUNT # **** **** **** 1137 S
REF # 220700592666
NETWORK ID. 0076 APPR CODE 010344
TERMINAL # 07003148
07/25/12 07:25:05
# ITEMS SOLD 2
TC* 4178 7699 8776 8243 4244
III IIII IIII III I II III I I I I I IIII I I II II I I IIII III
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07/25/12 07:25:07
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C4VNEL,TN 46032
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( 317 ) 844 - 0096
MANAGER LINDSEY MACLEAN
2001 E 151ST ST
CARMEL IN 46033
ST# 1601 OP# 00006424 TE# 14 TR# 02924
HENS SOCKS 007001059078 5.50 O
HN HNG SLD R 001191978219 5.97 0
LOOSE SHORT 471753571063 13.97 0
6PR SOCK 088530607443 5.50 0
LS WORKSHRIT 060764506014 17.97 0
LS WORKSHRIT 060764506014 17.97 0
WORK PANTS 002931106773 19.97 0
WORK PANTS 002931106773 19.97 0
WORK PANTS 002931106775 19.97 0
HENS TEE 007533886941 12.36 0
SUBTOTAL 139.15
TOTAL 3 .15.,
DEBIT TEND 139.15
CHANGE DUE 0.
EFT DEBIT PAY FROM PRIMARY
139.15 TOTAL PURCHASE
ACCOUNT # **** **** **** 1137 S
REF # 220600289499
NETWORK ID. 0076 APPR CODE 357845
TERMINAL # HX005966
07/24/12 10:14:09
# ITEMS SOLD 10
TC# 1984 5130 2331 1370 1912 8
II 111111 1 II I I 111 X11111 11�1 it 1
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and pay with cash at your store.
07/24/12 10:14:10
Visit Us At www,fooilocker.com
STORE: 07769 REGISTER: 004
CASHIER: Jasdeep
ASSOCIATE: 0000('581213
CUSTOMER RECEIPT COPY
BK PURE CADENCE B/RED 96.00
4214044104120 1 @ 120.00
120.00 - 24,00 20% MILITARY #69
Coupon Number 69
SUBTOTAL========`__________=�_�_===�=96,00==
SALES TAX
TOTAL 102.72
* * YOU SAVED 24.00 **
AMOUNT TENDERED
Debit 102,72
ACCT: ************1137
EXP: ******
APPROVAL: 560857
Current Balance: .00
CARD SWIPED
TOTAL-PAYMENT 102.72
SALES TAX ANALYSIS
CODE RATE% TAXABLE TAX
LOCAL 7,000 96.00 6,72
Tran:83063 , 7/24/2012 5:18 PM
07769 FOOT LOCKER
GREENWOOD PARK MALL
1251 US 31 i"
'within 30 days WITH a receipt. ,
Returns WITHOUT a receipt for unworn merchandise
are exchangeable for merchandise or a merchandise
return card in the amount of the lowest selling price for
the last 60 days,which may include special sales
and/or multiple offers.
• There are no fees charged for exchanges,refunds or
returns.
• A copy of the.Return Policy is available upon request.
• Your satisfaction is our concern.
• For questions or comments,call 1-800-991-6682.
FOOT LOCKER PROMISE:
• To give a refund or exchange on unworn merchandise
within 30 days WITH a receipt.
• Returns WITHOUT a receipt for unworn merchandise
are exchangeable for merchandise or a merchandise
return card in the amount of the lowest selling price for
the last 60 days,which may include special sales
and/or multiple offers.
• There are no fees charged for exchanges,refunds or
returns.
• A copy of the Return Policy is available upon request.
• Your satisfaction is our concern.
• For questions or comments,call 1-800-991-6682.
FOOT LOCKER PROMISE:
• To give a refund or exchange on unworn merchandise
within 30 days WITH a receipt.
• Returns WITHOUT a receipt for unworn merchandise
are exchangeable for merchandise or a merchandise
return card in the amount of the lowest selling price for
the last 60 days,which may include special sales
and/or multiple offers.
• There are no fees charged for exchanges,refunds or
returns.
• A copy of the Return Policy is available upon request.
• Your satisfaction is our concern.
• For questions or comments,call 1-800-991-6682.
FOOT LOCKER PROMISE:
• To give a refund or exchange on unworn merchandise
within 30 days WITH a receipt.
• Returns WITHOUT a receipt for unworn merchandise
are exchangeable for merchandise or a merchandise
return card in the amount of the lowest selling price for
the last 60 days,which may include special sales
and/or multiple offers.
• There are no fees charged for exchanges,refunds or
returns.
• A copy of the Return Policy Is available upon request.
• Your satisfaction is our concern.
• For questions or comments,call 1-800-991-6682.
FOOT LOCKER PROMISE:
• To give a refund or exchange on unworn merchandise
within 30 days WITH a receipt.
• Returns WITHOUT a receipt for unworn merchandise
are exchangeable for merchandise or a merchandise
return card in the amount of the lowest selling price for
the last 60 days,which may include special sales
and/or
—cs,refunds or
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))
07/26/12 academy clothing/Navarrete $257.03
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Juan Navarrete
IN SUM OF $
$257.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
1110 43-560.02 $257.03 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
Thursday, July 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund