211620 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 357174 Page 1 of 1
ONE CIVIC SQUARE RICHARD ALVAREZ CHECK AMOUNT: $70.00
CARMEL, INDIANA 46032 9562 WINDBREAK COURT
u�.du FISHERS IN 46037 CHECK NUMBER: 211620
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356003 70 . 00 SAFETY ACCESSORIES
L
HI@n SmnGeNs
o meiier
W.Carmel Dr.
Carmel, IN-#130
(317)573-8300 meijer.com
A Tlhe'Meljer Team appreciates your business
08/09/12
Your fast and friendly checkout was
provided by DOMINEE
GENERAL MERCHAN ISE
72503327418 MENS SHOES 70.00 CT
TOTAL
IN.7%.Sal es-Tax 4.90
TOTAL TAX 4.90
TOTAL •74.90
PAYMENTS
Electronic Check. TENDER 74.90
NUMBER OF ITEMS 1
ELECTRONIC CHECK
When you pay by check, you authorize us to
use its information to process an -
Electronic Funds Transfer (EFT) or a draft
drawn on your account, or to process the
payment as a check. If payment is returned
unpaid, you authorize collection of your
payment and the Return Fee below by EFT(s)
or draft(s) drawn on your account.
Call TeleCheck at 800-697-9263 with
any-questions.
RETURN FEE AMOUNT 20.00
MERCI-IANT--NUMBER=� 36070130--- -" -
,-J C"TRACE ID 1400310000007618356141
CHECK NUMBER 4820
APPROVAL CODE 1806
See meijer.com or the Service Desk for
current return policy.
,,.. II II I IIII IIIII II III II I III II I II IIIII I I I I I IIIIII
A013003UX46VADS
Tx AO Op:2015016 Tm:18 St:130 13:25:25
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Visit us at
www.meijer.com/ratemeijer
or call 1-888-634-5371
User ID:004001305
Password:022200182
Survey should be completed within 72 hrs
lVA.— - - le hr's
We stand behind our name,any productwith the"Meijer"
brand may be returned with or without a receipt,provided
they are not state approved WIC items.**
**We are not able to provide refunds on state approved
WIC items,produce and formula without•a receipt verifying
the items were not part of a WIC transaction.Returns
without receipt are subjectto lowest sale price.
Return & Exchange.Policy
Meijer honors General Merchandise returns within 90 days
from date of purchase and when accompanied with receipt.
After 90 days,manufacturer's warranty applies.For computer,
and electronic items returns.musi be made within 30 days.
We cannot refund alcoholic beverages and opened packages
of glucose blood monitors,collectorsports cards,music and
movies.However,damaged and defective items will be
exchanged for an identical item.Ammunition must be
returned within 24 hours of purchase. ,
We accept returned food items with or without a receipt
including meat,seafood,deli,grocery,dairy and frozen,
provided they are not state approved WIC items.**
We stand behind our name,any productwith the"Meijer"
brand may be returned with or without a receipt,provided
they are not state approved WIC items.**
**We are not able to provide refunds on state approved'
WIC items,produce and formula without a receipt verifying
the items were not part of a WIC transaction.Returns
without receipt are subject to lowest sale price.
Return & Exchange Policy
Meijer honors General Merchandise returns within 90 days
from date of purchase and when accompanied with receipt.
After 90 days,manufacturer's warranty applies.For computer'
and electronic items returns must be made within 30 days.
We cannot refund alcoholic beverages and opened packages
of glucose blood monitors,collectorsports cards,music and -
movies.However,damaged and defective items will be
exchanged for an identical item.Ammunition must be
returned within 24 hours of purchase.
We accept returned food items with or without a receipt
including meat,seafood,deli,grocery,dairy and frozen,
provided they are not state approved WIC items.**.
We stand behind our name,any product with the"Meijer"
brand may be returned with or without a receipt,provided
they are not state approved WIC items.**
**We are not able to provide refunds on state approved
WIC items,produce and formula without a'receipt verifying
the items were,not part of a WIC transaction.Returns
without receipt are subject to lowest sale price:
Return & Exchange Policy
Meijer honors General Merchandise returns within 90 days
from date of purchase and when accompanied with receipt.
After 90 days,manufacturer's warranty applies.For computer
and electronic items returns must be made within 30 days.
We cannot refund alcoholic beverages and opened,packages
of glucose blood monitors,collector sports cards,music and
movies.However,damaged and defective items will be
exchanged for an identical item.Ammunition must be
returned within 24 hours,of purchase.
We accept returned food items with or without a receipt
including meat,seafood,deli airy and frozen,
provided they are not'state;approved WIC items.*
We stand behind our name,any productwith the"Meijer"
brand may be returned with or without a receipt,provided
they are not state approved WIC items.**
**We are not able to provide refunds on state approved
WIC items,produce and formula without a receipt verifying
the items were not part ofa WIC transaction.Returns
without receipt are subjectto lowest sale price.
Return'&"Eiicha'nge Policy
Meijer honors General Merchandise returns within 90 days
from date of purchase and when accompanied with receipt
a s,manufacturer's warranty applies.For comply
VOUCHER NO. WARRANT NO.
ALLOWED 20
R. Edward Alvarez
IN SUM OF $
9562 Windbreak Court
Fishers, IN 46037
$70.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-560.03 $70.00 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
Friday, August 10, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor 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))
08/09/12 safety boots $70.00
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