HomeMy WebLinkAbout212673 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 358818 Page 1 of 1
0 ONE CIVIC SQUARE BRENT LIGGETT
CARMEL, INDIANA 46032 1221 IRONWOOD DRIVE CHECK AMOUNT: $125.00
+� CARMEL IN 46033
CHECK NUMBER: 212673
CHECK DATE: 9/1212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356003 REIMB 125 . 00 SAFETY ACCESSORIES
w 1*11d,l" you for shopping at Merrell
Carmel
Merrell Carmel
14405 Clay Terrace Blvd.
Suite 130
Carmel. IN 46032
317-573-0065
9/5/2012 02:37 PM 1001/5/32507
3175098239 .
Regular Sale by 7:Tolbert, Dan
CHAM 4 STRETCH, in BOULDER
J15067 13 M 1 125.00
State: 8.75
Total: 133.75
3 = 133.75
Items Sold: 1
Returns only within 30 days.
Merchandise must be in original
condition.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brent Liggett
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$125.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-560.03 $125.00
I hereby certify that the attached invoice(s), or
I I I
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
Monday, September 10, 2012
i`
Director
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))
09/05/12 Safety boots $125.00
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