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212780 09/12/2012 .f CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1 ` ONE CIVIC SQUARE JEFF STEWART CARMEL, INDIANA 46032 C/O STREET DEPT CHECK AMOUNT: $143.78 %+„ ? C/O STREET DEPT CHECK NUMBER: 212780 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238000 143 . 78 SMALL TOOLS & MINOR E v L cu U) (D SEARS CD FISHERS - HDWR 05340 11728 FISHERS CROSSING DR FISHERS, IN 46038-2791 317-841-9173 lco Illi 1I11II��IIII�II Cull) Cn RETAIN `OR CUMPARISON W fl-H MDNTHLY (D STATEMENT OR FOR RETURN OR EXCHANGE SALES(_-FiECK #;k O534O000--949O SHOP YOUR WAY REWARDS X.XXXXXXXXXXX3170 � PURCHASER: CARMEL STREET DEPT Co C/)ADDRESS: 3400 W 131ST STREET (D CITY/STATE: WESTFIELD, IN ZIP CODE: 46074 6�HONE: 317-733-2001 TRANO\PG/STORE RIG# ASSOC# i 9490 97 0`140 900 380 C'6 RINGiki ASSOC # 330 Q) SA L E CD 9 11550 DRILL/URE! Cl-BL19 v88;f UPC: 03328714052,7",� CLUB 71SCOi1PJT (1{ 7.99T- ® 9 11550 DRILL/DRIV CLB 79.881 UP": 1„2,7140527 CI) CLUB )ISCOUNI $ 7.99T-cu SUBTOTAL 143.78 Q) TAX EXEMPT .00 C/) (/CARD TYPE: MASTERCARD (DACCI #: W9247/0 M AUTH CODE: 02844Z/E X08/28/12 MASTERCARD TOTAL 14338 RC: 2019-465)-4100-29191619 L m Q) co You are a BONUS Member Current Points Balance: 8,447 MBase Points arned: 1 ,438 C Bonus Points Earned: 0 (OPoints Expiring 12131,12012 : 3,769 U) CARDHO-DER ACKNOWLEDGES RECEIPT � OF GOODS AND/OR SERVICES IN THE QQ) AMOUNT OF (A $143.78 CD WITH AMOUNTS AS SHOWN CHARGED TO EACH CREDIT CARD IDENTIFIED HEREON, ® AND AGRE-S TO BE BOUND BY THE TERMS SET H RIH IN THE CARDHOLDER'S AGREEMENT(S) WITH THE ISSUERS) OF C THOSE CREDIT CARDS. cu C/) CD SEARS Q) FiARDWARE S'l-OI:ES C VALUE YOUR 1=EEI)BACK TELL US ABOJT YOUR EXPERIENCE AND YOU Cl) COULD WIN A $200 SEARS GIFT CARD. 10 WINNERS -VERY MONTH! PLEASE VISIT (1) . OUR W[BSITE WITHIN 7 DAYS OF THE DATE U) (A OF PURCHASE. DO NOT USE A SEARCH ENGINE. TYPE DIRECTLY INTO THE ADDRESS MBAR AT/THE TOP OF YOUR INTERNET BROWSER: ® THE TOP 0;= YOUR INTERNET BROWS=R: WWW.SEA'RSHARDWAREFEEDBACK.COM _ U) TO COMPLETE THE SURVEY YOU WILL NEED C'D THE 12 DIull SALESCHICK NUMBER ON U) c/) YOUR RECEIPT. (D 0) NO PURCHASE NECESSARY. VOID WHERE Cj PROHIBIill ENTRIES MUST BE ENTERED ° WITHIN 7 DAYS OF DATE OF PURCHASE. o J ENTRANTS MST BE 18 OR 01_DIR TO ENTER. SEE COMPLETE RULES ON WEBSITE. CU k k*k4 4444*k4'k4444 k44 k':{:'1 a'k'k444441 44'k4 040 co SATISFACTION GUARANTEED (D OR YOUR MONEY BACK A REC=IPT DATED WITHIN 90 DAYS (11/26/12) IS REQUIRED TO RETURN MOST PRODUCTS. SOME PRODUCTS MUST JE RETURNED EARLIER. UL)_ OTHER RESTRICTIONS MAY APP!Y. co SEE SEARS.COM OR A STORE FOR DETAILS.O C/) RETURNED PRODUCTS MUST INCLUDE (D ALL PARTS. REFUND WILL BE ISSUED IN CD THE =ORM OF ORIGINAL TENDER. ® IN T:4E EVENT OF A RETURN OF ORIGINAL QUALIFYING MERCHANDISE, °U) REWARD CARD(S) WILL BE DEDUCTED � FROM ANY REFUND AMOUNT. (3) VOUCHER NO. WARRANT NO. ALLOWED 20 Jeff Stewart IN SUM OF $ c/o Carmel Street Department $143.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I I 42-380.001 $143.78 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 Fr d`y, Sp' pt6mber 07, 2012 Street Commis SP Tit{e- 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)) 08/28/12 $143.78 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