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213843 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00350816 Page 1 of 1 ONE CIVIC SQUARE PAUL ARNONE CARMEL, INDIANA 46032 IN CHECK AMOUNT: $145.00 CHECK NUMBER: 213843 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 145 . 00 BOOTS wof��PA /\J 0 IQ z� meiJer S 8375 E.96th 5t. +� Indianapolis, IN 46256-#154 (3177585 2400 mei er.cow The Meijer Team appreciates your- business 10/10/12 Your fast and friendly checkout was provided by Fastlane113 GENERAL MERCHANDISE 72503324909 MEN°S—WORK ROOT. 5555 00 CTS 4070792836 �MLW_5-WORK BO(1T `90:00° CT TOTAL IN 7% Sales Tax 10.15 TOTAL TAX 10.15 TOTAL 155.15 PAYMENTS CASH TENDER 160.00 CASH CHANGE 4.85 NUMBER OF ITEMS 2 See mei,jer.com or the Service Desk for current return policy. IIIIII 111I III 11111 1111iIII11111111111111111111111��III 1 11111111111 A1540U7X68 Tx:10 Op:564 Tm:113 St:154 10:57:39 How are we doing? Rate your shopping Experience and You ' May Win a $1000 in Meijer Gift Cards! Visit us at www.mei,jer.com/ratemeijer or call 1-800-575-1422 User ID:001001542 Password:028401131 Survey should be completed within 72 hrs 01, 7366, o-�- §"rw... a �—a F,c ■ vuvy 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 RAI movies.However,damaged and defective items will be exchanged for an identical item.Animunition,mus`be j returned within 24 hours of purchase. �l 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 maybe 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 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 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 orlwithout•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,beveraggs dnd 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 maybe returned.with or without receipt,provided they are not state approved WIC items.** **We are not able to provide refuntls on�tate'approved WIC items,produce and formula without a receipt verifying tha items ware not nart of a Wlf.transactinn_Returns VOUCHER # 125878 WARRANT # ALLOWED T1043 IN SUM OF $ ARNONE, PAUL CARMEL UTILITIES Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code '7-200 EMP 433 01-7.360-02 $145.00 l Voucher Total $145.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T1043 ARNONE, PAUL Purchase Order No. CARMEL UTILITIES Terms Due Date 10/10/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/10/201: EMP 433 $145.00 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 Date Officer