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215985 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 361329 Page 1 of 1 ONE CIVIC SQUARE CLAY CAMPBELL CHECK AMOUNT: $85.39 2a CARMEL, INDIANA 46032 9003 MAX COURT FISHERS IN 46037 CHECK NUMBER: 215985 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 53 . 36 OTHER EXPENSES 651 5023990 32 . 03 OTHER EXPENSES Shop our Catalogs Contact Us •Sierra Trading Post° S A Sierra Trading Post—IERR•Sierra Trading Post'Woman 5025 Campstool Rd. •Sierra Trading Post'Hot Deals •Sierra Trading Post'Sports&Outdoors • Cheyenne,WY 82007-1898 Sierra Trading Post'Men's Classics T lk AD� q / OT •Sierra Trading Post'Home&Gift Great Deals.Great Brands. Phone: 1.800.713.4534 Fax: 1.800.378.8946 SAVE 35=700/o* Email: Shop Online customerservice @SierraTradingPost.com S i e rraTra d i n g Post.co m Sold to: Clay Campbell Ship to: Clay Campbell Order Number: E16204892 9003 Max Ct 9003 Max Ct Customer Number: 5135326 Fishers, IN 46037 Fishers, IN 46037 Date Printed: 12/13/2012 Page Number 1 of 1 Shipped Via: UPS Ground Thank you for your order. In this shipment.. Quantity UM Item Status Item No./Color/Size Description Amount 1 PR Shippable 4076G-01-47/CHARCOAL/BROLa Sportiva Cascade Gore-Tex®Hikinq Boots-W $89.44 You have saved$100.56 over regular retail prices on this order. You have saved$974.01 over regular retail prices on all prior purchases. THANK YOU FOR PLACING YOUR ORDER WITH SIERRA TRADING POST Please note: For returns on purchases over 6 months old,an eGift Card will be issued. Visit our website at www.SierraTradingPost.com/Returns or call 1-800-713-4534 for more information. Merchandise Total Assembly State Tax Shipping Additional Shipping Adjustment Total Amount $R9 44 $n no $n on $1n qs $n on _$M5 on Ras sg ge Get $10, Invite Friends e - SHARE THE SM 0 N(GSa o Special Offer! �g STP.me/GetlOGive10 Thank You For Shopping With Sierra Trading Post 100% Satisfaction Guaranteed Please Use The Keycode Below and Receive Your satisfaction is important to us. An Additional 20% Discount on Your Next If for any reason you would like to return your purchase,just 3 Orders Over$75 send it back within 6 months for a refund or an exchange(reimbursement is Keycode Expires 2/4/2013 made by original payment method). Excludes All Bikes, Boats, Sporting Optics I After 6 months,your refund will be by merchandise credit. Clearance Items and Other Keycode Offers Call 1.800.713.4534 Need to Return? SierraTradingPost.com Please keep this invoice. Mention this code: See instructions on reverse side. YYY7185U 1_01(B aU[r o ®rr L �Q��ar�gQg It's easy to make a return and order an exchange. Simply choose one of our two methods below. o G3eWnExpress ° SierraTradingPost.com/Re2urnEKpress (For online orders placed in the U.S.within the last 30 days;an online user account is required.) There's no waiting and shipping on your replacement order is $2.95 within the contiguous U.S.A.(excludes AK,HI, and all U.S.territories and possessions).Simply log into your online account,or create an online account at SierraTradingPost.com/ReturnExpress and follow the instructions.You have seven (7)days to use your Return Express credit for an online purchase or exchange. If you would like a refund instead,simply return your item(s) and we will credit your account for the full purchase amount(minus a $5.95 UPS return shipping label fee). 20 Traditional Return or Exchange Return: Simply fill out the form below,select the reason for returning from the code list at right Customer Return Code List and return the item along with this document for a refund or an exchange. Products must Your feedback helps us provide the best possible service and products to our be returned within 6 months of the order date to receive refund by original payment method. customers.Please indicate the reason After 6 months,your refund will be by merchandise credit. for your return by selecting one of the return codes below. Item No./Color/Size Code Additional Comments Circle One Fit 18 Too small Exchange Refund 28 Too large 68 Just doesn't fit Exchange Refund Quality/Color Exchange Refund 34 Do not like color 35 Do not like fabric Exchange Refund 36 Defective(explain below) 71 Shrunk Exchange Refund Service Exchange: 41 Arrived too late 42 Shipped in error You can request an exchange through one of the following methods:using the Return Express 43 Package arrived damaged listed above(recommended for all orders placed within the past 30 days),calling us at 44 Parts missing 1.800.713.4534,or filling out the form below and returning it with your package. 66 Item not in package I have already phoned in an exchange order. # Other Reasons 51 Returning a gift If you prefer to mail in your request,please list desired exchange items below. 54 ordered 2 or more/returning 1 Don't forget to indicate the color(s)and size you prefer. 55 Other(explain below) 70 Not as described(explain below) Item No. Color Alt.Color Description Size Inseam Qty, Additional Comments: ------------------------------------------------------------------------------------------------------------------- Shipping Your Return: From: Please clean any garments and repack items in sturdy packaging. Please include a copy of this invoice.Returns with no invoice require customer number,full name and billing address. Use the UPS label provided in your package ship your return. cover will ; SIERRA return shipping,a$5.95 return shipping fee will be deducted from m your ; refund($9.95 for Alaska,Hawaii and U.S.Territories).There will be additional ; fees for oversize packages or packages originating outside the U.S.A. TRf}DINq 1000 Drop the package off at any UPS drop-off location.Visit www.ups.com and ; Great Deals.Great Brands. select locations tab to find a location near you.If you need to ; use an alternate carrier for the return,use the return address label to RETURNS DEPARTMENT the right and make sure that your package is prepaid and insured. 5025 CAMPSTOOL ROAD COD packages will not be accepted. ; Domestic shipping on your replacement order is$2.95 within CHEYENNE,WY 82007 the contiguous U.S.A.(excludes AK,HI,and all U.S.territories T' and possessions). o UPS and the UPS brandmark are trademarks that are used with permission by the owner, United Parcel Service of America,Inc.All rights reserved ,. ; Account Activity Page 1 of 3 CHASE REWARDS, ..00000000000.. CREDIT CARD (...1371) Posted Activity Since Last Statement • Trans Date Post Date Type Description Amount --------------------------------------------------------------------------------------------------------------- 12/16/2012 12/17/2012 Sale VOGUE NIGHTCLUB $25.00 [—' 12/15/2012 12/1612012 Sale MARATHON OIL 102897 HOPPE $28.00 0 12/15/2012 12/16/2012 Sale VCA CROSS POINTE#299 $16.99 Q 12/15/2012 12/17/2012 Sale BROAD RIPPLE BREWPUB $45.26 Q 12/15/2012 12117/2012 Sale PETCO 293 63502934 $24.06 frl 12/15/2012 12/16/2012 Sale GROUPON INC $15.00 FM 12/15/2012 12/16/2012 Payment Payment Thank You-Web -$3,594.67 Q 12/15/2012 12/17/2012 Sale MOE&JOHNNY'S $20.75 Q 12/14/2012 12/16/2012 Sale KROGER#895 $22.49 Q 12/13/2012 12/14/2012 Sale KROGER#906 $9.99 Q 12/13/2012 12/16/2012 Sale UNITED PACKAGE LIQUOR $19.23 i E71 12/1312012 12/14/2012 Sale SIERRA TRADING POST COM $85.39 800-7134534,WY 820070000 US Online,Mail,or Telephone transaction 12/12/2012 12/13/2012 Sale VCA CROSS POINTE#299 $888.64 R 12/12/2012 12/13/2012 Sale STEIN-MART#0071 $21.38 n 12/12/2012 12/14/2012 Sale KIEM VOONG STYLIST $165.00 i 12/11/2012 12/13/2012 Sale MEIJER INC#154 Q01 $35.00 12/11/2012 12/13/2012 Sale MEIJER INC#154 Q01 $57.04 12/10/2012 12/11/2012 Sale LA FUENTE LLC $32.00 ❑i—` 12/09/2012 12/10/2012 Sale KING CHEF $22.31 © 12/09/2012 12/10/2012 Sale PIZZERIA UNO#761 $69.22 https://cards.chase.com/cc/Account/Activity/308064606 12/18/2012 VOUCHER # 126374 WARRANT # ALLOWED T1005 IN SUM OF $ CAMPBELL, CLAY CARMEL UTILITIES Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 123012 01-7200-07 I� j Voucher Total 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 T1005 CAMPBELL, CLAY Purchase Order No. CARMEL UTILITIES Terms , Due Date 12/31/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/31/201: 123012 $53.36 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 Date Officer Shop our Catalogs k'=a, _ Contact Us •Sierra Trading Post' _ Sierra Trading Post •Sierra Trading Post'Woman n 5025 Campstool Rd. •Sierra Trading Post'Hot Deals `; :.'' f k :-fl <= •Sierra Trading Post Sports&Outdoors • o Cheyenne,WY 82007-1898 Sierra Trading Post'Men's Classics T R1-4D1 /q ID00 •Sierra Trading Post'Home&Gift Great Deals.Great Brands. Phone: 1.800.713.4534 Fax: 1.800.378.8946 Sho i Email: p Onlne 35=70%0 customerservice @SierraTradingPost.com SierraTradingPost.com Sold to: Clay Campbell Ship to: Clay Campbell Order Number: E16204892 9003 Max Ct 9003 Max Ct Customer Number: 5135326 Fishers, IN 46037 Fishers, IN 46037 Date Printed: 12/13/2012 Page Number 1 of 1 Shipped Via: UPS Ground w_.� �;..K. Th ploy OU',ToM1r DLit. order "'.�":':h t i hi merit:: a y y. ,u. r,.L: t sus p.:- :. Quantity UM Item Status Item No./Color/Size Description Amount 1'RS`, PR Shippable i ',4076G=01 47/CHARCOAL/BROLa Sportiva Cascade Gore Text Hikinq Boots W-,,-- $89.44_ ;;.` •;r `= u _ 5 _ You have saved$100 56,over regular,retail pnces on this order. r You have saved$974 01 over regular,retail prices on all prior purchases THANK YOU FOR PLACING YOUR ORDER WITH SIERRA TRADING POST t , d Please note For returns on purchases over 6 months old an eG.ft Card will be`issued ,.. ;. r_ . - Visit our website at www SierraTradrngPost.com/Returns or call 1 800=713 4534 for more information x C� R Merchandise Total Assembly State Tax Shipping Additional Shipping Adjustment Total Amount $84 44 Itn Qn In nn R1n_gri n $15 nn 5,85 I4 ge��x Get $10, Invite Friends SHARE THE SAVINGS! Special Offer! �g STP.me/Get10Givel 0 Thank You For Shopping With __•-.r_.:-. - .._ .. -_ __,___.._p.,...._______._..,.. Sierra Trading Post atisfaetion- eed ' Please Use The Keycode Below and Receive _- Your satisfaction is important to us, An Additional 20 o /o Discount on Your Next If for.any reason',you would like'.to'returp your purchaseJust.:. 3 Orders Over$75 i send it back'within 6 months for.' a refund or an;exchange(`reimbursement is:: Keycode Expires 2/4/2013 _ . made by original.payment-method).a ,, Excludes All Bikes, Boats, Sporting Optics - After 6 months*your:`refund will;be by merchandise credit: Clearance Items and Other Keycode Offers Call 1.800.713.4534 Need to Return? SierraTradingPost.com Please keep this invoice. Mention this code: YYY7185U See instructions on reverse side. Account Activity Page 1 of 3 CHASE P REWARDS. •••¢�.�co $*•• CREDIT CARD(...1371) Posted Activity Since Last Statement T Trans Date Post Date Type Description Amount -------------------------------------------------------------------------------—------------------------------ E] 12/16/2012 12/17/2012 Sale VOGUE NIGHTCLUB $25.00 1211512012 12/16/2012 Sale MARATHON OIL 102897 HOPPE $28.00 12/15/2012 12/16/2012 Sale VCA CROSS POINTE#299 $16.99 12/15/2012 12/17/2012 Sale BROAD RIPPLE BREWPUB $45.26 ! 12/15/2012 12/1712012 Sale PETCO 293 63502934 $24.06 12/15/2012 12/16/2012 Sale GROUPON INC $15.00 I 12/15/2012 12/16/2012 Payment Payment Thank You-Web -$3,594.67 12115/2012 12/17/2012 Sale MOE&JOHNNY'S $20.75 12/14/2012 12/16/2012 Sale KROGER#895 $22.49 ( 12/13/2012 12/14/2012 Sale KROGER#906 $9.99 12/13/2012 12/16/2012 Sale UNITED PACKAGE LIQUOR $19.23 12/13/2012 12/14/2012 Sale SIERRA TRADING POST COM $85.39 800-7134534,WY 820070000 US Online,Mail,or Telephone transaction I 12/12/2012 12/13/2012 Sale VCA CROSS POINTE#299 $888.64 12/12/2012 12/13/2012 Sale STEIN-MART#0071 $21.38 12/12/2012 12/14/2012 Sale KIEM VOONG STYLIST $165.00 [ll 12/11/2012 12/13/2012 Sale MEIJER INC#154 001 $35.00 n 12/11/2012 12/13/2012 Sale MEIJER INC#154 Q01 $57.04 Ej 12/1012012 12/11/2012 Sale LA FUENTE LLC $32.00 'L( 12/09/2012 12/10/2012 Sale KING CHEF $22.31 Rr 12/09/2012 12/10/2012 Sale PIZZERIA UNO#761 $69.22 https://cards.chase.com/cc/Account/Activity/308064606 12/18/2012 VOUCHER # 123155 WARRANT # ALLOWED T1006 IN SUM OF $ CAMPBELL, CLAY CARMEL UTILITIES Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 122912 01-6200-07 r � l ` 53.36 Voucher Total 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 T1006 CAMPBELL, CLAY Purchase Order No. CARMEL UTILITIES Terms Due Date 12/31/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/31/201', 122912 $32.03 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 /Atli Date Officer