HomeMy WebLinkAbout217945 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 364386 Page 1 of 1
ONE CIVIC SQUARE KURT ANDERSON CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 C/O ENGINEERING
CHECK NUMBER: 217945
CHECK DATE: 3/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 35 . 00 OTHER MISCELLANOUS
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WE:STFIELD, IN 46032
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Val #:000029-960103-861877-497324-708681-451
0490 070 8562 02/25/13 13:30 00344988
SOLUTIONS PI-US 390019***************
5:,67849 8HDSAMGALS3 17.50 r
SiiMSUNG GALAXY S3 HD SCR[EN
8.49 PACK DISC
ITEM 1AX 1 .22
5744116 RF-SGS3H2G 17.50 *
RFM CASE FOR SAMSUNG GALAXY 'S
7,49 PACK DISC
1,01
SUBTOTAL 35.00
SALES TAX AMOUNT
TOTAL 37.15
Associate # 344988
x:.xxxxxxxxxx40 0110W 37,45
KURT M ANDERSON
APPROVAL R7902Z
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Cuestionario en Espanol tamhien
& enter the following codics:
Group A: 499707
Group B: 7408
Group C: 865763
NO PURCHASE NECESSARY. Must be legal
resident of 50 US/DC/PR, 18 or older
(except residents of AL and NE who
must be 19'-3ears of age or older).
2 Drawing Periods:
213113 - 5/4/13 & 5/5/13 - 8/3/13.
Limit 3 entries Per Drawing Period.
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Void where Prohibited.
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"a
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
Kurt Anderson Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
1/0/1900 0 protective case/film for cell phone $ 37.45
Total $ 37.45
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
VOUCHER NC WARRANT NO.
Kurt Anderson ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or
DEPT# INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 0 2200-4239099 $ — 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
2Z&4:j0Y3/11/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund