219801 05/07/2013i
a *f CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
ONE CIVIC SQUARE BARBARA LAMB
CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $28.33
CARMEL IN 46032 CHECK NUMBER: 219801
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4239099 28 .33 OTHER MISCELLANOUS
Westfield Village Park Plaza
Carmel, IN 46033
(317) 844-3996
W05-04-13 9:44A 0084/0001/9858/8 2215XXX
�I04, 999-9495-8690-5557-9915-9801-4116
!}CLOCKS 083934401044 * 17.99 T1
ItemPrice 39.99 YouSave 22.00
CLOCKS . 072397751681 * 22.49 T1
IfemPrice 49.99 YouSave 27.50
SUBTOTAL 40.48
a% TRANSACTION DISCOUNT 30% 12.15-
T1= 28.33 @ 7.0% TAX -4=%YS
TOTAL $30.31
0.31
APPROVED 064311
V
L SHED: $61 .65
THANK 0 FOR SHOPPING AT KO 'S
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THIS PURCHASE IS SUBJECT TO THE
TERMS/CONDITIONS FOUND IN LEGAL NOTICES
AT KOHLS,COM.
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))
05/04/13 586905557991598 Reimbursement-Clocks
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lamb, Barb
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 1 58690555799159] 42-390.99 I $30.31 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
Monday, May 06, 2013
w
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund