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220604 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1 ` ONE CIVIC SQUARE KEITH FREER CHECK AMOUNT: $309.00 CARMEL, INDIANA 46032 1413 N.FAIRVIEW STREET °+ o� ALEXANDRIA IN 46001 CHECK NUMBER: 220604 CHECK DATE: 6/4/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 309 . 00 OTHER EXPENSES Discover Card: Printable Recent Activity Page 1 of 1 KEITH T FREER I Acct.Ending 2805 ®ICf �/��' 1413 N FAIRVIEW AVE,ALEXANDRIA, IN 46001-8176 CARD V (765)724-9014 Recent Activity Since May 3, 2013 Please allow 1-3 days for payments to appear on your account. Pending Transactions You have no new pending transactions. About Pending Transactions: Pending transactions are transactions that have been deducted from your available credit but have not yet posted to your account. Transactions may take up to three calendar days to post. Pending descriptions and amounts may differ once posted due to merchants sending authorization requests before the final purchase amount is known. This commonly occurs with hotel, restaurant, gas station or car rental transactions. Transactions cannot be disputed until they post to your account. Recent Transactions Trans. Date. Post Date Description Amount Category ❑05/23/13 05/23/13 MEIJER#130 CARMEL IN $ 27.29 Supermarkets ❑05/23/13 05/23/13 WAL-MART SC-#1601 CARMEL IN $ 281.71 Merchandise El 05/22/13 05/22/13 NATURALIZER ONLINE ST LOUIS MO $ 54.56 Merchandise ❑05/10/13 05/10/13 TLF LEMONS FLORIST INC $ 37.44 Merchandise RICHMOND IN ©2012 Discover Bank, Member FDIC. https://www.discovercard.com/cardmembersvcs/statements/app/ctd?printOption=transactio... 5/31/2013 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)) Supplies for Open House $281.71 Supplies for Open House $27.29 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 Keith Freer IN SUM OF $ $309.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 120-851.00 $281.71 1 hereby certify that the attached invoice(s), or 1120 120-851.00 $27.29 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 JUN 0 3 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund