221900 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00352853 Page 1 of 1
ONE CIVIC SQUARE JIM BLANCHARD CHECK AMOUNT: $59.99
CARMEL, INDIANA 46032 C/O DOGS
CARMEL IN 46032 CHECK NUMBER: 221900
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4344100 234804 59 . 99 CELLULAR PHONE FEES
EQUIPMENT RECEIPT
VERIZON WIRELESS
1950 E Greyhound Pass
Carmel, IN 46033-7730
(317)580-9548
verizonwireless.com
Order Location: M4912 01 #234804
Receive Location: M4912 01
Receipt Date/Time: 06/27/2013 10:35 ET
Register: 03 thomi18 - EIOLL
Pmt 1 of 1
Retail Your
Price Price
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CHG UNIV MOPHIE $79.99 $59.99
38252VZR
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Total Taxes Fees: $0.00
4otal : $59.99
Total ;Sav'ings: $20.00
This Payment: $59.99
—Payment Met.h.od:
Signature:
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Customer Recycling Disclosure
-----------------------------------------
Electronic waste should be recycled or
disposed of properly. Contact
"http://www.in.gov/recycle/" or call
800-988-7901 .
-----------------------------
Return Policy
New and Certified�Pre-Owmerchandise
items may only,�be returned or exchanged
within 14�days (07/11/2013). You are
permitted ;f-6 make one exchange.
SO;; w.com/returnpolicy for
complete details.
Thank You!
M i I S M 451 201000204004
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Blanchard
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$59.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS +
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 I 234804 I 43-441.00 I $59.99 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
Thursday, July 11, 2013
i
Uir4ctor
Title
Cost distribution ledger classification if
claim paid motor 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 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))
06/27/13 I 234804 I I $59.99
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