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225448 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 00352754 Page 1 of 1 ONE CIVIC SQUARE TED LENZE CARMEL, INDIANA 46032 5575 BUTTONWOOD DRIVE CHECK AMOUNT: $50.90 NOBLESVILLE IN 46060 CHECK NUMBER: 225448 CHECK DATE: 10123/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 50 . 90 REPAIR PARTS ` - \ | Shor line Dr' ciitk to, / ,�sba,lly In Stock R Shippin�g'& Handling Sales ax 7'$0.00 C.urrent.T6ta' l 000 OO Appliance Parts Account Activity Page 1 of 2 CHASE OiASE0 CREDIT CARD (... Account Info Payment Info Current balance $ -----------------------------------------------------------------------------------------..---.------------...............•.......- ------------------------------------------........._.........-....---............... Ultimate Rewards Temporary Authorizations- Trans Date Type Description Amount 10/06/2013 Pending Posted Activity I Since Last Statement Trans Date Post Date Type Description Amount ............................................................---..................................................................................................................................----------------------.....I-- Ej 10/04/2013 10/06/2013 Sale https://cards.chase.com/cc/Account/Activity/334132599 10/7/2013 Account Activity Page 2 of 2 Trans Date Post Date Type Description Amount --......._..........................------------------... --.....................-------.._......................................................... Q 09/30/2013 10/02/2013 Sale DD APPLIANCE PARTS $50.90 Q 09/27/2013 09/29/2013 Sale I https://cards.chase.com/cc/Account/Activity/334132599 10/7/2013 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)) $50.90 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 Ted Lenze IN SUM OF $ $50.90 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 42-370.00 I $50.90 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 OCT 21 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund