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225766 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 363885 Page 1 of 1 ONE CIVIC SQUARE SCOTT CAMPBELL CHECK AMOUNT: $160.00 CARMEL, INDIANA 46032 C/O UTILITIES CHECK NUMBER: 225766 CHECK DATE: 1115/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 110413 100 . 00 OTHER EXPENSES 651 5023990 110413 60 . 00 OTHER EXPENSES Account Activity Page I of 1 CREDIT CARD (... Trans Date Post Date Type Description Amount i 10/18/2013 10/20/2013 Sale NB MERRELL CARMEL $160.00 CARMEL, IN 460320000 US In-person transaction II 0o W ( 0 r aktAitr https://cards.chase.com/cc/Account/Activity/6797252') 10/29/2013 "VI ' ���R 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T2006 CAMPBELL, SCOTT Purchase Order No. Utilities - Meter Reader Terms Due Date 10/29/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/29/201: 110407 $100.00 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 11113 Date Officer VOUCHER # 133211 WARRANT # ALLOWED T2006 IN SUM OF $ CAMPBELL, SCOTT Utilities - Meter Reader Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 110407 01-6200-07 $100.00 f 5p � Voucher Total $100.00 Cost distribution ledger classification if claim paid under vehicle highway fund Account Activity Page 1 of 1 CREDIT CARD (... Trans Date Post Date Type Description Amount v; 10/18/2013 10/20/2013 Sale NB MERRELL CARMEL $160.00 f CARMEL, IN 460320000 US 1 In-person transaction 14405 CLhY ;�kR�;8f_,jO 1 Thank you for shopping at'M2rre4131 Carmel CARFi:L, tN 46Cr;2 Merrell Carmel 31i G'j Oi'65 14405 Clay Terrace Blvd. 3:20,032385 Suite 130 Sale Carmel. IN 46032 ;1:,70i55U66 Ref UU01 317-573-0065 ��: Batch t!: 635 10:03:30 10/18/2013 09:03 AM 1001/24/39853 �' 3175712442 IScott Cambell Regular Sale + ` FIi>pr Go��; t�9a is lnwoiM: PROTERRA MID SPORT G, in CARBON J41879 8.5 M 1 160.00 Subtotal: 160.00 Total: 160.00 160.00 cuntoi0Iti copy - Tliarti Pout .• Items Sold: 1 -_ ;g�: Carmel uti e 0a F"moo %,"�✓'i;g'r. fad 4� Returns only.within 30 days. v�a, tz.,.s�:H: 'twy i y 5�- Merchandise must . . S � � be in original Ak- Y r, ,;� .: condition. d '_'�� - � •' f�_y� ,�:, 'ter..y�r•,�.e '.y�,., 1�t.Y�'' � �'� , p ' 0; '3s6� - 5 � Rs1 -3 � ,.,p 3's`� ' �i`yA�NtNZ�S ".�'-�,r{K'.'.�E/-.yi� �✓ ✓; -��I vl' FY}•,Z'41 �$i�„, F 5y F.J i1z«` 1k.j' *'�'” �,�y�.,. f y!w. -� - .t;,'�r '�✓.,'" F.. - °`.s,#�ay'. �t "5k';+�.3 — - 4•-.,.-A:"?`'..•t:•, ��rr �� ,1 �`•x. ='u�y'''- �"-`�-r�^ar*F'r,•-°•r-`t;��x:sr,`�,"•: �v a�s'..�.-:z%�` 'a`�� �� `'°'",«*ess.� r - :.3�.�.<..-.-' �., .r'!- �5 E', yy�`, ,�, K'sta"-3`-•4ia, '.s`" •y "tea.--..� ?•"X�•il'.`_R•, ..fit ,�,� -, cr.--a. ,,�,. sr https://cards.chase.com/ec/Account/Activity/6797252'3/679725_2'3 = I 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T1041 CAMPBELL, SCOTT Purchase Order No. Utilities- Meter Reader Terms Due Date 10/29/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/29/201: 110413 $60.00 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 ✓f`=- Date Officer VOUCHER # 136680 WARRANT # ALLOWED T1041 IN SUM OF $ CAMPBELL, SCOTT Utilities - Meter Reader Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 110413 01-7200-07 $60.00 � P Voucher Total $60.00 Cost distribution ledger classification if claim paid under vehicle highway fund