226810 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 365455 Page 1 of 1
ONE CIVIC SQUARE BRYON SINN CHECK AMOUNT: $144.98
CARMEL, INDIANA 46032
CHECK NUMBER: 226810
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 90 . 61 OTHER EXPENSES
651 5023990 54 . 37 OTHER EXPENSES
a
I
- DICK ' S SPORTING GOODS
j Gal'pw I , IN
(317) 818--3467
Westfield Village Park Plaza 11/25/13 07:56 PM [[
Carmel, IN 46033 RECEIPT EXPIRES ON 02/23114
(317) 844-3996
11-25-13 8:33P 0089/0028/0679/3 2350;{XX S-00183 R-1 T-1829 A-0110470-SALE
ID# 999-8874-8679-6686-9915-7193-2052 /
MN CASUAL SHOE 88457306957$ 34.99 Your assooiate today is�.'S.rzann
Item?rice 70.00 YouSave 35.01 f t A!_-E
s
SUBTOTAL 34,9y
T1= 0,00 @ 7,Oi TAX i Customer COPY
0.00
TOTAL $3q,99
CASH .
40.00
CHANGE 5.01- j 018464 52' 411 T1 IEI�Mi)GNAI!6 1Ct9.99 fJ
TOTAL SAVED, $35,01 f' ITEM TOTAL
109.99
/ � 109.99
THANK YOU FO( SHOPPING AT- KOHL'S SUBTOTAL 109 . 99
--:� i
# ITEM IS NOT TAXABLE TOTAL �^
i
TAX EXEMPT #PK7X4 110.00
IIIIIIIIIIIIII
CASH
CHANGE DUE
IIIIIIIIIIIIII
IIIIIIIIIIIIII
IIIIIIIIIIIIII
IIIIIIIIIIIIII�
III
Get rewarded for shopping!
Introducing Kohl 's Rewards. N
Earn Points on every Purchase. YG
Get a $5 Reward for every 100 `I �✓��
See store or KohlsRewards.com forodetails.
Terms
PURCHASE oIS1SUBJECTPTOy
THIS THE
TERMS/CONDITIONS FOUND IN LEGAL NOTICES CIfY OF CAPMEL., •L
AT KOHLS.COM, Q17)
23.2-2339 5
Illlllllli �
Illlllll�illl
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1001830011829112513014
Get Your ScoreCard_t oJayi.. ..
It's FREE! Score one-potrtt, for every
mercl jai�ci t st: pin-chased
300-points :=,$10 .Reav. -
Visit Myl?icksSpor:tit,i9Goodn._r;Qm or ,More
i of ormat i on; ;
VOUCHER # 133467 WARRANT # ALLOWED
T9940 IN SUM OF $
SINN, BRYAN
Carmel Utilities
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
120213 01-6200-07 $90.61
Q
Voucher Total $90.61
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
T9940
SINN, BRYAN Purchase Order No.
Carmel Utilities Terms
Due Date 11/26/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201: 120213 $90.61
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
Date Officer
Westfield Village Park Plaza
Carmel, -IN 46033
(317) 844-3996
11-25-13 8:33P - 0084/0028/0679/3 23SOXXX
ID# 999-8874-8679-6686-9915-7193-2052
MN CASUAL SHOE 884573069578 + 34.99 1t
Item?rice 70.00 YouSave 35.01
SUBTOTAL 34.99
T1= 0.00 @ 7.0% TAX 0.00
TOTAL
CASH 40.00
CHANGE 5.01-
/
TOTALAVED. $35,O1 THANK YOU FO ING AT OHL'S
4 ITEM IS NOT TAXABLE
(III I I IIIIIIIII III IIII I I I I III II IIII IIIIIIIIIIIIIIIII
Get rewarded for shopping!
Introducing Kohl's Rewards.
Earn Points on every Purchase.
Get .a $5 Reward for every 100 Points.
See store or KohlsRewards.com for details.
Terms and conditions apply..
THIS PURCHASE IS SUBJECT TO'THE
TERMS/CONDITIONS FOUND IN LEGAL NOTICES
AT KOHLS.COM.
HASSLE-FREE RE?URNS
RETURN ANY ITEM,ANYTIME, FOR ANY REASON.
DO YOU HAVE YOUR RECEIPT?
You'll get a full refund or even exchange.
If you have a gift receipt,you'll get an
even exchange or a.Merchandise Credit.
NO RECEIPT? NO PROBLEM!
If ybu paid with a Kohl's Charge or any other major
credit card,we can look up your purch9se and give
you a full refund or everi exchange.
Otherwise,.you'll get an even exchange
or a Merchandise Credit.
DID YOU PAY WITH A•CHECK OR DEBIT CARD?
You'll get cash,a Merchandise Credit
or a corporate refund.
We may ask for a valid form of.ID.
When paying by check,you authorize us.to use
information from your check to make a one-time
electronic fund transfer from your account or to
process the payment as a.chec*transaction.
For inquiries,please call 1-800-564-5740.
WE-DO PRICE ADJUSTMENTS!
If something you purchased goes on sal6,
bring it back with the receipt within 14 days
and we'll give it to you for the sale price.
HASSLE-FREE RETURNS
RETURN ANY ITEM,ANYTIME,'FOR ANY REASON.
DO YOU HAVE YOUR RECEIPT?
You'll get a full refund or even exchange.
If you have a gift receipt,you'll get an
even exchange or a Merchandise Credit.
�� Mo RGr`M1DT7 I\I('1 DMnrll GAAI
DICK ' S SPORTING GOODS
Carnwl . IN
(317) 818-3467
11/25/13 07:56 PM
RECEIPT EXPIRES ON 02/23/14
S-00183 R-1 T-1829 A-0110470,SALE
Your associate today i s. S rzann-
fRX F--
Customer Customer Copy
' 018464525427 TIfERMOGWikI/!i 109.99 N
ITEM TOTAL 109.99
SUBTOTAL 109.99
TOTAL 109 . 99
TAX EXEMPT #PK7X4
CASH 110.00
CHANGE DUE 0.01
�i�YG ti
Od)
CITY OF CARMEL
(317) 232-2339 �J
IIII VIIIIIIIIIIIIIIIIIII.IIIIIIIIIII
1001830011829112513014
Get your ScoreCard today!
It's FREE! Score one point. for every
$'I (if merchandise purchased."
300 points =.$1.0 Reward
Visit MyDicksSpor:tirrgGoods.com for more
information.
.K'.A'A:X K'K*
Don't miss our• Black Fridav Deals!
Doors open at 8pm Thanksgiving evening!
Dozens of
In-Store Deals Friday,
Saturday and Sunday!
Check your local paper for our
weekly and Thanksgiving Day circulars.
It ir'K yc A'CM;C'A'A''KK K'K iCW YC A'�A'K Y(A'A'AY(;CA YC�
Give Thanks.
And help the children at
St. Jude Children's Research,,Hospital
r Three Ways to Donate:
1) Text KIDS to 50333 to donate $5.*
2> Donate in-store
3) Donate online
www.DickSportingGoods.com/StJude
* Msg & data rate may apply.
See website for details.
�KYlY(7C:CYC:tYC7KYCYtYt It;r Yl JY'K Y(A"K'K A'7Y 7C:C Yf��:C
Share your.passion for sports
this holiday season!
Now Hiring Part-time Seasonal Associatesl
Apply on ine Frt:
www..Di cksSpor-t-i-rifjgoods.•i obs/!-your 1 y
Get $10 off your next purclOse of $
Complete our online Customer Survey at
www.DioksSportinyGoods.com/feedback.
Survey must be comid e-ted within
7 days of store visit.
DISPONIBLE EN ESPANOL
W*X 9AA:*W AA'
Shop us online or mobile at
DicksSportingGoods.com
Like us on Facebook!
DicksSportingGoods
Follow us on lwitter!
@DICK`
RP represents the return price for
an item based on all discounts
'that have been applied_
accept) tnat win De recorcieti at the time of the
return. Information from your ID will be retained in
a company-wide database of customer return
activity that Dick's Sporting Goods and its affiliates
use to authorize returns. Dick's Sporting Goods
reserves the right to limit returns or
exchanges regardless of receipt.
• All returns and exchanges must be new, in
the original packaging and contain all the
parts and accessories.
• Returns with an original sales receipt will
receive a refund based on the initial form of
payment.
• Returns or exchanges without a receipt will
be offered a store credit for the lowest price
or offered the manufacturers'contact
information.
• Returns with a gift receipt will be offered a
gift card or exchange.
• Returns where a ScoreCard reward
certificate was redeemed, may result in an
adjusted refund amount.
• Firearms and Ammunition cannot be
returned.
• Baseball bats, Gas and Electric Scooters
cannot be returned if the package is opened
or the factory seal is broken.
• Dick's accepts the following IDs for returns:
US or Canadian Driver's License, U.S. State
ID, US Military ID, or Passport.
An original sales receipt dated within 90 days
is required for all returns&exchanges.
To return or exchange an item without an original
sales receipt, you will be required to present a valid
photo ID (see below for the types of ID that we
accept) that will be recorded at the time of the
return. Information from your ID will be retained in
a company-wide database of customer return
activity that Dick's Sporting Goods and its affiliates
Use to.authorize returns. Dick's Sporting Goods
reserves the right to limit returns or
exchanges regardless of receipt.
• All returns and exchanges must be new, in
the original packaging and contain all the
parts and accessories.
• Returns with an original sales receipt will
receive a refund based on the initial form of
payment.
• Returns or exchanges without a receipt will
be offered a store credit for the lowest price
or offered the manufacturers'contact
information.
• Returns with a gift receipt will be offered a
gift card or exchange.
• Returns where a ScoreCard reward
certificate was redeemed, may result in an
adjusted refund amount.
• Firearms and Ammunition cannot be
returned.
• Baseball bats, Gas and Electric Scooters
cannot be returned if the package is opened
or the factory seal is broken.
• Dick's accepts the following IDs for returns:
US or Canadian Driver's License, U.S. State
ID, US Military ID, or Passport.
An original sales receipt dated within 90 days
is required for all returns&exchanges.
To return or exchange an item without an original
sales receipt, you will be required to present a valid
photo ID (see below for the types of ID that we
accept) that will be recorded at the time of the
return. Information from your ID will be retained in
a company-wide database of customer return
activity that Dick's Sporting Goods and its affiliates
use to authorize returns. Dick's Sporting Goods
reserves the right to limit returns or
exchanges regardless of receipt.
• All returns and exchanges must be new, in
the original packaging and contain all the
parts and accessories.
• Returns with an original sales receipt will
receive a refund based on the initial form of
payment..
• Returns or exchanges without a receipt will
be offered a store credit for the lowest price
or offered the manufacturers'contact
information.
• Returns with a gift receipt will be offered a
gift card or exchange.
• Returns where a ScoreCard reward
certificate was redeemed, may result in an
adjusted refund amount.
• Firearms and Ammunition cannot be
returned.
Baseball bats, Gas and Electric Scooters
cannot be returned if the package is opened
or the factory seal is broken.
• Dick's accepts the following IDs for returns:
US or Canadian Driver's License, U.S. State
ID, US Military ID, or Passport.
An original sales receipt oated within 90 days
is required for all returns&exchanges.
To return or exchange an item without an original
sales receipt, you will be required to present a valid
photo ID (see below for the types of ID that we
accept) that will be recorded at the time of the
return. Information from your ID will be retained in
a company-wide database of customer return
activity that Dick's Sporting Goods and its affiliates
use to authorize returns. Dick's Sporting Goods
--r—c tho rinht to limit rnturnc nr
VOUCHER # 136930 WARRANT # ALLOWED
T9949 IN SUM OF $
SINN, Bryon
carmel utilities
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
120213 01-7200-07 $54.37
� Il
Voucher Total $54.37
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T9949 .
SINN, Bryon Purchase Order No.
carmel utilities Terms
Due Date 11/26/2013
Invoice Invoice Description
Date Number (or note attached inyoice(s) or bill(s)) Amount
11/26/201: 120213 $54.37
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
Date Officer