227427 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 184595 Page 1 of 1
ONE CIVIC SQUARE TERESA LEWIS CHECK AMOUNT: $19.99
0 0 CARMEL, INDIANA 46032 338 ORLAND OVERLOOK
WESTFIELD IN 46074 CHECK NUMBER: 227427
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 120913 19 . 99 OTHER EXPENSES
uffiderdax
OfficeMax #907
14760 USA 31 NORTH
CARMEL, IN 46032
(317) 818-2690
0907 01 4195 12/09/13 03:26:58 PM
SALE
874688000245 $19.99
Mobile Gripit Rotate Vent
SubTotal $19.99
TOTAL o $19.99
1119.99
Card number: XXXXXXXXXXX
Authorization 052715
Tax -Exempt ID: 000301328885
09000-10453-07003-04900-10020-31057
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the following Survey Code:
0907-01-4195-2
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OfficeMax doesn't just provide great
values, we also live .them, OfficeMax has
been named one of 2013s World's Most
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visit OfficeMax.com/ethics. _
ORDER BY PHONE 1-877-OFFICEMAX
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'1 �, ra t-r3 0 c-i r a
0.i'. retunas rcqu;rc in original receipt
aiad must lac '':amhlcicd Witlti,l:
30 days - Ufticc su)plies, lok 6c toner
days - rarni.0 e_ �col-.,talugy L software
+ 1.c require(l.
.toms ".+ui7icd in the original
i .�:Iude all accessories,
Is and manu��.ls.
Sotm". lot be reaimcd iI'opened.
fee may i!lmly;
rii=lri to&jly any return.
return policy
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cemax.com
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X ._1 I orlLdmil receipt
bk; corn>lu a ti�'iihiii:
A 6LI'. - .;lfice supplies, link & ioner
14. clays - Furniture, technology is sofware
13 may be required.
Items trust be returned in tho Ofiginn'i
hack,+��i�,� aad include all accessories,
compinents:'.n.d t'n nuals.
Some items carnet bc-r2_urned.if,opened.
A re-stocking :ec inay a2011.
CfficelVax resetAvs the ri,(jht to deny any return.
For the fill return policy,
\!i�it any store or officemax-corn
Thanks for slopping CA-ictMax.
Sage All Receipts.
\l', i IUrP.S rCgLtirC an original receipt
aild J11LISL ut: completed. "'itlaiu:
10 days- Office supplies, ink& toner.
14 days - Furniture., technology & software
1D may required.
,e;,s must be returned in the original
packaging a11d include all accessories,
conan:�ne,a�5 ;.ud ..�. nuals.
Some items cannot be ret;!, aeL' if opened.
:cc may appl\..
VOUCHER # 137005 WARRANT # ALLOWED
184595 IN SUM OF $
TERESA LEWIS
338 ORLAND OVERLOOK i
WESTFIELD, IN 46074
Carmel Wastewater Utility i
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1
120913 01-7200-02 $19.99
Voucher Total $19.99
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
184595
TERESA LEWIS Purchase Order No.
338 ORLAND OVERLOOK Terms
WESTFIELD, IN 46074 Due Date 12/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201; 120913 $19.99
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