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227450 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00352791 Page 1 of 1 ONE CIVIC SQUARE JASON OGLE CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 3860 MADELINE LANE CARMEL IN 46033 CHECK NUMBER: 227450 CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356003 100 . 00 SAFETY ACCESSORIES ni eff 14 24.West Carmel Dr. Carmel, IIV 46032-#130 (3j 7.6733300 meijei:corii The Meijer Team appreciates your business 12/13/13 Your fast and friendly checkout was provided by Fastlane111 GENERAL 11ERC1-IPkN LSE=: 4070792842 MEN"S WORK 1300T - 100.00 CT TOTAL IN 7'9 Sales Tax 7.00 TOTAL TAX 7.00 TOTAL 107.00 PAYMENTS . CREDIT CAP; TENDER 107.00 XXXXXXXXXXX' NUMBER OF ITEMS 1 See meijer.com or the Service Desk for current return policy. For additional savings and details visit mherks.Meijer.com. IIII II! IIII it �lIIIIIII II III 11111111 IIII II II 4 4 01345 hNSIJAO2PS 4 Tx:43 Op:562 Tc l 11 St:130 11:13:40 How are we do ng? Rate your shopping experience and you may win $1000 in Me jer. gift cards! Visit us at www.meij=r..com/tellmeijer or call- 1-800-394-7198 Secure Code: 3441-0411--5137-3010-001 Survey should be comple-ted within 72 hrs Meijer stands behind our name;any product with the "Meijer"brand maybe returned with or without a receipt,provided it is not a state-approved WIC item. We will also provide a full refund for all non-WIC`,, approved food items with or without a receipt. For WIC approved food items we will provide a refund if you have a receiptthat shows the item was not purchased ima WIC.transaction. Meijer cannot provide refunds for food items,including produce and formula,which may have been purchased with WIC. Meijer will honor General Merchandise refunds and exchanges within 90 days of purchase. Returns of electronic items,media and items powered by flammable liquid or gas must be made within 30 days. Returns of open electronic items, media,tents,airbeds,.and items powered by flammable liquids or gas are subjectto additional fees,restrictions or refusal. Items not eligible for return include(but are not limited to):alcohol,tobacco,electronic cigarettes, nicotine-based products,ammunition,prepaid cards, and open collectibles or blood glucose monitors. Meijer reserves the rightto restrict or refuse returns. Full Return Policy is available at Meijer.com. Return Policy Returns are subject to lowest sale or promotional pricing,and will be refunded in the original purchase tendertype. Returns without receipt may require a valid ID and will be issued a Meijer Merchandise Return Card forthe refund value. Meijer stands behind our name;any product with the "Meijer"brand may be returned with or without a receipt,provided it is not a state-approved WIC item. We will also provide a full refund for all non-WIC approved food items with or without a receipt. For WIC approved food items we will provide a refund if you have a receipt that shows the item was not purchased in a WICtransaction. Meijercannot provide refunds for food items,including produce and formula,which may have been purchased with WIC. Meijer will honor Gerieral Merchandise refunds and exchanges within'90 days of purchase. Returns of electronic items,media and items powered by flammable liquid or gas must be made within 30 days. Returns of open electronic items, media,tents,airbeds,and items powered by flammable liquids or gas are subjectto additional fees,restrictions or refusal. Items not eligible for return include(but are not limited to):alcohol,tobacco,electronic cigarettes, nicotine-based products,ammunition,prepaid cards, and open collectibles or blood glucose monitors. VOUCHER NO. WARRANT NO. ALLOWED 20 Jason W. Ogle IN SUM OF $ 3860 Madeline Lane Carmel, IN 46033 $100.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members 1110 I I 43-560.03 I $100.00 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 Friday, ecember 13 13 Chief of Police 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)) 12/13/13 reimbursement for boots $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 , 20 Clerk-Treasurer