227871 1/9/2014 CITY OF CARMEL, INDIANA VENDOR: 367848 Page 1 of 1
ONE CIVIC SQUARE KEVIN SMITH CHECK AMOUNT: $223.98
CARMEL, INDIANA 46032 26715 SR 19
ARCADIAIN 46030 CHECK NUMBER: 227871
CHECK DATE: 1/9/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 223 . 98 SAFETY ACCESSORIES
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Account Activity Page 1 of 1
CHASE l
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Account Info Payment Info
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Current balance 411111W Balance last statement(12/20/2013)
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Pending charges $0.00 Minimum payment due 0
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Available credit Imam Payment due date 01/17/2014
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Amazon.com Rewards Credit Card j
Posted Activity
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Since Last Statement
Trans Date Post Date Type Description Amount
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12/22/2013 12/23/2013 Sale
12/22/2013 12/25/2013 Sale TRACTOR-SUPPLY-CO#0624 $94.15
e: 12/20/2013 12/22/2013 Sale COWPOKES WESTERN O $145.51
12/20/2013 12/22/2013 Sale MEN
12/19/2013 1222/2013 Sale COW
SM
1 S
https://cards.chase.com/cc/Account/Activity/416907788 12/30/2013
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))
12/31/13 $239.66
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.
Kevin Smith ALLOWED 20
IN SUM OF $
C/O Carmel Street Department
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I I 43-560.031 _$239:66— I hereby certify that the attached invoice(s), or
.3ibill(s) is (are) true and correct and that the
ff materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesd 13
- —b,
.
streete oommIMoner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund