243082 03/11/15 ♦y pl CAgMf
/ CITY OF CARMEL INDIANA VENDOR: 037500
ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $*****1,294.31*
r. �� CARMEL, INDIANA 46032 731 S.RANGELINE ROAD CHECK NUMBER: 243082
9�'�araN.d�'�9 CARMEL IN 46032 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 380 431.81 OTHER MAINT SUPPLIES
2201 4239034 380 862.50 LANDSCAPING SUPPLIES
White's IWEHardware
and harden Center
4Q67,.w A",
WHITE'S ACE HARDWARE-CARMEL
731 S RANGELINE RD
CARMEL IN 46032
317-846-2311 Std tem en t
STATEMENT ACCOUNT PAGE O' Account
DATE NUMBER NO
28-Feb-15 380 1
TO: CITY OF CARMEL STREET DEPT.
3400 W. 131ST STREET
CARMEL, IN 46074 I p L431.%
ALL PURCHASES ARE DUE AND PAYABLE BY LAST DAY OF BILLING MONTH
DATE INVOICE DESCRIPTION AMOUNT BALANCE
02-Feb-15 2752989 PARKS PIFER 6.49 6.49
03-Feb-15 2753135 DAMIAN DELPH 14.74 21.23
03-Feb-15 2753141 MIKE KALOGEROS 22.89 44.12
03-Feb-15 2753267 MIKE KALOGEROS 8.97 53.09
03-Feb-15 2753300 BRAD SCHERICH 18.95 72.04
04-Feb-15 2753511 DAMIAN DELPH 55.33 127.37
04-Feb-15 2753683 FRED MARTZ 15.99 143.36
06-Feb-15 2754150 DAMIAN DELPH 4.99 148.35
06-Feb-15 2754186 MARK OTTINGER 7.49 155.84
06-Feb-15 2754367 RALPH BURKE 22.96 178.80
09-Feb-15 2755225 NATHAN MORRIS 3.19 181.99
09-Feb-15 2755249 ERIC RUSSELL 31.92 213.91
09-Feb-15 2755264 MATT HIGGINBOTHAM 17.94 231.85
09-Feb-15 2755396 JIMMIE KITTERMAN 2.40 234.25
10-Feb-15 2755582 DAMIAN DELPH 8.34 242.59
10-Feb-15 2755614 BILL HIGGINBOTHAM 0.78 243.37
10-Feb-15 2755643 MATT HIGGINBOTHAM 6.49 249.86
10-Feb-15 2755778 .BRAD HENDERSON 27.73 277.59
12-Feb-15 2756435 BRAD SCHERICH 11.88 289.47
13-Feb-15 2756609 MIKE KALOGEROS 5.38 294.85
16-Feb-15 2757494 BRAD SCHERICH 1.39 296.24
17-Feb-15 2757790 PARKS PIFER 3.98 300.22
17-Feb-15 2757969 PARKS PIFER 3.98 304.20
18-Feb-15 2758162 PARKS PIFER 26.88 331:08
18-Feb-15 2758182 ADAM TOWNS 5.98 337.06
18-Feb-15 2758342 ADAM TOWNS 59.01 396.07
18-Feb-15 2758352 MIKE CLARK 2.78 398.85
19-Feb-15 2758508 MIKE KALOGEROS 7.98 406.83
21-Feb-15 2759217 TERRY KILLEN 24.98 431.81
25-Feb-15 2760660 MIKE KALOGEROS 862.50 1294.31
CURRENT PAST DUE PAST DUE PAST DUE TOTAL.
AMT DUE 1 MONTH 2 MONTHS 3 MONTHS DUE
1294.31 0.00 0.00 0.00 1294.31
YOUR RECEIPT GUARANTEES
YOUR NO-HASSLE-RETURN.
i
White's Ace Hardware-Carmel Customer Transaction Deta i 1 s 03-Mar-15 09:55 By: 2000006 Page:1
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2752989 Term:1014 Sales Store:1 02-Feb-15 15:37 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 085529110126 TOOL BOX 12 POLY 2324580 1.00 6.49 6.49 / 1 06.49
Account Number: 380 Name: PARKS CHARGE 6.49 Sub Total 06.49
PIFER Memo:
Total Tax 0.00
Grand Total 06.49
S D
T D N E I
A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2753135 Term:1014 Sales- Store:1 03-Feb-15 09:57 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 020066172503 UNIVERSAL CARDINAL RED 1348044 1.00 6.76 6.76 / 1 06.76
X 082901035299 11.5OZ SPRAY RED PRIMER 1037605 1.00 3.99 3.99 / 1 03.99
X 082901770051 11.50Z ENML SPRY CHINARD 17005 1.00 3.99 3.99 / 1 03.99
Account Number: 380 Name: DAMIAN CHARGE 14.74 Sub Total 14.74
DELPH Memo: Total Tax 0.00
Grand Total 74.74
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2753141 Term:1014 Sales Store:1 03-Feb-15 10:04 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 650056362258 CM TAPE MEASURE 25'X1" 2399624 1.00 9.99 5.00 / 1 05.00 X
X MI MIT Tools MI 1.00 500.00 3.24 / 1 03.24 X
X 008236047837 XL-TOGGLE BOLTS 3/16X3 H41426 1.00 4.19 4.19 / 1 04.19
X 082901797775 7/8 ROOF NAIL GALV 1# 5187984 1.00 2.99 2.99 / 1 02.99
X 033349412340 PLANT TRAY 11X22 70511 3.00 2.49 2.49 / 1 07.47
2, 41
Account Number: 380 Name: MIKE CHARGE 22.89 Sub Total 22.89
KALOGEROS Memo: Total Tax 0.00
Grand Total 22.89
White's Ace Hardware-Carmel Customer Transaction Details 03-Mar-15 09:55 By: 2000006 Page:2
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2753267 Term:1014 Sales Store:1 03-Feb-1513:38 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 008236546682 COARSE DRYWAL 8X3 H47667 1.00 5.29 5.29 / 7 05.29
X 028874025530 HEXSHANK DRILL BIT 3/32 2100808 1.00 3.68 3.68 / 1 03.68
Account Number: 380 Name: MIKE CHARGE 8.97 Sub Total 08.97
KALOGEROS Memo:
Total Tax 0.00
Grand Total 08.97
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2753300 Term:1015 Sales Store:1 03-Feb-15 14:36 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 077237005005 LOCK DE-ICER 5/807 8398984 1.00 2.99 2.99 / 1 02.99
X 082901770044 11.507 ENML SPRY GLS BLK 17004 4.00 3.99 3.99 / 1 15.96
Account Number: 380 Name: BRAD CHARGE 18.95 Sub Total 78.95
SCHERICH Memo: Total Tax 0.00
l�l�N✓ [ r1' Grand Total 18.95
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2753511 Term:1008 Sales Store:1 04-Feb-15 10:16 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 066700000025 PVC MALE ADAPTER 1/2 3189438 8.00 0.42 0.42 / 1 .03.36
X 082472205800 RECIP BLADE 8" 10/14T PK5 26019 2.00 16.99 16.99 / 1 33.98
X 082472205787 RECIP BLADE 8 18T PK5 2119923 1.00 17.99 17.99 / 7 17.99
Account Number: 380 Name: DAMIAN CHARGE 55.33 Sub Total 55.33
�- DELPH Memo: Total Tax 0.00
Grand Total 55.33
White's Ace Hardware-Carmel Customer Transaction Details 03-Mar-15 09:55 By: 2000006 Page:3
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2753683 Term:1008 Sales Store:1 04-Feb-15 14:35 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 082901249726 SPRAYER GARDEN POLY 2GAL 7215031 1.00 15.99 15.99 / 1 15.99
Account Number: 380 Name: FRED CHARGE 15.99 Sub Total 15.99
MARTZ Memo:
Total Tax 0.00
Grand Total 15.99
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2754150 Term:1015 Sales Store:1 06-Feb-15 09:21 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 082901012580 1502 RUST-STOP SAFETY YLN 1010107 1.00 4.99 4.99 / 1 04.99
Account Number: 380 Name: DAMIAN CHARGE 4.99 Sub Total 04.99
DELPH Memo:
Total Tax 0.00
Grand Total 04.99
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2754186 Term:1014 Sales Store:1 O6-Feb-15 10:28 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 078254051031 CRC ELEC CLNR 1102 80882 1.00 7.49 7.49 / 1 07.49
Account Number: 380 Name: MARK CHARGE 7.49 Sub Total 07.49
OTTINGER Memo:
Total Tax 0.00
Grand Total 07.49
White's Ace Hardware-Carmel Customer Transaction Deta i I s 03-Mar-15 09:55 By: 2000006 Page:4
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2754367 Term:1015 Sales Store:l 06-Feb-15 15:34 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 078477841334 CONN PVC GRAD 75A 3-WIRE 3201241 2.00 7.49 .7.49 / 1 14.98
X 078477841242 CAP VINYL GRND YLW 15A 34980 2.00 3.99 3.99 / 1 07.98
Account Number: 380 Name: RALPH CHARGE 22.96 Sub Total 22.96
BURKE Memo:
Total Tax 0.00
Grand Total 22.96
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755225 Term:1014 Sales Store:l 09-Feb-15 09:00 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 008236186055 FP-HX CONCT SC 1/4X1-1/4 H8967 1.00 3.19 3.19 / 1 03.19
Account Number: 380 Name: NATHAN CHARGE 3.19 Sub Total 03.19
MORRIS Memo:
Total Tax 0.00
Grand Total 03.19
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755249 Term:1014 Sales Store:l 09-Feb-15 09:54 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 037000846697 BOUNTY BASIC TOWEL 8RL 6114045 4.00 7.98 7.98 / 1 31.92
Account Number: 380 Name: ERIC CHARGE 31.92 Sub Total 31.92
f �(RUSSELL Memo:
Total Tax 0.00
Grand Total 31.92
White's Ace Hardware-Carmel Customer Transaction Details 03-Mar-15 09:55 By: 2000006 Page:5
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755264 Term:1015 Sales Store:1 09-Feb-15 10:28 L S
Person:2000140
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 045923702129 ADAPTER MOG TO MED 3303716 6.00 2.99 2.99 / 1 17.94
Account Number: 380 Name: MATT CHARGE 17.94 Sub Total 17.94
HIGGINBOTHAM Memo:
Total Tax 0.00
/tA
Grand Total 17.94
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755396 Term:1014 Sales Store:1 09-Feb-15 14:23 L S
Person:2000159
X F T Scan Number Description Part# Qty Price One Sell Price Per Qty Ext L C
X FA Fastners FA 4.00 500.00 0.60 / 1 02.40 X
Account Number: 380 Name: JIMMIE CHARGE 2.40 Sub Total 02.40
KITTERMAN Memo:
Total Tax 0.00
Grand Total 02.40
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755582 Term:1008 Sales Store:1 10-Feb-15 09:27 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X FA Fastners FA 6.00 500.00 1.39 / 1 08.34 X
Account Number: 380 Name: DAMIAN CHARGE 8.34 Sub Total 08.34
DELPH Memo
Total Tax 0.00
Grand Total 08.34
White's Ace Hardware-Carmel Customer Transaction Details 03-Mar-15 09:55 By: 2000006 Page:6
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755614 Term:1008 Sales Store:1 10-Feb-15 10:41 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext. L C
X 031857493011REDUCE WASHER'3/4-1/2 PK2 3182557 2.00 0.39 0.39 / 1 00.78
Account Number: 380 Name: BILL CHARGE .78 Sub Total 00.78
HIGGINBOTHAM Memo:
Total Tax 0.00
Grand Total 00.78
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755643 Term:1008 Sales Store:1 10-Feb-15 11:30 L S
Person:2000178
X F T Scan Number Description Part# Qty Price One Sell Price Per Qty Ext L C
X 786676362108 'BRKR NSTHSE 1P 20A V 31481 1.00 6.49 -6.49 / 1 06.49
Account Number: 380 Name: MATT CHARGE 6.49 Sub Total 06.49
01, -7��HIGGINBOTHAM Memo:
Total Tax 0.00
Grand Total 06.49
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2755778 Term:1008 Sales Store:1 10-Feb-15 14:33 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 043168264341 GE METAL HALIDE 25ON 3992336 1.00 •27.73 27.73 / 1 27.73
Account Number: 380 Name: BRAD CHARGE 27.73 Sub Total 27.73
1,4
z- HENDERSON Memo: Total Tax 0.00
l Grand Total 27.73
White's Ace Hardware-Carmel Customer Transaction Deta i I s 03-Mar-15 09:55 By: 2000006 Page:7
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2756435 Term:1008 Sales Store:l 12-Feb-15 13:42 L S
Person:2000178
X F T Scan Number Description Part# Qty Price One Sell Price Per Qty Ext L C
X 082826000068 2 JEN POLY BRUSH 10111 12.00 0.99 0.99 /. 1 11.88
Account Number: 380 Name: BRAD CHARGE 11.88 Sub Total 11.88
SCHERICH Memo: Total Tax 0.00
Grand Total 11.88
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2756609 Term:1015 Sales Store:l 13-Feb-15 09:55 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 032888406018 GALV BUSHING IX3/4 47810 1.00 3.99 3.99 / 1 03.99
X 032888142008 GALV NIPPLE 3/01-1/2 4124145 1.00 1.39 1.39 / 1 01.39
Account Number: 380 Name: MIKE CHARGE 5.38 Sub Total 05.38
KALOGEROS Memo: Total Tax 0.00
Grand Total 05.38
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2757494 Term:1015 Sales Store:1 16-Feb-15 10:36 L S
Person:2000020
X F T Scan Number Description Part# Qty Price One Sell Price Per Qty Ext L C
X 008236037661 FP-RHMS W/NT 10-24X1/2 H7683 1.00 1.39 1.39 / 1 01.39
Account Number: 380 Name: BRAD CHARGE 1.39 Sub Total 01.39
' !�SCHERICH Memo: Total Tax 0.00
5 6U/ Grand Total 01.39
White's Ace Hardware-Carmel Customer Transaction Deta i I s 03-Mar-15 09:55 By: 2000006 Page:8
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2757790 Term:1014 Sales Store:1 17-Feb-15 09:04 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 054200000353 ALL PURPOSE LIQ BLEACH GL 1008580 2.00 1.99 1.99 / 1,'' 03.98
Account Number: 380 Name: PARKS CHARGE 3.98 Sub Total 03.98
PIFER Memo:
Total Tax 0.00
Grand Total 03.98
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2757969 Term:1008 Sales Store:1 17-Feb-15 14:44 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 054200000353 ALL PURPOSE LIQ BLEACH GL 1008580 2.00 1.99 1.99 / 1 03.98
Account Number: 380 Name: PARKS CHARGE 3.98 Sub Total 03.98
PIFER Memo:
Total Tax 0.00 JU4Z7V 49�
Grand Total 03.98
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2758162 Term:1008 Sales Store:1 18-Feb-15 10:29 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X X 082901170723 1502 RUST-STOP GLOSS BLK 17072 8.00 4.99 3.36 / 1 26.88 X
Account Number: 380 Name: PARKS CHARGE 26.88 Sub Total 26.88
PIFER Memo:
Total Tax 0.00
Grand Total 26.88
White's Ace Hardware-Carmel Customer Transaction Details 03-Mar-15 09:55 By: 2000006 Page:9
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2758182 Term:1008 Sales Store:] 18-Feb-15 10:40 L S
Person:2000178
X F T Scan Number Description Part# Qty Price One Sell Price Per Qty Ext L C
X 045923702129 ADAPTER MOG TO MED 3303716 2.00 2.99 2.99 / 1 05.98
Account Number: 380 Name: ADAM CHARGE 5.98 Sub Total 05.98
TOWNS Memo: Total Tax 0.00
Grand Total 05.98
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2758342 Term:1015 Sales Store:l 18-Feb-15 15:03 L S
Person:2000159
X F T Scan Number Description Part# Qty Price One Sell Price Per Qty Ext L C
X 045923702129 ADAPTER NOG TO MED 3303716 -2.00 2.99 2.99 / 1 -05.98
X US5PN FLAG NYLON'5X8' US 89418 1.00 64.99 64.99 / 1 64.99
Account Number: 380 Name: ADAM CHARGE 59.01 Sub Total 59.01
TOWNS Memo: Total Tax 0.00
Grand Total 59.01
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2758352 Term:1015 Sales Store:1 18-Feb-15 15:23 L S
Person:2000159
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X FA Fastners FA 1.00 500.00 1.59 / 1 01.59 X
X FA Fastners FA 1.00 500.00 0.65 / 1 00.65 X
X FA Fastners FA 2.00 500.00 0.27 / 1 00.54 X
Account Number: 380 Name: MIKE CHARGE 2.78 Sub Total 02.78
CLARK Memo: Total Tax 0.00
l /J� Grand Total 02.78
White's Ace Hardware-Carmel Customer Transaction Details 03-Mar-15 09:55 By: 2000006 Page:10
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2758508 Term:1008 Sales Store:1 19-Feb-15 11:03 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 082901170044 11.50Z ENML SPRY GLS BLK 17004 1.00 3.99 3.99 / 1 03.99
X 082901170310 11.502 ENML SPRY PRM GRY 17031 1.00 3.99 3.99 / 1 03.99
Account Number: 380 Name: MIKE CHARGE 7.98 Sub Total 07.98
q I KALOGEROS Memo:
f Total Tax 0.00
Grand Total 07.98
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2758666 Term:1023 Sales Store:1 19-Feb-15 16:11 L S
Person:2000006
X F T Scan Number Description Part# Qty Price One Sell Price Per Qty Ext L C
Payment Payment of$389.57 -1.00 0.00 -389.57 / 1 -389.57
Number: 242124 Name: CITY OF ROACHECK 389.57 Sub Total -389.57
CARMEL STREET DEPT. Total Tax 0.00
Grand Total -389.57
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2759217 Term:1014 Sales Store:1 21-Feb-15 11:53 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 082901202868 48"ALUM RULE 20286 1.00 9.99 9.99 / 1 09.99
X 650056071303 TAPE RULE 1X30' PRO MAG 2104685 1.00 14.99 14.99 / 1 14.99
/ Account Number: 380 Name: TERRY CHARGE 24.98 Sub Total 24.98
KILLEN Memo: Total Tax 0.00
Grand Total 24.98
White's Ace Hardware-Carmel Customer Transaction Details 03-Mar-15 09:55 By: 2000006 Page:11
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A E E CITY OF CARMEL STREET DEP Acct#:380 Inv:2760660 Term:1008 Sales Store:1 25-Feb-15 15:35 L S
Person:2000178
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X" FA Fastners FA '750.00 500.00 1.15 % 1 862.50 X
314"swivel clip /
Account Number: '380 Name: MIKE CHARGE 862.50 'Sub Total 862.50
J I KALOGEROS Memo:
J Tota! Tax 0.00
Grand Total- 862.50
VOUCHER NO. WARRANT NO.
White's Ace Hardware ALLOWED 20
IN SUM OF$
731 S. Rangeline Road
Carmel, IN 46032
$1,294.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#ITITl-E AMOUNT Board Members
2201 2760660 42-390.34 $862.50 1 hereby certify that the attached invoice(s), or
2201 42-389.00 $431.81
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
f r
�V3 Frid �i}� ! E
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor 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 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))
02/25/15 2760660 $862.50
03/04/15 $431.81
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