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243277 3 /18/2015 CITY OF CARMEL, INDIANA VENDOR: 198900 (9, ONE CIVIC SQUARE MENARDS, INC CHECK AMOUNT: $*******595.74* CARMEL, INDIANA 46032 2150 E GREYHOUND PASS CHECK NUMBER: 243277 CARMEL IN 46033 CHECK DATE: 03/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 68297 42.52 OTHER EXPENSES 601 5023990 68303 33.56 OTHER EXPENSES 601 5023990 68414 91.51 OTHER EXPENSES 601 5023990 68489 124.80 OTHER EXPENSES 601 5023990 68578 26.98 OTHER EXPENSES 601 5023990 68747 59.98 OTHER EXPENSES 601 5023990 68840 27.95 OTHER EXPENSES 2201 4238900 69317 58.86 OTHER MAINT SUPPLIES 2201 4238900 69368 30.97 OTHER MAINT SUPPLIES 1207 4350100 69388 18.72 BUILDING REPAIRS & MA 1207 4350100 69430 41.96 BUILDING REPAIRS & MA 2201 4238900 69432 17.97 OTHER MAINT SUPPLIES 2201 4238900 69503 6.99 OTHER MAINT SUPPLIES 601 5023990 69536 6.48 OTHER EXPENSES 651 5023990 69536 6.49 OTHER EXPENSES * GUEST COPY G CITY/CARMEL STREET DEPT MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3400 W 131ST ST. CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) INVOICE # 69317 ACCOUNT : 30830255 TRANSACTION DATE : 03/10/15 TRANSACTION # : 7577 TRANSACTION TIME : 141218 _. PURCHASE ORDER ## shop REGISTER NUMBER 4 TYPE OF SALE : Charge Sale SIGNER : Matt Higginbotham CLAIM # : shop QUANTITY SKU DESCRIPTION AMOUNT --------------------------------------------------------------- 2 . 00 5574699 PRIMER SEALER-GRAY 120Z . 11. 98 1. 00 5610372 4" FOAM COVER/12" FRAME 3 . 39 2 . 00 5613023 CHIP BRUSH 2" 1.86 1.00 5613010 CHIP BRUSH 1-1/2" 0 . 88 1.00 5611331 MASTER MINI FOAM 41IX3/8" 8 . 97 2 .00 5610903 ROLLER / EDGER TRAY 3 . 00 1. 00 5517043 RO PRO PAINT REGAL RED 28 .78 SUB-TOTAL: 58 . 86 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 58.. 86 ************** * GUEST COPY G CITY/CARMEL STREET DEPT MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3400 W 131ST ST. CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) INVOICE # 69368 ACCOUNT : 30830255 TRANSACTION DATE 03/11/15 TRANSACTION # : 6016 TRANSACTION TIME c 105313 PURCHASE ORDER # : signs REGISTER NUMBER 7 TYPE OF SALE : Charge Sale SIGNER : Rick Alden CLAIM ## : signs QUANTITY SKU DESCRIPTION AMOUNT -------------------------------------------------------------- 4 . 00 1891030 CONCRETE MIX 9. 00 1. 00 2653963 5## PICK MATTOCK 36" WDHDL 21. 97 SUB-TOTAL: 30. 97 TOTAL TAX: 0. 00 PAYMENTS 0 .00 TOTAL DUE: 30 . 97 �� ************** * GUEST COPY ************** G CITY/CARMEL STREET DEPT MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3400 W 131ST ST. CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) INVOICE # 69432 ACCOUNT : 30830255 TRANSACTION DATE : 03/12/15 TRANSACTION # 4037 TRANSACTION TIME : 102353 PURCHASE ORDER # : - shop REGISTER NUMBER 6 TYPE OF SALE : Charge Sale SIGNER : Matt Higginbotham CLAIM ## : shop QUANTITY SKU DESCRIPTION AMOUNT 1. 00 6801740 MALE HOSE ADAPTOR 5/8X3/4 4 .98 1.00 2740856 COIL HOSE 25 ' RP 12 .99 SUB-TOTAL: 17 . 97 TOTAL TAX: 0 . 00 _ PAYMENTS 0 . 00 UE. 17== TOTAL D . 97 VOUCHER NO. WARRANT NO. Menards ALLOWED 20 IN SUM OF$ 2150 E. Greyhound Pass Carmel, IN 46033 $107.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 69317 42-389.00 $58.86 1 hereby certify that the attached invoice(s), or 2201 69368 42-389.00 $30.97 bill(s) is (are)true and correct and that the 2201 69432 42-389.00 $17.97 materials or services itemized thereon for which charge is made were ordered and received except 3, 2015 atleatt"Ornldosio e n r. Street G�ommissioner 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)) 03/10/15 69317 $58.86 03/11/15 69368 $30.97 03/12/15 69432 $17.97 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer ************** * GUEST COPY ************** G. BROOKSHIRE GOLF COURSE MENARDS - CARMEL 12120 BROOKSHIRE PARKWAY 2150 E. GREYHOUND PASS EMAIL CARMEL, IN 46033 CARMEL IN 46033 FAX # (317) 846-9980 INVOICE # 69430 ACCOUNT : 30830417 TRANSACTION DATE : 03/12/15 TRANSACTION# s' 8672 TRANSACTION TIME : 101042 PURCHASE ORDER # v 0 . REGISTER NUMBER 2 TYPE OF SALE Charge Sale SIGNER : Russell Pickett CLAIM # 0 QUANTITY SKU DESCRIPTION AMOUNT 2. 00 2642369 8X 1.75 STEEL WHEEL 15.98 1. 00 6489869 MICROFIBER MOP REFILL 7.99 1.00 6489868 MICROFIBER MOP 17.99 SUB-TOTAL: 41.96 TOTAL TAX: 0. 00 PAYMENTS 0. 00 TOTAL DUE: 41.96 ************** * GUEST COPY G BROOKSHIRE GOLF COURSE MENARDS - CARMEL 12,120 BROOKSHIRE PARKWAY 2150 E. GREYHOUND PASS EMAIL CARMEL, IN 46033 CARMEL IN 46033 FAX # (317) 846-9980 INVOICE # 69388 ACCOUNT : 30830417 TRANSACTION DATE : 03/11/15' TRANSACTION '# 4194 TRANSACTION TIME 150603 PURCHASE -ORDER # . REGISTER NUMBER 3 TYPE OF SALE Charge Sale SIGNER Ken Miller CLAIM # QUANTITY SKU DESCRIPTION AMOUNT 3 .00 5557875 HELMSMAN SEMI-GL SPRAY 18 . 72 SUB-TOTAL: 18 .72 TOTAL TAX: 0. 00 PAYMENTS : 0 . 00 TOTAL DUE: 18_..72- VOUCHER NO. WARRANT NO. ALLOWED 20 Menards IN SUM OF$ 2150 E. Greyhound Pass Carmel, IN 46033 $60.68 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 69388 43-501.00 $18.72 1 hereby certify that the attached invoice(s), or 1207 69430 43-501.00 $41.96 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, March 13, 2015 Director, BrookshWfGolf Club 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)) 03/11/15 69388 Building Materials $18.72 03/12/15 69430 Building Maintenance Materials $41.96 I 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 5-11-10-1.6 120 Clerk-Treasurer ************** * GUEST COPY ************** G CITY/CARMEL WATER DIST MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX $# (317) 733-2053 INVOICE # 68303 ACCOUNT : 30830253 TRANSACTION DATE : 02/23/15 TRANSACTION # 533 TRANSACTION TIME : 150532 PURCHASE ORDER # REGISTER NUMBER 3 TYPE OF SALE Charge Sale SIGNER : SEAN WHITLOW CLAIM # QUANTITY SKU DESCRIPTION AMOUNT -------------------------------- ------------ ----- ---- -- -------- 4 . 00 2651514 ICE MELT 50# RAPID MELT 33 . 56 SUB-TOTAL: 33 . 56 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 33 . 56 _..._..._......:.__....._. _. .............:..:......z......._......................................_......_......_._ r r/ t,;:..............._.,._ .....:.................................................... ........'.........................._........_........._._..._..._i ************** * GUEST COPY ************** G CITY/CARMEL WATER DIST MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) 733-2053 INVOICE # 68578 ACCOUNT : 30830253 TRANSACTION DATE : 02/27/15 TRANSACTION # : 5220 TRANSACTION TIME : 145807 PURCHASE ORDER $# : REGISTER NUMBER 2 TYPE OF SALE : Charge Sale SIGNER : JERRY SMITH CLAIM # QUANTITY SKU DESCRIPTION AMOUNT ------------------ -- ----- -------- -- ---------------------------- 1. 00 6393274 6" ROUND DUCT CAP 4 . 67 1 . 00 6393465 8 X 6 REDUCER/INCREASER 7 . 92 1. 00 6393313 8" GALV TEE 14 .39 SUB-TOTAL: 26 . 98 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 26 . 98 I 4+ 3 I ..... ************** * GUEST COPY ************** G CITY/CARMEL WATER DIST MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX ## (317) 733-2053 INVOICE # 68414 ACCOUNT : 30830253 TRANSACTION DATE : 02/25/15 TRANSACTION # 7509 TRANSACTION TIME : 125008 PURCHASE ORDER # ja022515a REGISTER NUMBER 1 TYPE OF SALE Charge Sale SIGNER : James Alford CLAIM # ja022515a QUANTITY SKU DESCRIPTION AMOUNT - 2 . 00 1429229 4/4 8"X8 ' WHITE-PVC TRIM __ _ --- 49 . 98 1. 00 6931500 8 FL 02 PIPE COMPOUND 3 .49 1. 00 6931568 14 OZ PLUMBERS PUTTY 1. 09 1. 00 6736800 2H 4" BAR FAUCET CH 28 . 99 1. 00 6890748 1/2" SXT MALE ADAP PVC 80 1 . 97 1. 00 6799360 1/2IP X 1/2IP X 36"SUPPLY 5 . 99 SUB-TOTAL: 91 . 51 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 91. 51 .......... ............_........_.,...,.�,..,i ...„... 7 l I i n ************** * GUEST COPY ************** G CITY/CARMEL WATER DIST MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) 733-2053 INVOICE # 68747 ACCOUNT : 30830253 TRANSACTION DATE 03/02/15 TRANSACTION # 8311 TRANSACTION TIME 100242 PURCHASE ORDER # : ik030215a REGISTER NUMBER 1 TYPE OF SALE : Charge Sale SIGNER : Ian Keesling CLAIM # ik030215a QUANTITY SKU DESCRIPTION AMOUNT ------------------- ------------- - -- --- --------------------- - --- 2 . 00 6851606 1-1/2 BRASS BALL FIP 59 . 98 SUB-TOTAL: 59 . 98 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 59 . 98 _.... ,................:....:....: .. , ._.._...............____................................._..,-...w.._.._.............._.............. i Jl J ************** * GUEST COPY ************** G CITY/CARMEL WATER DIST MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) 733-2053 INVOICE # 68840 ACCOUNT : 30830253 TRANSACTION DATE : 03/03/15 TRANSACTION # 1092 TRANSACTION TIME : 140718 PURCHASE ORDER # 0 REGISTER NUMBER 8 TYPE OF SALE Charge Sale SIGNER : ANTHONY ISENBERGER CLAIM # 0 QUANTITY SKU DESCRIPTION AMOUNT ------._.------------------- 1. 00 5512340 CONCRETE FLR PAINT AR GRY 27 . 95 SUB-TOTAL: 27 . 95 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 27 . 95 .... __. . ._._... _ ..............................__.... J)r� , Cul, i ��l ! r r _. * GUEST COPY ************** G CITY/CARMEL WATER DIST MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) 733-2053 INVOICE # 68927 ACCOUNT : 30830253 TRANSACTION DATE : 03/04/15 TRANSACTION # : 5666 TRANSACTION TIME : 152435 PURCHASE ORDER # : jm030415a REGISTER NUMBER 4 TYPE OF SALE : Charge Sale SIGNER : JOHN MASCARI CLAIM # : jm030415a QUANTITY SKU DESCRIPTION AMOUNT 1 . 00 2449089 CROSS JOINT TROWEL 7 .99 1. 00 2447664 MARGIN TROWEL 5X2 8 . 99 2 . 00 1891065 PRECISION NONSHRINK GROUT 25 . 54 SUB-TOTAL: 42 .52 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 42 .52 } ._.. ............ .......... ..... .......... .. .. ....... . ************** * GUEST COPY ************** G CITY/CARMEL WATER DIST MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) 733-2053 INVOICE # 68489 ACCOUNT : 30830253 TRANSACTION DATE : 02/26/15 TRANSACTION # : 3563 TRANSACTION TIME : 133150 PURCHASE ORDER # ; REGISTER NUMBER 9 TYPE OF SALE Charge Sale SIGNER : ANTHONY ISENBERGER CLAIM # QUANTITY SKU DESCRIPTION AMOUNT -------------------- -- --------------- --------------------- --- -- -- - 8 . 00 5613845 MURIATIC ACID GAL 31 . 92 2. 00 6471349 1280Z CLR ENHANCED FORMLA 42 , 78 2 . 00 6489804 LONG HNDL PALMYRA BRUSH 11. 98 1. 00 2441719 10" GROOVE JOINT PLIER 10 . 76 1. 00 2441740 12" V-JAW PLIER 14 . 38 1. 00 2449436 160Z. RUBBER MALLET 2 , 99 1 . 00 2437833 12" ADJUSTABLE WRENCH 9. 99 SUB-TOTAL: 124 . 80 TOTAL TAX: 0 . 00 PAYMENTS 0 . 00 TOTAL DUE: 124 . 80 3 f.. s 4..............'.._ .-...�-................. .—..—... VOUCHER # 151189 WARRANT# ALLOWED 198900 IN SUM OF $ MENARDS, INC 2150 E GREYHOUND PASS CARMEL, IN 46033 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 68303 01-6200-06 $33.56 (� 1K5-7Z Q -�-7►-t-7 it 599's %S Su d (,eZo •L{ a-�Z 9:5 (�S Ll .6-) N l D-t'[•Sb g 01-1 (aZD.z 4Z.'S77- Voucher Total (A 67, 3© 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 198900 MENARDS, INC Purchase Order No. 2150 E GREYHOUND PASS Terms CARMEL, IN 46033 Due Date 3/10/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount �I 3/10/2015 68303 $33.56 1 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 fficer * GUEST COPY ************** G CITY/CARMEL SEWER COLL MENARDS - CARMEL 760 3RD AVE SW 2150 E. GREYHOUND PASS STE 110 CARMEL, IN 46033 CARMEL IN 46032 FAX # (317) INVOICE # 69536 ACCOUNT : 30830254 TRANSACTION DATE : 03/13/15 TRANSACTION # 8911 TRANSACTION TIME : 150123 PURCHASE ORDER # 03132015 REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER : Jeff Eads CLAIM # 03132015 QUANTITY SKU DESCRIPTION AMOUNT 1.00 2432620 MAGNETIC PICK-UP TOOL 12.97 SUB-TOTAL: 12.97 TOTAL TAX: 0..00 PAYMENTS 0.00 TOTAL DUE: 12.97 Vn � V VOUCHER # 151265 WARRANT # ALLOWED 198900 IN SUM OF $ MENARDS, INC 2150 E GREYHOUND PASS CARMEL, IN 46033 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 69536 01-6200-07 $6.48 J� 'I I I I Voucher Total $6.48 Cost distribution ledger classification if claimaid under vehicle highway fund p 9 Y 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 198900 MENARDS, INC Purchase Order No. 2150 E GREYHOUND PASS Terms ' CARMEL, IN 46033 Due Date 3/16/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/16/2015 69536 $6.48 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 ************** * GUEST COPY ************** G CITY/CARMEL SEWER COLL MENARDS -, CARMEL, 760 3RD AVE SW 2150 E' GREYHOUND PASS STE 110 CARMEL, IN 46033 , CARMEL IN46032 FAX # (317) INVOICE # 69536 ACCOUNT : 30830254 TRANSACTION DATE : 03/13/15 TRANSACTION # 8911 TRANSACTION TIME : 150123 PURCHASE ORDER # s 03132015 REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER : Jeff .Eads CLAIM # 03132015 QUANTITY' SKU DESCRIPTION AMOUNT 1.00 2432620 MAGNETIC PICK-UP TOOL 12.97 SUB-TOTAL: 12.97 TOTAL" TAXz 0..00 PAYMENTS : 0.00 TOTAL DUE: 12.97 itv . �f G VOUCHER # 155153 WARRANT # ALLOWED 198900 IN SUM OF $ MENARDS, INC 2150 E GREYHOUND PASS CARMEL, IN 46033 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members I PO# INV# ACCT# AMOUNT Audit Trail Code l3 ` ' 01-7200-07 $6.49 502 I C� Voucher Total $6.49 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 198900 MENARDS, INC Purchase Order No. 2150 E GREYHOUND PASS Terms CARMEL, IN 46033 Due Date 3/16/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/16/2015 36536 $6.49 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 fficer ************** * GUEST COPY ************** G CITY/CARMEL STREET DEPT MENARDS - CARMEL EMAIL 2150 E. GREYHOUND PASS 3400 W 131ST ST. CARMEL, IN 46033 CARMEL IN 46074 FAX # (317) INVOICE # 69503 ACCOUNT : 30830255 TRANSACTION DATE ; 03/13/15 TRANSACTION # : 8743 TRANSACTION TIME : 95225 PURCHASE ORDER # : patch truck REGISTER NUMBER 4 TYPE OF SALE : Charge Sale SIGNER : Tim Browning CLAIM # : patch truck QUANTITY SKU DESCRIPTION AMOUNT -------------------------------------------------------------- 1. 00 5617184 3" SG FLEX WALL SCRAPER 6 . 99 SUB-TOTAL: 6 . 99 TOTAL TAX: 0 . 00 PAYMENTS 0. 00 TOTAL DUE: 6 . 99 VOUCHER NO. WARRANT NO. ALLOWED 20 Menards IN SUM OF $ 2150 E. Greyhound Pass Carmel, IN 46033 $6.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 69503 I 42-389.001 $6.99 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 M 16, 2015 StreeiSftlatrOesimissioner 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 i 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 �I Date Number (or note attached invoice(s) or bill(s)) 03/13/15 69503 $6.99 �I 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