HomeMy WebLinkAbout181440 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 360212 Page 1 of 1
ONE CIVIC SQUARE MATT WORTHLEY
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CARMEL, INDIANA 46032 14383 GEORGE COURT CHECK AMOUNT: $6.68
—0 CARMEL IN 46032 CHECK NUMBER: 181440
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CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4239099 6.68 OTHER MISCELLANOUS
431274611885 -P
WHITES ACE HARDWARE Cf1L
731 5 RANGE LINE ROAD
CARMEL. IN 46632
1317! 846 -2311
i ll a I RA 6 EE HARDWARE
Term ID: Ole Ref II: 033 731 S. RANGEL INE RD
Sale CARMEL, Ind.
XXXXXXXX(XXX7118 5954 KEY SINGLE CUT 6.68
4 1.670
Entry Method: Swiped SUBTOTAL 6.68
TAX01 .47
01/05/10 13:50:03 TOTAL 7- 15
Inv )1: 000033 APPr Code: 015013 BANK CARD 7.15
Apnrvd: Online Batch: 005001
i 4 6HAHK —YOU
Tota! 15 PAB 01/05/10 1:40PN 835831390 28
Customer C
Prescribr1 by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice orbill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
11 Payee
1
t 1 4- IA% 4. Li y
Purchase Order No.
3 7 //t f /ieci A) (A) Terms
l Y fa a 3 Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I /51 5 �x e y 6 41
Total 6 b t
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
'f4# WOr to y INSUMOF$
1 .5-4.erJ *.dee
IX) 0 3 Z
G�8
6•
ON ACCOUNT OF APPROPRIATION FOR. z/O”
rr Board Members
NO. hereby certify invoice( s), DEPPo# Tor INVOICE NO ACCT #/TITLE AMOUNT I hereb certi that the attached invoices or
4402- 5951 1 1 239 99 6 •S 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
220 /a
Sign ure
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund