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HomeMy WebLinkAbout182930 03/03/2010 j a� CITY OF CARMEL, INDIANA VENDOR: 198900 Page 1 of 1 ONE CIVIC SQUARE MENARDS, INC CHECK AMOUNT: $496.03 CARMEL, INDIANA 46032 2150 E GREYHOUND PASS CARMEL IN 46033 CHECK NUMBER: 182930 CHECK DATE: 313/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1818 75.15 MATERIALS SUPPLIES 1110 4238900 2154 11.96 OTHER MAINT SUPPLIES 651 5023990 2308 14.70 OTHER EXPENSES 1207 4350100 2323 36.21 BUILDING REPAIRS MA 2201 4238900 3124 7.92 OTHER MAINT SUPPLIES 2201 4238900 3125 139.19 OTHER MAINT SUPPLIES 1207 4350100 4409 91.60 BUILDING REPAIRS MA 1207 4350100 4588 68.65 BUILDING REPAIRS MA 1207 4350100 4674 41.96 BUILDING REPAIRS MA 2200 4239099 61993 8.49 OTHER MISCELLANOUS GUEST COPY G BROOKSHIRE GOLF COURSE MENARDS CARMEL 12120 BROOKSHIRE PARKWAY 2150 E. GREYHOUND PASS CARMEL, IN 46033 CARMEL IN 46033 FAX (317) INVOICE 4409 ACCOUNT: 30830417 TRANSACTION DATE 02/22/10 TRANSACTION 1697 TRANSACTION TIME 124306 PURCHASE ORDER REGISTER NUMBER 3 TYPE OF SALE Charge Sale SIGNER WES SMITH CLAIM QUANTITY SKU DESCRIPTION AMOUNT 1.00 2322935 3/8 X 10" CARRBOLT 4PCS 1.58 1.00 2322935 3/8 X 10" CARRBOLT 4PCS 1.58 1.00 2322935 3/8 X 10" CARRBOLT 4PCS 1.58 1.00 2322935 3/8 X 10" CARRBOLT 4PCS 1.58 18.00 2302063 3/8 "X10" AC2 POWER LAG 33.84 1:00 2302063 3/8 "X10" AC2 POWER LAG 1.88 1.00- 2302063 3/8 1 IX10" AC2 POWER LAG 1.88 1.00 1112230 4X4 -12' AC2 TREATED GC 11.77 1.00 1112230 4X4 -12' AC2 TREATED GC 11.77 10.00 1891098 SAKRETE CONCRETE MIX 60LB 27.90 1.00 1891098 SAKRETE CONCRETE MIX 60LB 2.79 1.00- 1891098 SAKRETE CONCRETE MIX 60LB 2.79 SUB TOTAL: 91.60 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 91.60 I ,A&UCHER NO. WARRANT N ALLOWED 20 Menards IN SUM OF 2150 E. Greyhound Pass Carmel, IN 46033 $91.60 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members i9 1207 4409 43- 501.00 $91.60 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 19 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, February 24, 2010 Director, BrookshM Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund R Prescribed by State Board of Accounts City Form No. 201 (Rev 199f 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)) 02/22/10 4409 Repair Materials $91.E 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 P, GUEST COPY G CITY CARMEL SEWER COLL MENARDS CARMEL 760 3RD AVE SW STE 110 2150 E. GREYHOUND PASS CARMEL, IN 46033 CARMEL IN 46032 FAX (317) INVOICE 2308 ACCOUNT: 30830254 TRANSACTION DATE 02/12/10 TRANSACTION 2347 TRANSACTION TIME 102821 PURCHASE ORDER REGISTER NUMBER 5 TYPE OF SALE Charge Sale SIGNER DARRELL BELL CLAIM QUANTITY SKU DESCRIPTION AMOUNT 30.00 6486075 1 PK PAPER TOWELS 14.70 SUB TOTAL: 14.70 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 14.70 r VOUCHER 097343 WARRANT ALLOWED X198900 IN SUM OF MENARDS, INC 2150 E GREYHOUND PASS CARMEL, IN 46033 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trall Cade 2308 01- 7200 -01 $14.70 Voucher Total $14.70 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 VOUC_ HER 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 2/22/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/22/2010 2308 $14.70 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 0 er GUEST COPY G CITY /CARMEL WATER DIST MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 WESTFIELD IN 46074 FAX (317)733 -2053 INVOICE 1818 ACCOUNT: 30830253 TRANSACTION DATE 02/09/10 TRANSACTION 4 3817 TRANSACTION TIME 103418 PURCHASE ORDER NONE REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER MIKE LUPER CLAIM NONE QUANTITY SKU DESCRIPTION AMOUNT 5.00 2651509 50# END ICE 37.35 1.00 6489843 18" ROUGH -SURF PUSH BROOM 9.96 1.00 6489843 18" ROUGH -SURF' PUSH BROOM 9.96 6.00 6489819 STEEL HANDLE 17.88 SUB- TOTAL: 75.15 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 75.15 r 5 t uL ia Your, tk Y ,B/G CARD REBATE MENARDS ;f 2�150 CA'RME!_ �'`+'eYho.uncl pas Carmel. IN 4ECY33 W KEEP YOUR RECEIPT kz I RETURN POLICY VARIES BY PRODUCT TYPE ,Unless�oted,pelc�w'aylWlowable returns for on this 'receipt;w "tali6e in k 'return Is done� %10 f P.O. I N V O I C E 1 Q 1 3 Charge Sale t 30830253 Cust name G CITY /CARMEL WATER pIST I .r ,`GQ,VwIT' /SCHOOL 14 47� 37.35 2118 "ROUGN;SURF 'PUSH 6489843 2 @9 96. 19,92 NT �SPEELHANLE,„ l: r 1; +9BI.'� 17.88 NT SALE .75.15 3� t 75 15._ ��t i y '�tvbu'Y t1�� aw:.. R °9#��1,�,�BS �j7.. f� �TOTAL' ITEMS- 13 hF" E I acknowledge this Purchase is.•governedf t ,by the terms and conditions Posted +tin' the front of the store and author`,`ize i��, w l MENARD; -,Inc to bi11.the above named' r 1 f�F. account and agree to pay for th goods "GA �a k: 't�accordfng to the 'terms, tf�e'cre'dt agreement which is on fi W e E w N, A ustomer S�gnat_ ure s o A� rd �TWANK` YOU,' YOUR ��CASHI�ER, BERT i p t f Sn1I fW `A'4 k BASK, 6 04 a 381 7 02 f�� tri VOUCHER 094411 WARRANT ALLOWED Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) _i ACCOUNTS PAYABLE VOUCHER 198900 IN SUM OF i CITY OF CARMEL MENARDS, INCP 2.150 E GREYHOUND PASS �h� 4 An invoice or bill to be properly itemized must show, kind of service, where x. s CARMEL, IN 46033 0 performed dates of service rendered, by whom rates per day, number of units, price per unit, etc. Carmel Water Utility Payee 198900 ON ACCOUNT OF APPROPRIATION FOR MENARDS, INC Purchase Order No. 2150 E GREYHOUND PASS Terms CARMEL, IN 46033 Due Date 2/23/2010 Board members Invoice Invoice Description PO INV ACCT AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or bill(s)) Amount 1 2/23/2010 1818 $75.15 1818 01- 6200 -06 675.15 Z, i i E Voucher Total $75.15 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 Cost distribution ledger classification if claim paid under vehicle highway fund V�� Date Officer GUEST COPY G CITY /CARMEL STREET DEPT MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3400 W 131ST ST. CARMEL, IN 46033 WESTFIELD IN 46074 FAX (317) INVOICE 3124 ACCOUNT: 30830255 TRANSACTION DATE 02/16/10 TRANSACTION 691 TRANSACTION TIME 144432 PURCHASE ORDER shop REGISTER NUMBER 3 TYPE OF SALE Charge Sale SIGNER JEFF STEWART CLAIM shop QUANTITY SKU DESCRIPTION AMOUNT 1.00 3651346 3/4 X 10' EMT CONDUIT 2.64 1.00 3651346 3/4" X 10' EMT CONDUIT 2.64 1.00 3651346 3/4" X 10' EMT CONDUIT 2.64 SUB TOTAL: 7.92 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 7.92 V �.�7 \0 GUEST COPY G CITY /CARMEL STREET DEPT MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3400 W 131ST ST. CARMEL, IN 46033 WESTFIELD IN 46074 FAX (317) INVOICE 3125 ACCOUNT: 30830255 TRANSACTION DATE 02/16/10 TRANSACTION 692 TRANSACTION TIME 144638 PURCHASE ORDER shop REGISTER NUMBER 3 TYPE OF SALE Charge Sale SIGNER JEFF STEWART CLAIM shop QUANTITY SKU DESCRIPTION AMOUNT 1.00 3691681 12 -2 100' NM W /GR WIRE 44.96 1.00 6481099 15 PK BOUNTY BASIC 11.98 1.00 6481099 15 PK BOUNTY BASIC 11.98 1.00 3634017 LA 15A GFI W /WALLPLATE 7.48 1.00 3634017 LA 15A GFI W /WALLPLATE 7.48 1.00 3653690 3/4" EMT -EMT PULL ELBOW 6.68 1.00 3612453 4" SQ COVER GFCI 2.34 1.00 3653690 3/4 EMT -EMT PULL ELBOW 6.68 1.00 3653658 3/4" EMT S.SCRW COUPLER 3.27 1.00 3612453 4 SQ COVER GFCI 2.34 1.00 3653632 3/4" EMT S.SCRW CONNCTR 2.92 1.00 3651210 3/4" EMT 2 -HOLE STRAP 0.89 1.00 3653658 3/4" EMT S.SCRW COUPLER 3.27 1.00 3611108 4 SQ BOX 2 -1/8" DEEP 1.94 1.00 3611108 4 11 SQ BOX 2 -1/8" DEEP 1.94 1.00 3653962 3/4" EMT 90 DEGREE ELBOW 3.43 1.00 3653962 3/4 EMT 90 DEGREE ELBOW 3.43 1.00 3653962 3/4" EMT 90 DEGREE ELBOW 3.43 1.00 3653962 3/4" EMT 90 DEGREE ELBOW 3.43 1.00 2367343 4.5 1 IX3/16" TAPCON BIT 4.00 1.00 2326973 TAPCON HEX 3/16X1 -1/4 5.32 SUB- TOTAL: 139.19 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 139.19 i VOUCHER NO_ WARRANT NO. Prescribed by state Board or Accounts City Form No. 201 (Re Menards ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF CITY OF CARMEL 21 E. Greyhound Pass An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, b Carmel, IN 46033 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. 147.11 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Street Department Date Due Invoice Invoice Description Amount PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 2201 3125 42- 389.00 $139.19 1 hereby certify that the attached invoice(s), or 02/16/10 3125 2201 3124 42- 389.00 $7.92 02/16/10 3124 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 Mo day, 'arch 01, 2010, 1 Street Commis to 'er Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accorda claim paid motor vehicle highway fund 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 CARMEL, IN 46033 CARMEL IN 46033 FAX (317) INVOICE 4674 ACCOUNT: 30830417 TRANSACTION DATE.: 02/23/10 TRANSACTION 8001 TRANSACTION TIME 153659 PURCHASE ORDER NONE REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER Bob Higgins CLAIM NONE QUANTITY SKU DESCRIPTION AMOUNT 1.00 5507926 WATERTITE LATEX GAL 20.98 1.00 5507926 WATERTITE LATEX GAL 20.98 SUB TOTAL: 41.96 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 41.96 GUEST COPY G BROOKSHIRE GOLF COURSE MENARDS CARMEL 12120 BROOKSHIRE PARKWAY 2150 E. GREYHOUND PASS CARMEL, IN 46033 CARMEL IN 46033 FAX 317 INVOICE 4588 ACCOUNT: 30830417 TRANSACTION DATE 02/23/10 TRANSACTION 7841 TRANSACTION TIME 101301 PURCHASE ORDER NONE REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER Ken Miller CLAIM NONE QUANTITY SKU DESCRIPTION AMOUNT 1.00 6398923 DUCT CONNECTOR KIT 1.92 4.00 6399369 4" METAL CLAMP WORM DRIVE 4.76 1.00 6217251 FAN HEATER 9.88 1.00 6861062 3/4" BLACK CAP 1.25 1.00 6792053 1/2 "X260" YELLOW TFE TAPE 2.33 1.00 6923444 WHOLE HOUSE FILTER VIH 28.97 1.00 6398936 4 X 8' ALUM DRYER VENT 9.87 1.00 6398936 4 X 8' ALUM DRYER VENT 9.87 1.00- 6398936 4 X 8' ALUM DRYER VENT 9.87 1.00 6398936 4 X 8' ALUM DRYER VENT 9.87 SUB- TOTAL: 68.85 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 68.85 VOUCHER NO. WARRANT NO. ALLOWED 20 Menards IN SUM OF 2150 E. Greyhound Pass Carmel, I N 46033 $110.81 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# 1 Dept, INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 4674 43- 501.00 $41.96 I hereby certify that the attached invoice(s), or 1207 4588 43- 501.00 $68.85 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, February 26, 2010 f�U Director, BroAare Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev, 199! 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 02/23/10 4674 Paint $41.� 02/23/10 4588 Repair Materials $68.8 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 STORE COPY G CITY /CARMEL ENGINEERING MENARDS CARMEL ONE CIVIC SQUARE 2150 E. GREYHOUND PASS CARMEL, IN 46033 CARMEL IN 46032 FAX INVOICE 81993 ACCOUNT: 30830486 TRANSACTION DATE 11/20/09 TRANSACTION 4690 TRANSACTION TIME 104318 PURCHASE ORDER 0 REGISTER NUMBER 6 TYPE OF SALE Charge Sale SIGNER DAN GRESKAMP CLAIM 0 QUANTITY SKU DESCRIPTION AMOUNT 1.00 6605441 UNLINED LEATHER GLOVE 8.49 SUB TOTAL: 8.49 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 8.49 rr U O i C E' S 23 ?4 25 6'62' FEB Aj ��2i9 �W i 4, tf 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 Menards Carmel Purchase Order No. 2150 E. Greyhound Pass Terms Carmel, IN 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Menards local account 30830486 Invoice Date Accnt. 30830486 Inv 11/20/09 81993 Safety Gloves $8,49 TOTAL $8.49 Total hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 NLnards Carmel IN SUM OF 2150 E. Greyhound Pass Carmel, IN 46033 $8.4 _ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members P O or INVOICE NO. ACCT #/TITLE AMOUNT D P I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the n/a 81993 2200- 4239099 $8.49 materials or services itemized thereon for which charge is made were ordered and received except 5�*r 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund GUEST COPY G BROOKSHIRE GOLF COURSE MENARDS CARMEL 12120 BROOKSHIRE PARKWAY 2150 E. GREYHOUND PASS CARMEL, IN 46033 CARMEL IN 46033 FAX (317) INVOICE 2323 ACCOUNT: 30830417 TRANSACTION DATE 02/12/10 TRANSACTION 3366 TRANSACTION TIME 113834 PURCHASE ORDER 0 REGISTER NUMBER 6 TYPE OF SALE Charge Sale SIGNER WES SMITH CLAIM 0 QUANTITY SKU DESCRIPTION AMOUNT 1.00 2320099 SS 3/8" FLAT WASHER 4.99 1.00 2320087 SS 3/8" HEX NUT 66 PC 5.99 9.00 2302063 3/8 "X10" AC2 POWER LAG 16.92 1.00 2322922 3/8 X 8 CARRBOLT 5 PCS 1.58 1.00 2322922 3/8 X 8 CARRBOLT 5 PCS 1.58 1.00 2302082 T50 BIT SPAX 1.99 1.00 2322922 3/8 X 8 CARRBOLT 5 PCS 1.58 1.00 2322922 3/8 X 8 CARRBOLT 5 PCS 1.58 SUB TOTAL: 36.21 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 36.21 y VOUCHER NO. WARRANT NO. Prescribed by Stale Board of Accounts City Form No 20 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Menards IN SUM OF CITY OF CARMEL 2150 E. Greyhound Pass An invoice or bill to be properly itemized must show: kind of service, where performed, dates service renders Carmel, IN 46033 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $36.21 Payee Purchase Order No, ON ACCOUNT OF APPROPRIATION FOR Terms Brookshire Golf Club Date Due Invoice Invoice Description A PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 1207 2323 43- 501.00 $36.21 1 hereby certify that the attached invoice(s), or 02/12/10 2323 Hardware 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 Wednesday, February 17, 2010 o Director, Bro shire Golf Club Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same claim paid motor vehicle highway fund with IC 5- 11- 10 -1.6 20 Clerk- Treasure GUEST COPY G CITY /CARMEL POLICE DEPT MENARDS CARMEL 3 CIVIC SQUARE 2150 E. GREYHOUND PASS CARMEL, IN 46033 CARMEL IN 46032 FAX INVOICE 2154 ACCOUNT: 30830270 TRANSACTION DATE 02/11/10 TRANSACTION 4515 TRANSACTION TIME 122622 PURCHASE ORDER ROBERT REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER ROBERT ROBINSON CLAIM ROBERT QUANTITY SKU DESCRIPTION AMOUNT 1.00 3536047 18" F15T8 /DCW 5.98 1.00 3536047 18 F15T8 /DCW 5.98 SUB TOTAL: 11.96 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 11.96 l 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 Men Carmel Purchase Order No. 2150 E. Greyhound Pass Terms Carmel, IN 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2154 a ment for light bulbs 11.96 Total 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 Mer!ards Carmel IN SUM OF 2150 E. Greyhound Pass Carmel, IN 46033 11.96 ON ACCOUNT OF APPROPRIATION FOR police generla fund Board Members D INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 2154 389 11.96 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 February 24 20 10 L tur Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund