186012 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
j ONE CIVIC SQUARE WHITE'S ACE HARDWARE
o CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CHECK AMOUNT: $476.55
CARMEL IN 46032 CHECK NUMBER: 166012
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 355 307.89 OTHER MAINT SUPPLIES
1205 4350400 355 168.66 GROUNDS MAINTENANCE
WHITE'S ACE HARDWARE
731 S. RANGELINE RD.
PHONE 846-2475
CARMEL IN 46032
DATE CUSTOMER NO.
04/30/10 000355
STATEMENT
RETAIN THIS PORTION FOR YOUR RECORDS
CITY OF CARMEL DEPT.***
OF ADMIN.-SHELLY
I CIVIC SQUARE
CARMEL IN 46032
INVOICE NO. DATE DESCRIPTION AMOUNT
CM 011210 CREDIT MEMO ON HOLD 470.08
92170465 020210 INVOICE 6.76
35851932 030110 INVOICE PAID REF#184534 4.58
35852631 030310 INVOICE PAID REF#1.84•34 7.49
35853432 030510 INVOICE PAID REF#184534 36.72
35855385 030910 INVOICE PAID REF#184534 16.98
35855753 031010 INVOICE PAID REF#184534 33.77
35856346 031110 INVOICE PAID REF#1.84534 7.89
35856548 031210 INVOICE PAID REF#184534 8.66
35856644 03121.0 INVOICE PAID REF#1.84534 15.1.5
35857882 031510 INVOICE PAID REF#184534 5.90
35858046 03161.0 INVOICE PAID REF#184534 32.43
35858073. 031610 INVOICE PAID REF#184534 4.99
35861482 032310 INVOICE PAID REF#184534 17.98
35862242 032410 INVOICE PAID REF#184534 4.99
35862609- 032510 INVOICE PAID REF#184534 3.50
35864714 032910 INVOICE PAID REF#184534 81.98
35865058 -033010 INVOICE PAID REF#184534 19.68
35865677 033110 INVOICE PAID REF#184534 9.99
35866270 040110 INVOICE e l l 4.97
35866541 040110 INVOICE 16.96
35867339 040210 INVOICE ✓35.88
35868846 040510 INVOICE ✓136.19
CURRENT 30 DAYS 60 DAYS 90 DAYS OVER
Z NTI UED ON NEXt PAGE
F-
L T NET 3" F STAIr-I'ItNI JLlHIr-
A 1.5% (18% ANNUALLY) SERVICE FEE WILL
BE CHARGED 7*0 ALL PAST DUE INVOICES
WHITE'S ACE HARDWARE
731 S. RAN6ELINE RD.
PHONE 846-2475
CARMEL IN 46032
DATE CUSTOMER NO.
�04/30/10 000355
STATEMENT
RETAIN THIS PORTION FOR YOUR RECORDS
CITY OF CARMEL DEPT.***
OF ADMIN.-SHELLY
1 CIVIC SQUARE
,CARMEL IN 46032
INVOICE NO. DATE DESCRIPTION AMOUNT
35869335 040610 INVOICE V
35869633 040610 INVOICE
35874270 041310 INVOICE ✓9:54
35874993 041410 INVOICE -47.01.
35875238 041410 INVOICE ✓.00
35875705 041510 INVOICE X6.87.
35879107 042010 INVOICE 1-2.90
35879633 042010 INVOICE PO 073808 ✓16.92
35879887 042110 NET INVOICE NO v/49.77
35880573 042210 INVOICE ✓14.97
184534 042610 PAYMENT .4.58
35883153 042610 INVOICE ✓11.88
84534 01 042610 PAYMENT 7.49-
84534 02 042610 PAYMENT 36.72
84534 03 042610 PAYMENT 16.98-
84534 04 04261.0- PAYMENT 33.77
84534.05 042610 PAYMENT 7.89
84534 06 042610 PAYMENT 8.66
84534 07 042610 PAYMENT 15.15
84534 08- 042610 PAYMENT 5.90-
84534 09 042610 PAYMENT 32.43-
84534 10 042610 PAYMENT 4.99
84534 11 042610 PAYMENT 17.98
CURRENT 30 DAYS 60 DAYS 90 DAYS OVER
ONTI UED.ON NEX PAGE
b Nt.1 IV LIRT5 I-Kum SIAIEMENI I It
A 1.$% (18% ANNUALLY) SERVICE FEE WILL.
BE CHARGED TO ALL PAST DUE INVOICES
WHITE'S ACE HARDWARE
731 S. RANGELINE RD.
PHONE 846-2475
CARMEL. IN 46032
r DATE CUSTOMER NO.
�04/30/10 000355
STATEMENT
RETAON THIS PORTION FOR YOUR RECORDS
C ITY. OF CARMEL DEPT.-X**
OF ADMIN.- .SHELLY
1 CIVIC SQUARE
CARMEL IN 46032
INVOICE-NO. DATE DESCRIPTION AMOUNT
84534 12 042610 PAYMENT 4.99-
84534 13 042610 PAYMENT 3.5-0
84534 14 042610 PAYMENT 81.98
84534 15 042610 PAYMENT 19.68
84534 16 042610 PAYMENT 9.99-
)EDUCT 42.68 FO k PAYMENT OF 29.45 IF PAID BY 31st
.COME AID SEE WJAT IS BLOOMING
IN OUR GARDEN .ENTER!
CURRENT 30 D AYS 60 DAYS 90 DAYS OVER
L_ .00� 6.76 470.08
f
5 i FRUM 5 1 A I EMENT LIA I E.
A 1.5% (18% ANNUALLY) SERVICE FEE WILL...
BE CHARGED TO ALL PAST DUE INVOICES
_3 8q W IF E:
Z II--� d R Ea F R U
E" -L_ I M me.
ACE
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
�L Z'Z�
DILL TO: SHIM' T0:
CITY OF C:ARMEL_. DEPT.*** CITY OF C;ARMEL DEPT.***
OF ADMIN.-SHELLY OF ADMIN.-SHELLY
i CIVIC SQUA 1 CIVIC SQUARE
IN 4-6032
IN A6032
PURCHASER: TERMS
JEFF BARNES DI
QUANTITY ITEM NUMBER. DESCRIPTION PRICE /UNIT AMOUNT
i. 10389 DECK. BRUSH 10" T 7.490 7.49
1 11339 METAL THREADED HANDLE T 7.480 7.48
HOUSE 14.97 TAXABLE .00
TAX
.00
NON TAXABLE
14.
h. SUB -TOTAL
14.97
im m_"M
-3 -Ci W I 'T E— 9 'EB u= '9 k RE f:4 Ifs 14. d!l R 9=
AC E,
IC r-ld R 011 FEE L.._ T 6•'w9 -4 C—,. 10 .:3 Z?
_Z31 1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE: 358 GG541 2 1 04/01/10 13:15:39 000355 1
D LL TO- S.�IP' T
TY OED CARMEL DEP m. ITY CARMEL DEPT.*-**
OF ADMIN.--SHELLY OF ADMIN.—SHELLY
1 CIVIC SQUARE I CIVIC SQUAREa.
CARMEL :E N 460 CARMEL IN 46032
PURCHASER CASHIER: PO i# TERMS: SALESMAN
CRYSTAL_ MONTGOMERY PORTIA
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
2 703000 IyIIRGRO SPHHUNUM FEAT `CF 'f• 8.490 16.
HOUSE 36.96 .00
TAXABLE olz1
rl
ail TAX 3E J
NON TAXABLE ��•E
C�� Ul C
SUB -TOTAL
3F, 1,
-3,9`1 W" I r F' IIE3 r-4 C:� Ic' I --R f R ID W Cl IFS
7 Z3 1 S R A ON4 Cil L- I NA B R n
E3 Z4- E=F ;R Z3 1 1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 5867339 49 04/02/10 13: 55 :05 0O IZ135 5 1
BILL. TO. SHIP TO:
CITY OF CARMEL DEPT. C I T Y OF CARMEL DEFT. -m-*
OF ADMIN.-SHELLY OF ADMIN.-SHELLY
1 CIVIC SQUARE 1 CIVIC SOUAIRE
CARMEL III 460_ 2 CARMEL. IN 46032
PURCHASERt CASHIER: F' #o TERMS. SALESMAN
CRYSTAL MONTGOMERY TRACT
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
1;R
5935 ALL PURPOSE GRAVEL O0# T 2.990 35.88
1-101 ISE 3-
TAXABLE
TAX
35.88
�r go Q nn NON- TAXABLE
v+ 35.88
SUB -TOTAL
X 35.68
W B--B :IC -T F 1D r- -1 C,' E-Z F-8 n I ID W f:-) R dF
ACE a -4- CE-1 c--_ 12-1 1 1.
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35863846 2 1 04/051 13207:30 000355 1
DILL Tao SHIP TO:
CITY OF CARMEL DEPT. CITY OF CARMEL_ DEPT.***
OF ADMIN. -SHELLY OF ADMIN.-SHELLY
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL IN 4803=1 CARMEL IN 46032
PURCHASER: CASHIER: PO TERMS: SALESMAN:
CRYSTAL MONTGOMERY P 1) R Tl A
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
30 7102692 MIRGRO FLWR /VEG SOIL 1CF r 3.990 119.70
1 706550 ANNUAL FLAT T 16.490 1 G. 49
FLAT 18 /PK
c� vk*��
b �c
TAXABLE
TAX
3 6. 19
NON TAXABLE
SUB-TOTAL OA Vk)AV 136. 19
X
0-A T' r F--- 9 ,�-a IA I=- I4 IFti ID W Cl IFS B=
AC E r-:� IFS M F=— L_ 1 PA •tea- F, H 2
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
P I L L TO: SHI TO
CITY OF CARMEL DEFT. CITY OF CARMEL. DEP E'. *.m..*
OF ADMIN.-SHELLY OF ADMIN.--SHELLY
1 CIVIC SQUARE 1 CIVIC SQUARE
l MEL T157460 ARIvIEL iiq 4603
'FEFF BARNES
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
i 3202587 1 SWT WALLPL-.ATE JUMBO WHT T 1.090 1.09
MOUSE 1. TAXABLE .00
0
TAX .00
NON TAXABLE 1
SUB -TOTAL 1.
X
r 1.09
Il it I F T—= 'J fi=r C U- E=- CA R ]r'b W 4:4 R
ACE C f:4 R M E: L- v 1 P4 Z+ F--. 117% Z3
7,31 f3 Rd=h M C-3 FEEL- I PA F- R' lla
4 1- l I.
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35869633 V.14/06/10 14:11:3 000355 1
BILL. TO SHIP TO:
CITY OF CARMEL. DEPT.*** CITY OF CARMEL DEPT.***
OF ADMIN.-SHELLY OF ADMIN. -SHELLY
1 CIVIC SQUARE 1 CIVIC SQUARE
(:ARMEL_ IN 460,.� CARMEL. IN 46032
PURCHASER: CASHIER: Po #F TERMS-.: SALESMAN:
CRYSTAL MONTGOMERY MIMI
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
L. bUIL 404 n
HOU 9 .6 0
TAXABLE
'y TAX
I
�v c� NON- TAXABLE
SUBTOTAL
X ny e
W F I _F- E= 9 S3 Ph IC: E- 9 --g r-1 R ID Gad n F;Z EE
ACE, C:: dz� F;Z M Ez- 0 1 NO E�- 07D �3 ;E"
ell' R n T%J 0; E- L 3: 0'%J E^ R, E)
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
-3:5E 7q
...K5
RIL-L, TO: SHIP TO
CITY OF CARME.L. DEPT.*** CITY OF CARMEL. DEPT.***
OF- ADMIN. SHELLY OF ADM IN. -SHEL -LY
1 CIVIC SQUARE 1 CIVIC SQUARE
P c C'
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
1 43623 PVC /CCFVC PRIMER 40Z T '2.42.0 2.42
1 311.9692 ACE SF"T WHT 3W 30/70/100 T 1.790 1..79
1 44:393 PVC /CFVC /ABS CLEANER 407. 1 2.970 2.97
1 43691 MULTI- PURPOSE CEMENT 407 T 2.3G0 a.36
HOU SE 9.5
TAXABLE
TAX
,a
NON- TAXABLE
SUB -TOTAL
X
ACE 1 E3 R C4 N 43 E: L_ I P4 E: R 13
TYPE OF TRANSACTION DOCUMENT NUMBER' TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35874993 22 04/14/10 10:59:58 000355 1
BILL TO: SHIP TO:
CITY OF CARMEL DEPT.*** CITY OF CARMEL_ DEPT.***
OF ADMIN.- SHELLY OF ADMIN.- SHELLY
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL IN 45032 CARMEL IN 46032
PURCHASER: CASHIER: PO TERMS: SALESMAN:
RAPHAEL BU RI :E Mimi
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
2 12787 MURIATIC ACID 31.45% GAL 27.65 T 23.503 47.01
CASE OF 4
HOUSE 47.01 TAXABLE
TAX
NON TAXABLE 47 0 1
SUB -TOTAL 47.
W 1°--i I T E=:. n V- I=— E"-i f::� R ID W C4 IFS EZ
AWE, C::� C:� F? M Fm L- IE �q _l4 CE, Rzo �3;R
.TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 3587 238 2 1 04/14/10 14:17-.08 0003 5 1
BILL 1 0 SHIP TO c
CITY OF CARMEL DEFT. CI' OF CARMEL_ DEPT. x•*
OF ADMIN. SHELLY OF ADMIN. SHELLY
i CIVIC SQUARE 1 CIVIC SQUARE
CARMEL. IN 4603 CARMEL. IN 4603
PURCHASER: CASH IEt RR PO TERMS: SALESMAN.
RAPHAEL_ BURKEr ❑L_GA
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
p
HOUS 2. 0 V ol n
TAXABLE
TAX
NON TAXABLE
2
SUB -TOTAL
2 00
Z33 n c-3 Ems' "1' O C3 EE 1...- I P'41='- 1=; ID
f- r-) Ifs 1 FE L.. I N1 4s AD
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HIJUbF 2t8 7b 70T i:�l 021. 0
BILL TO: S HIP TO®
CITY OF CARMEL DEPT. *4f• CITY OF CARMEN_ DEPT.***
OF ADMIN. SHELLY OF ADM IN. --SHELLY
1 CIVIC SQUARE 1. CIVIC SQUARE
CARMEL IN 46032' CARMEL IN 4F,03
PURCHASER- CASHIER: PO #e TERMS: SALESMAN
G ND FN
R'1'
N t I MBER DESCRIPTION PRICE /UNIT AMOUNT
1 30 205 DURACELL AL_ KLN `IV 2P C 6. 870 6.87
HOUSE 6 .87 TAXABLE IZi0
TAX olzi
NON TAXABLE 6. 87
SUB -TOTAL 6.
X
7J7
r-.':: IFS M EE d._ 1 #114 .4 E� OD z-;l a�W
AW,
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
1-•lOU SE 35 87' ].07 20 04/20/1 08.-52: 0003 1
BILL. 1 O a SHIP TO
CITY OF CARMEL DEPT. **-14- CITY OF CARMEL DEPT.***
OF ADMIN. —SHELLY OF ADMIN. SHELLY
1 CIVIC SQUARE I. CIVIC SQUARE
CARMEL 1: N 4.60,3= CARMEL. IN 46032
HPURCHASER: CASHIER: Po 41$ TERMS SALES
RAPHA BUR
QUANj M NUMBER r D Pj PRICE /UNl g AMOU T
pq
4 *5G FASTNERS, BOLTS. SCREW T .300 1.20
2 .90
TAXABLE
TAX 90
NON TAXABLE 90
SUB -TOTAL
W 9-4 1 "T Ems. Q E-- 0_0 CA FR 13 W CA FR K.
ACE0 C.:� CA R M F_ I Pl Zg-
7 1 �B RC-1PA OS EEL_ I MEE R1D
TYPE OF TRANSACTION ,bbc5MENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
s-s Yom
BILL TO: SHIP TO
CITY OF CARME L DEPT.**-* CITY OF CARME=.L_. DEPT.***
OF ADMI N.-SHELLY OF ADMIN.-SHELLY
1 CIVIC SQUARE 1 CIVIC SQUARE
BURKE S EA
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
71 9509 REP WNDW ALUM SCRN MTRL T .070N 4.97
71 5510 REP WNDW ALUM SCRN LABR T 19ON 13.49
71 9509 REF-' WNDW ALUM SCRN MTRL T .070N 4.97
71 9510 REP WNDW ALUM SCRN LABR T 19ON 13.49
HOUSE 6. 9 TAXABLE 00
TAX
NON TAXABLE 36. 92
SUB -TOTAL 36. 92
X
STS'# 1;� 347` 24 ;-G,
AM C--. 0� ":3 1 1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35879887 2 1 04 2 :L 1 i 08:51-37 VIVJ0355 1
PILL. TO: SHIP TO:
CITY OF CARMEL I)EP f„ CITY OF CARMEL. DEPT..***
OF ADMIN. SHELLY OF ADM I N. --SHELLY
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
PURCHASE-R: CASHIER: PD a TERMS- SALESMAN:
MIKE WILLIAM SON OLGA
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
1".2787 MURIATIC ACID 31.45/ GAL T 24.885N 49. 77
CASE OF 4
HOUSE 4.7a 77 .00
TAXABLE elo
TAX 49.77
NON TAXABLE 49„ 77
SUB -TOTAL
49. 77
X
y`
ACE lz�s ...3 1 E3 IR d=b C k I IN4 E F ]C)
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 358805 7 -3 211 04/22/10 09t23:28 000355 1
LL. O a
SHIP Tb-
CITY OF CARME:L DEP -X-* CITY OF CA RME L DEPT.***
OF ADMIN.— SMELLY OF ADMIN. SHELLY
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMf. L IN 46032 CARME L. IN 4803;
PURCHASER: CiA SHIE:R a Po TERMS: SALTE aMAN s
GARY LINDENMAYER PORTTA
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNfT AMOUNT
,3BRUSH 10 1 7.4
1 11 METAL THREADED HANDLE. T 7.480 7.48
HOUSE 14.97 .00
TAXABLE
TAX 14.97
NON TAXABLE 1
SUB -TOTAL
14.97
X
sal
W l-- -9 I T 9 1� >C_ Imo" B -6 I1 R El W Cl R IL-
ACE C� r-!k R P-1 EZ I— I m Zv_ OF, 2% Z3;El
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
RO USE 35883153 22 04126110 10 1 4 e J7 e 5 5 0003 ..)5 1
CITY OF CARMEL_ DEPT.*** CITY OF CARMEL_. 'DEPT.***
OF ADMIN.-SHELLY OF ADM I IV SHEI_L<Y
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEI_. IN 46032 CARME_ L_ IN 460 32'
tl a
HHPHAEL'E
QUANTITY ITEM NUMBER DESCRIPTION PRfCE /UNIT AMOUNT
J'n .y, WAIRIA ACID 31. 45'4:: c
EACH
PER TERRY
TAXABLE
TAX
NON- TAXABLE
SUB -TOTAL
X'
VOOCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF
731 S. Rangeline Rd.
Carmel, IN 46032
$476.55
ON ACCOUNT OF APPROPRIATION FOR
armel Administration
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 35866541 42- 389.00 $36.96 I hereby certify that the attached invoice(s), or
1205 35866270 42- 389.00 $14.97 bill(s) is (are) true and correct and that the
1205 35867339 42 389.00 $35.88
materials or services itemized thereon for
1205 35868846 42- 389.00 $136.19
1205 35869633 42 389.00 $9.60 which charge is made were ordered and
1205 35869335 42- 389.00 $1.09 received except
1205 35874270 42- 389.00 $9.54
1205 35875238 42- 389.00 $2.00
1205 35874993 --64 $47.01
1205 35875705 42- 389.00 $6.87 Monday, May 24, 2010
1205 35879633 42- 389.00 $36.92
1205 35879107 42- 389.00 $2.90 U�C
Director, Ais#n f
1205 35879887 $49.77
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))
04/01/10 35866541 $36.96
04/01/10 35866270 $14.97
04/02/10 35867339 $35.88
04/05/10 35868846 $136.19
04/06/10 35869633 $9.60
04/06/10 35869335 $1.09
04/13110 35874270 $9.54
04/14/10 35875238 $2.00
04/14/10 35874993 $47.01
04/15/10 35875705 $6.87
04/20/10 35879633 $36.92
04/20/10 35879107 $2.90
04/21/10 35879887 $49.77
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
,20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wh.ite's Ace Hardware
IN SUM OF
731 S. Rangeline Rd.
Carmel, IN 46032
$476.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1205 35880573 42- 389.00 $14.97
1205 35883153 S'z 4 $71.88
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 invoices) or bill(s))
04/22/10 35880573 $14.97
04/26/10 35883153 $71.88
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
20
Clerk- Treasurer