189566 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
0 CHECK AMOUNT: $3.99
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 189566
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 320 3.99 OTHER MISCELLANOUS
ACE 114 I-A 1 D:—= F-4 C' EE F0 9=1 FR ID W S:) FR E
d=l R, 8'x1 DEE' 8.,._,. 1 8'q
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
BIL_L TO: SHIP TO:
CITY OF CARMEL. C L fY O F CARMEL_
CLERK TREASURER -x* CLERK TREASURER *x
1_ CIVIC SQUARE 1 CIVIC SQUARE::
r+
JYAAr'. Thl J'.' I'+ f vi 1 'Y h1 7171 '^•7[I
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r.l Ir•sr +t ;^ir r-rs J T r Cl rsin R•C'R]tvl n Ctli C_•L?`Ml /hl o
v v v
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
AN T, i 5044`5iE. VINYL_ PROTCT PAD 3/8 CD1.8 T 3.990 3. 99
TAXABLE
HOUSE 3.99 .00
T TAX
.00
NON- TAXABLE
SUB -TOTAL
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.
Intl Payee
L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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. WAl` RANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
CT
Ac Board Members
EPT INVOfCE NO. ACCT /TITLE AMOUNT
DEPT. I 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund