190303 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 357304 Page 1 of 1
ONE CIVIC SQUARE JAMES HOBBS CHECK AMOUNT: $16.98
CARMEL, INDIANA 46032 11180 E. 111TH STREET
FISHERS IN 46038 CHECK NUMBER: 190303
CHECK DATE: 9/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 37380 16.98 REPAIR PARTS
C
V TRACTOR
SUPPL
TractorSupply.com
18160 U.S. 31 NORTH
WESTFIELD, IN 96074
317- 867 -3505
T i c k e t 37380
Date: 9/17/10 Time: 1:55 PM
Store: 431 Register: 2
Cashier: 00337740
Customer: XXX CARMCL STREET DEPI
Phone 1l: 3177332001
Company: CARMEL STREET DEPT
It O Prir -e_ AMOU
RIVET 3/16 62 SHORT ALUM
3899733 1 4.99 4.99 E
RIVET TOOL 8500 HD POP
3831866 1 11.99 11.99 E
Subtotal 16.98
Fax 0.00
f o t a l 16.98
Cash 20.00
Chanqe
Cash (3.02)
o o
TractorSupplyoc®m
Tractors uppdyecom
o
p
TractorSupplyacom
VOUCHER NO. WARRA NO.
ALLOWED 20
Jim Hobbs
IN SUM OF
c/o Carmel Street Department
$16.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member.
2201 37380 42- 370.00 $16.98 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
ThursdayrSeptnber23, 2010
d
Street Commiss,'ioper
Street Cor7ltressioner
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))
09/17/10 37380 $16.98
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