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191007 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1 0 ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $29.97 CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CARMEL IN 46032 CHECK NUMBER: 191007 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 244 29.97 BUILDING REPAIRS MA AtMe i PW kRANSACTION •DCSCUMENT-'NCJMBER i TRANSAC'TION'D`ATE� V SAC T`Nl PAGE PILL TO:. SHIP TO: 12120 BROOK SHIRE PI<WY. 12120 BROOKS1 -TIRE PKWY. CARMEL IN 46033. CARMEL IN 46033 PURCHASER: CASHIER: PO TERMS SALESMAN: MIKE CALVERT DINFi WI' t 'P..��. .t"` ...,r "t ..hIV' 1;-i 11 '1 MOW K °.a� WK 1 y J.i. QUANTITY ITEN NU�� RP G E FiAC OOEDESCR�PT C� `]4 W R2 T PRICE 90 AMOUNT 99 1 =,6b,:i.: V1I l:i FIHt..l.)_ih_IV F He 111 8. HOUSE 29.97 0L71 TAXABLE t(It7_t TAX, 29. NON- TAXABLE SUB -TOTAL 2`�. 97 r VOUCHER NO. WARRANT NO. ALLOWED 20 White's Ace Hardware IN SUM OF 731 South Rangeline Road Carmel, IN 46032 $29.97 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club ,i C -eio-� -c 4L PO# I Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1207 43- 501.00 $29.97 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 Thursday, September 30, 2010 a Director, Brookshire olf Club 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)) 09/29/10 Light Bulbs $29.97 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 1 20 Clerk- Treasurer