HomeMy WebLinkAbout161135 06/25/2008 a CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
0 CHECK AMOUNT: $166.49
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 161135
CHECK DATE: 6/25/2008
DEPARTMENT AC PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
905 4238900 244 166.49 OTHER MAINT SUPPLIES
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TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PA GE
H USE 35515119 22 05/29/08 09:04:47 000244 1
BILL TO: SHIP TO:
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN 46033
PURCHASER: CASHIER: PO TERMS: SALESMAN:
KEN MILLER MARY
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
1 24410 DUST MASK DISPOSABLE T 4.490 4.49
1 6001416 LINER 33GL .85M GOBG T 9.990 9.99
1 6001416 LINER 33GL .85M GOBG T 9.990 9.99
1 6033096 LINER 45GAL COMML BX80 T 15.990 15.99
1 6033096 LINER 45BAL COMML BX80 T 15.990 15.99
40�13 -7.-728 T2
10 6 i l�j 9 c? HUBVI)YRYL PL C.. j C. j
4085999 FRNC FLTR 20X25X5 ST, 19.960 39.96
2 4085999 FRNC FLTR 20X25X5 ST' 19.980 39.96
1 4085999 FRNC FLTR 20X25X5 ST 19.980 19.98
HOUSE 166.49 TAXABLE LAO
TAX .00
8 �.09 1 1 N NON-TAXABLE 166. 49
SUB-TOTAL 166, 49
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RECEIVED THE ABO E IN 466D CONDIT(ON(/ TOTAL 166.49
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
I
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5d5-08 ass /s ii %a
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
IN SUM OF
/V V61 3
ON ACCOUNT OF APPROPRIATION FOR
I9 Board Members
�G'T' yoo�
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 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
2009
Sign ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund