167498 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
zJ' CHECK AMOUNT: $1,165.25
CARMEL, INDIANA 46032 735 S. RANGELINE ROAR
CARMEL IN 46032 CHECK NUMBER: 167498
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 380 1,165.25 REPAIR PARTS
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TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
kni F.= `F,G..4F °p 13 F i Pg 3P 17003
BILL TO: SHIP TO:
CITY OF CARMEL. STREET CITY OF CARMEL STREET
DEPT.*** DEPT.
3400 W. 131ST STREET 3400 W. 131ST STREET
WESTFIELD IN 46074 WESTF'IELD IN 46074
PURCHASER: CASHIER: Po s TERMS SALESMAN
NATHAN STAPLETON MARY
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
5 53058 RURAL MAILBOX BLK LRG T 27.290 136.45
10 .5266192 RURAL MAILBX ELTE MED BLK T 20.470 204.70
30 52486 CEDAR MAILBOX POST T 27.470 8:4.10
HOUSE 1 165. 25 TAXABLE .00
TAX
NON- TAXABLE 1 165. 2 5
SUB -TOTAL 11
CEIVED THE.ABOVE IN GOOD CONDITION
TOTAL
1165.25
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF
731 S. Rangeline Road
Carmel, IN 46032
$1,165.25
f
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 35626436 42- 370.00 $1,165.25 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
ednesda �ecember 17, 2008
Street V missioner
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))
12/09108 35626436 $1,165.25
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