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205630 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1 ONE CIVIC SQUARE WHITE'S ACE HARDWARE CARMEL, INDIANA 46032 731 S RANCELINE ROAD CHECK AMOUNT: $3.34 CARMEL W 46032 CHECK NUMBER: 205630 CHECK DATE: 1117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 244 3.34 BUILDING REPAIRS MA id1827 �rid3'F�.'d? �..•i'f "x�k'$' WhiWS ACAERardwai Thanks for shopping our friendly store. White's Ace Hardware Carme L 731 S Rangeline Rd Carmel, IN 46032 317- 846 -2311 BROOKSHIRE GOLF CLUB ACCOUNT 244 ITEM OTY SALE /REG EXT 5954 2.00 1.67 3.34 EACH KEY SINGLE CUT SUBTOTAL 3.34 TAX 0.00 TOTAL$ 3.34 CHARGE 3.34 I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO THE POSTED TERMS AND CONDITIONS t b• SIGNATURE KEN MILLER EMPLOYEE TERM INV# TIME DATE 2000082 1015 2193346 09:18 11- Jan -12 Ace Rewards ID 19800654823 Your receipt guarantees your no- hassle return. We're your source for Spring, Summer, Winter and Fall for all your hardware needs. I VO CE I VOUCHER NO. WARRANT NO. ALLOWED 20 White's Ace Hardware IN SUM OF 731 South Rangeline Road Carmel, IN 46032 $3.34 ON ACCOUNT OF APPROPRIATION FOR hc- Brooks hire Golf Club 6; qLf PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 2193346 43- 501.00 $3.34 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 Wednesday, January 11, 2012 Director, Broo s ire Golf 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)) 01/11/12 2193346 Key $3.34 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