205633 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. RANGELINE ROAD CHECK AMOUNT: $5.11
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CARMEL IN 46032 CHECK NUMBER: 205633
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 371 5.11 OTHER EXPENSES
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WHITE'S ACE HARDWARE CARMEL
731 S RANGELINE RD
CARMEL IN 46032
317 846 2311 Statement
STATEMENT ACCOUNT
EoE DATE NUMBER OfA cco u n t
31 Dec 11 371
TO: CITY OF CARMEL SEWER
COLLECTION'° *'h
760 THIRD AVE. SW, #110
CARMEL, IN 46032
ALL PURCHASES ARE DUE AND PAYABLE BY LAST DAY OF BILLING MONTH
DATE INVOICE DESCRIPTION AMOUNT BALANCE
15- Dec -11 2182970 DARRYL WAYNE BELL 4.35 4.35
15 Dec 11 2183023 DARRYL WAYNE BELL 0.76 5.11
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CURRENT- PAST DUE'-' PAST. DUE PAST DUE TOTAL PLEASE PAY
AMT DUE 1 MONTH 2 MONTHS 3 MONTHS DUE THIS AMT
5.11 0 D0 Ob00 0,00 5.11 TOTAL 5.11
YOUR RECEIPT GUARANTEES
YOUR NO— HASSLE— RETURN.
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White's Ace Hardware Carmel Customer Transaction DetaiLs 04-Jan-12 10:04 BY: 2000006 Page:1
S 0
T D N E I
A E E ICITY OF CARMEL SEWER Acct#:371 I Term:1010 Sales Storetl 15-Dec-11 09:47 L S
Person:2000082 I
X F T Scan Number Description Part Qty Price One Se €E Price Per Qty Ext L C
V :039208212113`w' 57926 1 00 0 76 C'76 BOLT 3AX34Z�,�'
q53538 99 wo
2�57
-,,,.COUPLING-;NUTAA !G:)00,�,`
Account Number: 371 Name: DARRYL CHARGE 4.35 Sub Total 04.35
WAYNE BELL Memo: Total Tax 0.00
\���y� Grand Total 04.35
S D
T D N E I
A E E ICITY OF CARMEL SEWER Acct#:371 i Inv:2183023 Term:1008 Sales store:1 15- Dec -11 11:05 L S
I Person:2000014
X F T Scan Number Description part 4 Qty Price One Sell Price Per Qty Ext L C
X,;
039208212113 EYE BOLT'3�8X3 4 00176
Account Number:,371 Name: DARRYL CHARGE .76 Sub Total 00.76
WAYNE BELL Memo: Total Tax 0.00
Grand Total 00.76
S 0
T 0 N
E I
A E E ICITY OF CARMEL SEWER Acct#!371 Inv:2185772 Term 5006 Sales Store:1 21-Dec-11 15:05 L S
Person:2000006
X F T Scan Number Descripti Part 4 oty Price One set[ Price Per Qty Ext L C
46, 3
Payment
Number: 204656 Name: CITY OF ROACHECK, 36.15 Sub Total -3615
CARMEL SEWER i Total Tax 0.00
Grand Total
VOUCHER 116563 WARRANT ALLOWED
37500 IN SUM OF
WHITES ACE HARDWARE INC
731 S. RANGELINE ROAD
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
371 01- 7200 -02 $5.11
;t
Voucher Total $5.11
Cost distribution ledger classification it
claim paid under 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 properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
37500
WHITES ACE HARDWARE INC Purchase Order No.
731 S. RANGELINE ROAD Terms
CARMEL, IN 46032 Due Date 12/30/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201 371 $5.11
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
Date Officer