168357 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00353333 Page 1 of 1
ONE CIVIC SQUARE JEAN BELCHER CHECK AMOUNT: $13.53
CARMEL, INDIANA 46032
CHECK NUMBER: 168357
CHECK DATE: 2/4/2009
D EPARTMENT ACCOUNT PO NUMBER IN VOICE NUM BER AMO DESCRI
1701 4239099 904372 13.53 OTHER MISCELLANOUS
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�72.
q
,j
_9- Q!�'
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 _M WARRANT NO.
ALLOWED 20
t IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/ZO/ f t2YS 72- 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
20 G J`
A Ap Aa&*-
i ature /Ir
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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WHITE ",S ACE HARDWARE
731 S: `RARGELINE RD
CARREL, IN.
505344 3M COMMAND HOOK SML 6.99
r) 5 VELCRO 244" 2PK BL 3.27
3 TNDOOR Tf1PE- rrcX- -�.�°a
5062229 VELCRO 2 "X4" 2PK BL 3.27
SUBTOTAL 35.51
TAX01 2.49
TOTAL 38.00
BANK CARD 38.00
CUSTOMER#: 944372
PURCHASER: CJAY MURPHY
HH CLUB 19726219755
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THANK—YOU!
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WHITE'S ACE HARDWARE
731 S. RANGELINE RD
CARMEL, IN.
5069190 INDOOR SHRINK FILM -12.99
REFUND
55187 3M INDOOR TAPE 1/2X -8.99
REFUND
U SUBTOTAL -21.98
a TAX01 -1.54
TOTAL -23.52
BANK CARD -23.52
CUSTOMER#: 904372
PURCHASER: WAY MURPHY
HH CLUB 0: 19726219755
THANK-YOU!
MLR 01/22/09 12:15PH #35645039 22
Customer Copy
THANK YOU!
COME AGAIN!
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WHIIE'S RLE HARDWARE CARMEL
731 S RANGELINE ROAD
CARMEL. IN 46032
317 -846 -2311
1671016267
Merchant ID: 167101626704
Sale
1111rr1111XI5810
MASTERCARD Entry Method; Swiped
Total: 38.00
01/15/03 12;45:18
Inv#: 000015 Wr Code: 614444
Apprvd:Online Batch#: 000321
Customer Co"Y
THANK YOU!
COME AGAIN!