205930 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 353655 Page 1 of 1
ONE CIVIC SQUARE MENARDS FISHERS
CHECK AMOUNT: $39.90
CARMEL, INDIANA 46032 7145 E 96TH STREET
INDIANAPOLIS IN 46250 CHECK NUMBER: 205930
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 76075 39.90 REPAIR PARTS
GUEST COPY
GOV -CITY OF CARMEL FIRE MENARDS FISHERS
2 CIVIC SQUARE 7145 E. 96TH STREET
INDIANAPOLIS, IN 46250
CARMEL IN 46032
FAX (317)
INVOICE 76075 ACCOUNT: 31710256
TR ANSACTION DATE 01/20/12 TRANSACTION 2332
TRANSACTION TIME 170816 PURCHASE ORDER bob v
REGISTER NUMBER 7 TYPE OF SALE Charge Sale
SIGNER JIM SPELBRING CLAIM bob v
QUANTITY SKU DESCRIPTION AMOUNT
10.00 2612346 22" DUPONT WIPER BLADE 0.00
10.00 2612346 22" DUPONT WIPER BLADE 39.90
SUB- TOTAL: 39.90
TOTAL TAX: 0.00
PAYMENTS 0.00
TOTAL DUE: 39.90
I
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))
76075 $39.90
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
VOUCHER NO. W ARRANT NO.
ALLOWED 20
Menards F I
IN SUM OF
7145 East 96th Street
Indianapolis, IN 46250
$39.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 I 76075 I 42- 370.00 I $39.90 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
AN 3 9 2092
v V
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund