180316 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ti ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $86.30
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 180316
CHECK DATE: 1218!2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4230200 330 38.77 OFFICE SUPPLIES
1192 4239012 330 47.53 SAFETY SUPPLIES
TYPE OF TRANSACTION DOCUMENT NUMBER' „•t TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 3 �b 11'/24/09 ..13p.0 gf06 a o 1
t3 l L. I rJ 6
CITY OF CARMEL DEP m.* 'CITY—OF. CARMEL DEPT.***
OF COMMUNITY SVCS.. OF, COMMt,lN'ITY. SVC,
1 CIVIC; SQUARE I CIWlp,'SQUARE
CARMEL Tlr! �I.E,LAFMEI'�; IN 46032
t tJRC 1 iSE d'u SH E.F F'O a TE'RIYIS SALESMAN
it
BILL HOHLT EV A
QUANTITY ITEM NUMBER DESCRIPTION as PRICE /UNIT AMOUNT'
r7 'i t....Li v J I LL t T t. Ll Kt7 t- `1 "s[s i tiYk 7; vJ, 7 G.
1 7'1.7,x9 GLOVE .JERSEY SOZ LRG PKF� ;J: 5 9
r k X, yp4:
y n i fi t j r r v y k� f 5 f� v >1+� ri �k
fQt� �t rY�} }��t' $`r.J."♦,a l Fyn
F -IOUSE 1 58` r 5 r Y s`;k! `s
ri Yi....xF .�¢?r#'�'_•t? a,« v .14'.`Y7- ti i.5
fix }f h Y r 4atis+ is l� iy a -4:�:
TAXABLE
c` TAX t 5 EEC
NON- TAXABLE
SUB -TOTAL
10.58
X
�--O I D" E�: rl C 1k" i1-M4 R Ili W dam' FRI i
SLR
;2 Z3 1
AC ES
TYPE OF TRANSACTION _bocUv1ENT NUMBER w TRANSACTION DATE ACCT�NUMBER PAGE
_y
rluunr_ i JC31CrCi�7� C4id lw'J'4C 1W_1. k J v 1
SHIP Tb-.
CITY UF M L DEBT. CIT F t! L D
OF COMMUNITY. SVCS, OF COMMUN l.TY SV'CS,
I CIVIC SQUARE I. CIVIC SQUARE'
CARMEL I:N 46032-' CARMEL IN 46032
PURCHASER: CASHIER: PO a ,TERMS e SALESMAN
NISHOLE PAS$1NEcU .;T IRAQ L. n
QUANTITY ITEv1�tNUMBER',*7 GLOVE" DR I I�ESCRIPY OM! PORTS a I N' T PRiCE�UI�IT 0 iaMOUN�
1 �1 -.l�L i= j MIDE Y' I K� �KIV 1 d `1 V «'tl'
1 7CA5 557 GLOVE WA 'f ERP, dF MED BL R T 25. 990 25.99
TAXABLE
00
TAX 95
NON- TAXABLE 36. `35
w ...w.� SUB- TOTA("
1 l
l i 36. 95
X vV
f
0 C:l R Pill {E= L ll Q� a d=o 4
1C' M ,I• 4: 4 Y r< "P J V 1y, 41V y
r TIPE OF'TRANSACTION DOCUMENT �JUMBER TRANSACTION'DATE., A Ct%ABER PAGE
BIl_i_ TO: SHIP TO:
t 'r nr` r•n nMrl nrr'. r 1 4%j or
'COMMUNITY SVGS. OF COMMUNITY SVC$ S"
1 CIVIC SQUARE l 1 C -k=— i SDUARE
CARMEL IN 4601 2 CARMEL I 4 60:3 d
PURCHASER: s •CASH,IER: FIO TERMS: t:,..' SAL�SMAIV
LISA Sl'EWAP• :OVA
i_ i. —a Y.•- r r�
HR r�, ri r r 1 r r a —s -•s "w "i
r.w J -4 1 1♦ 4,E k 1 A 4. '1. 1�.7 F T.
QUANTITY ITEM NUMBER DESCRIPTION 11 AMOUNT• -.RI
HOLiSE 8. 77 00
.00
38.77
r 1 38. 71
TAXABLE
`.TAX /r
35.77
NON-TAXABLE
SUB- TOTAL
X
TOTAL
Prescribed by State Board of Accounts City Form No. 261 (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. a
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/12/40 35811710 Inspector gloves $10.58
12/01/09 35815780 Water Filter $38.77
12/03109 35816683 Forestry gloves $36.95
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 NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF
�F
731 S. Range Line Road
Carmel, IN 46032
$86.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel DQCS Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 35811710 42- 390.12 $10.58 1 hereby certify that the attached invoice(s), or
1192 35815780 42- 302.00 $38.77 bill(s) is (are) true and correct and that the
1192 35816683 42- 390.12 $36.95
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 2009
D' ector, D
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund