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178912 10/28/2009
CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1 ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $18.32 i•. CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CARMEL IN 46032 CHECK NUMBER: 178912 CHECK DATE: 10/2812009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _1207 4239099 244 4.34 OTHER MISCELLANOUS 1207 4350100 244 13.98 BUILDING REPAIRS MA r Al :E- a FR o=b NO t3 E 8___ T M f"= IFS •yo- TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE HOUSE 3579472 21 10/14/09 13:26:17 000244 1 PILL TO: SHIP TO: BROOK. SH I RE GOLF CLUB BR,OOKSH I RE GOLF CLUB*** 12120 PROOKSH I RE PKWY. 12120 BROOK SH I RE PKWY. CARMEL IN 46033 CARMEL IN 46033 PURCHASER: CASHIER: PO TERMS: SALE =SMAN: MIKE CALVE:RT EVA QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT 1 3:679 16/2 EXT CORD 9' WHT T c. 170 `.17 Huulblt 4. 3 w TAXABLE 10 ILI TAX v J`h NON- TAXABLE SUB -TOTAL X 4.34 Y 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 f Purchase Order No. 4 �2 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /V a 9 29el gas /o ?Vp 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 NO. WARRANT NO. ALLOWED 20 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 S5' 9 �o?S �3 9U -49 bill(s) is (are) true and correct and that the 91d7 D> /3. materials or services itemized thereon for which charge is made were ordered and received except 20 ©mot L /1 nature Tile Ti e Cost distribution ledger classification if claim paid motor vehicle highway fund