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178914 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1 ONE CIVIC SQUARE WHITE'S ACE HARDWARE CARMEL, INDIANA 46432 737 S. RANGELINE ROAD CHECK AMOUNT: $56.57 CARMEL IN 46032 CHECK NUMBER: 178914 CHECK DATE: 10128/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4237000 395 54.40 REPAIR PAR'I'S 1115 4239099 395 2.17 OTHER MISCELLANOUS 7 Z :A. _c3' R�4MC.�F7_L_ X MFZ' TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE c 9 e.1 A 0 M W3 gFrr 1 BILL TO' SHIP TO: CI-Ty OF CARREL CITY OF CARMEL COMMUNICATIONS -COMMUNICATIONS 31 1ST AVE NW 31. 1'ST AVE NW CARMEL IN 46032 CARMEL 1N 46032 URCHASERe CASHIER: PO TERMS: SALESMAN RIflN SMI1`H PC7RTIA QUANTITY ITEM NUMBER DESCRIPTION' PRICE/UNIT AMOUNT 1 X56 FAS fNERS, BOLTS, SCREWS, T 4. 100 4. 1.Q% HOUSE 4.10 TAXABLE 00 TAX NON- TAXABLE 4 .1 0 SUB -TOTAL 4.10 X RECEIVE T A O AING ONDITION 4. 1 0 TOTAL W a _F F- S3 IPA 0'9—= aA awl RID W9=1I RIE—= (r� a,- TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE P 3 9795463 Pp IfAIIA10c) 1 171.. '4. 9 BILL TO:* SHIP TO: CITY OF CARMEL*** CITY OF CARMEL*** COMMUNICATIONS COMMUNICATIONS 31 1ST AVE NW 31 1ST AVE NW CARMEL IN 46032 CARMEL IN 46032 URCHASER: CASHIER PO #e TERMS'-.: SALESMAN 'ODD LUCKOSK I Mimi QUANTITY ITEM NUMBER, DESCRIPTION PRICE /UNIT AMOUNT 1:0 52 ^.09945 .SHELF STD DBL WHT 16.5" T 4.490 44. 30 *56 •FASTNERS, BOLTS, SCREWS, T .180 5. 40 1 Y I USE 50.30 TAXABLE' .00 TAX �71 NON- TAXABLE 50.30 SUB -TOTAL 50.30 R CEIVED HEABOV GO (59-CONDITION -:30 1 TOTAL AWE E$ •yo- 4S Z3 fit. 1 TYPE OE.TRANSACTION' DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE tbUSE: 35794409 26 10/13/09 16:17:55 O21IZ 395 1 BILL TO e Chi I P TO CITY OF CARMEL CITY OF CARMEL*** COMMUNICATIONS*** COMMUNICATIONS*** 31 1ST AVE NW 31 1ST AVE I`IW CARMEL IN 46032 CARMEL IN 46032 PURCHASER: CASHIER: PO e TERMS: SALESMAN: ARIAN`'SMITH EVA QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT 5 955 KEY DOUBLE CUT T 2.170 2.17 4 r HOUSE 2.-17. TAXABLE ]21.177 TAX NON- TAXABLE SUB -TOTAL X 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)) 10/13/09 35794409 $2.17 10/16/09 35795463 $50.30 10/19/09 35796957 $4.10 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 N WARRANT NO. ALLOWED 20 White's Ace Hardware IN SUM OF 731 W. Rangeline Road Carmel, IN 46032 $56.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 35794409 42- 390.99 $2.17 1 hereby certify that the attached invoice(s), or 1115 35795463 42- 370.00 $50.30 bill(s) is (are) true and correct and that the 1115 35796957 42- 370.00 $4.10 materials or services itemized thereon for which charge is made were ordered and received except Tuesday, October 20, 2009 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund