180563 12/16/2009 CITY OF CARMEL, INDIANA VENDOR. 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 s. RANCFuNE ROAD CHECK AMOUNT: $87.22
CARMEL IN 46032 CHECK NUMBER: 180563
CHECK DATE: 12/16/2009
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 391 87.22 MATERIALS SUPPLIES
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4B Gx
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
BILL_ TO: SHI TO
CITY OF CARM €::L WATER*** CITY OF CARMEL.. WATER***
i7T.STRI BUT I ON* *-s 1)ISTRIBUT ION**
34 W. 13,1 st ST. :3450 We 1:11 st STn
V E',_.,r_� t h ari.cG na r'ia w i 1 1 iw�`� :rr�l.vii ii
EV n
QUANTITY ITEM NUMBER' DESCRIPTION PRICE /UNIT AMOUNT
1 H560354 HWH DRL SCR 12 14X3/4 T 13.99 :13.99
H 0 U,:"D' 13.99 TAXABLE p OL71
TAX .0
NON- TAXABLE
SUB -TOTAL
x
ACE 7 I E3 R dq N C-9 1: L- I INA IE: R n
Wfi -6 I TE 's E3 d::) C E- n —A P) R L4 C 7 RE
TYPE OF„ RAjVSACTION ,w DOCUMENT NUMBER, TRANSACTIONbATE ACCT NUlv1BER' PAGE
HOUSE 35814944 21 11/30/09 11018 :16 000391 1
BILL TOo SHIP TO:
CITY OF CARMEL WATER CITY OF CARMEL WA1 "ER***
DISTRIBUTION*** DISTRIBUTION***
3450 W. 131st ST. 3450 W. 131st ST.
WESTFIELD IN 48074 WESTFIELD IN 4807A.
PURCHASER- CASHIER- Po d #a TERMS: SALESMAN
SEAN WHITLOW EVA
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
o
ux
1 40474:9 TEFLON PASTE 807_ T 7. 990 7. 9
1 4047429 TEFLON WASTE 80'I_ T 7.990 7.99
1.40U SE 15.98 TAXABLE .00
TAX 0
NON- TAXABLE 15.98
SUB -TOTAL 15. 98
a
i
ACE 7Z3 1 E3 R dzl 11 �3 a'L— I NJ R:9D
TYPE OF;TRANSACTION,. DOCUMENT NUMBER TRANSACTION DATE,'. a, ACCT NUMBER PAGE
HOUSE= 92278900 900 L: 2 11/04/09 1 23 5 0 000391 1
BILL. TO- SHIM' TO-
CITY OF CARME:L WATER CITY OF CARMEL WATER***
DISTRIBUTION*** DISTRIBUTION***
3450 W. 131st ST. 3400 W. 131st ST.
WESTF I ELD IN 46074 WESTF' I E =LD IN 46074
PURCHASER-. CASHIER. PO TERMS-. SALESMAN:
JERRY SMITH MIMI
QUANTITY J F 1TEM NUMBER DESCRIPTION .w y PRICE /UNIT AMOUNT
1 c_ #56 FASTNE R S. BOL SCREWS, 2. 600 31. cal
.12 *56 FASTNER S. BOLTS. SCREWS. Floo 7.20
STDEP --•AP 2020E:.0E' HOUSE 38.4b TAXABLE .00
TAX
NON TAXABLE 38.40
COMPUTER PROBLEMS ON 11/4
SEE ATTACHED FOR SIGNATURE SUB -TOTAL 33.40
x
T O 38.40
9. 07
W I FE''N Ic-3 IIICE: f"-) RIDW0!:) R
Z3 I _c3 R r—) P4 C3 E L_ I ME7 RIC)
TYPE OF TRANSACTION CCJ ENT NUMBS A'PWMION DATE ACCT NUMBER PAGE
HOUSE 35804226 22 11/09/09 10 1 1:49 000391 1
BILL TO: SHIP TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
DISTRIBUTION DISTRIBUTION
3450 W. 131st ST. 3450 W. mist ST.
WESTFIELD IN 46074 WESTFIELD IN 46074
PURCHASER: CASHIER: PO #e TERMS: SALESMAN:
NTI T M NUMBER DESCRIPTION PRICE /UNIT AMOUNT
1 009879 MOUNT TAPE ROLL 3/4"X15 T 4.990 4.9r
1 9009879 MOUNT TAPE ROLL 3/4 "X 1 5" T 4.990 4.9c
1 9009879 MOUNT TAPE ROLL /4 "X15' T 4.990 4.9
1 42920 DUCT TAPE 2X20YD WHT T 3.880 3.8
TAXABLE
HOUSE 18.85 TAX 0
NON TAXABLE
-t SUB -TOTAL 18 8
x
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL
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
i
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
37500
WHITES ACE HARDWARE INC Purchase Order No.
731 S. RANGELINE ROAD Terms
CARMEL, IN 46032 Due Date 12/7/2009
3.
I
Invoice_ Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/7!2009 390 $74.36
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
'z
Date Officer
VOUCHER 093775 WARRANT ALLOWED
37500 IN SUM OF
WHITES ACE HARDWARE INC
73;1 S. RANGELINE ROAD
CARMEL, IN 46032 4�
1 r, c
Carmel Water Mil ty=
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
�(a
390 01- 6200 -04 $$74.36
CI tW G
Voucher Total II $74.36
Cost distribution ledger classification if
claim paid under vehicle highway fund