174547 07/08/2009 F CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
4 ONE CIVIC SQUARE WHITE'S ACE HARDWARE
s qr CARMEL, INDIANA 46032 731 S, RANGELINE ROAD CHECK AMOUNT: $59.83
CARMEL IN 46032 CHECK NUMBER: 174547
CHECK DATE: 718/2009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 244 59.83 BUILDING REPAIRS MA
u__ Lr_ 9 lr U__W. A..? WW W_.j W"N. r__ Z,
7 ZS I. FR FA ONZ lr3,E= H 1: ON A U-1- R ID
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER P1
HOUSE 35733140 20 06/24/09 11:23:58 000244 1
BILL TO: SHIP TO
BROOKSHIRE GOLF CL.UB*• BROOKSHIRE GOLF CLUB***
BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN 46033
PURCHASE F. 'AS HIER: PO FE R 1*1 S :SMA
KEN MILLER OLIVIA
QUANTITY ITEM NUMBER DESCRIPTION PRICEWNIT =AMOUNT
9 -A Pt FRE)PANE
PER GALIDN
Giv m
�.z 0I)
VIOLISE
TAXABLE
iA i
TAX
5. 1 19
NON-TAXABLE
5.39
SUB-TOTAL
'X 5 39
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL
q,,n p 6—A -T "lF ICE 'P .>E! F) C a° Pb FZ E) W C:li IFS E
7:3 1, !E3 Its: If=� M 4 F:' L-, I NI IF FZ n
04 tea- G. 0- 1 1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
Will t F 7 2 7. 4 1571 0 F /171_ 1171w 4 0 e'= E71171f"lP
BILL TO SHIP TO
BROOKSH I RE GOLF CLUB BROOKSH I RE GOLF CLUB***
12120 BROOKSHME PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IIV 1 +6033 CARMEL TN 46033
PURCHASER: CASHIER: PO TERMS: SALESMAN
KEN MILLER MIMI
ti
QUANTITY ITEM NUMBER ti DESCRIPTION. a, PRICE/UNIT AMOUNT
111 30384 NM CABLE 'BOX CONN 8/8"
v 30329 OCTAGON BOX 4 W /CLMPS T 1„ 520 7 a B0,
8 3005576 BOX COVER OCTG BLAND FLT T .660 5..28
L G
b tl,
HOUSE y �:6. T8 TAXABLE e 0
l
00
TAX
i l
NON TAXABLE
X6.
SUB -TOTAL 1 713
X
RECEIVED THE ABOVE IN GOOD CONDITION
'TOTAL 16.78
7Z3 I c-3 R�RIAC-3IEd_ 1 0NA E. FZ 1[-
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE: 35733128 c'O 06./24/09 11 :1201.4 000244
B I L L TO: SHIP TO
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB' i.
121 BROOKSHIRE PKWY. 1 BROOKSHIRE PKWY.
CA RMEL IN 46033 CA RME= L IN 46033
_C ASE u s" I It R: IJ S a SALESMAN
-KEN MILLER OL.IVIA f
QUANTIT ITEM NUMBEFi��� 4 K S l, -1 r PRICE /dNITE AMOUNTS. 68
s a�9a P' I •A 1F 1 L.t1i:i
v
\G G,
i
HOUSE 37.66 .00
TAXABLE
0L
TAX 37. 66
NON- TAXABLE 3,, 7 1,6
SUB-TOTAL
37. 66
X
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL
Prbs&ibe 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.
1 Payee
&E ,i9f2�,GJi9�� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
352 33 1 (R .92 44IM/C 9 -3-5 U 3 314 f2 R -1 A -IJ
al Po p ane e 0
Total
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. 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
-oz) bill(s) is (are) true and correct and that the
1 �0 iD tp materials or services itemized thereon for
which charge is made were ordered and
received except
20
Siana e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund