173601 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
0 ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $509.81
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 173601
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1207 4237000 244 402.89 REPAIR PARTS
1207 4239099 244 106.92 OTHER MISCELLANOUS
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TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
ROUSE 3571 22 5/29/09 08:06:37 000244 1
BILL_ TO: SHIP TO:
BROOKSHIRE GOLF CLUB"-* BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN 46033
PURCHASER: CASHIER: PO TERMS: SALESMAN:
KEN MILLER PCwf A
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
i. 40760 CORRELATED TUBE WYE 4" T 7.940 7.94
1
EACH 12787 MURIATIC ACID 31.45% GAL T 7.680 7.68
1 7544 HOSE NOZZLE PISTOL MTL T 5.490 5.49"
72544 HOSE NOZZLE PISTOL MTL T 5.490 5.49
1 72544 HOSE NOZZLE PISTOL MTL T 5.490 5.49
1 9098 PROPANE T 15.490 15.49
20# TANK
L
HOUSE A-7. 58 .00
TAX .00
NON- TAXABLE 47.58
SUB -TOTAL 47. 58
X
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL 47.
1 E3 IFS NS C= 0 L_ Z 1114 E= R 1-
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35715465 �'1 05/29/09 IR.-08:25 0L 0244 1
BILL TOa SHIP TO:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
1812 B'ROOKcHIRE PKI 12120 BROOKSHIRE PKWY.*
c; CARMEL IN 46033 CARMEL IN 46033
PURCHASERe CASHIER: PO #a TERMS: SALESMAN
KEN MILLER Mimi
QUANTITY ITEM NUMBER 'DESCRIPTION PRICE /UNIT AMOUNT
4 '71864 GLQVE'� COED LRG `VINYL T 9, 490 37.96
6 033088 LINER DRUM 556 COMML BXGO T 18.990 56.97
1 6065213 LINER 1 3GL .9M 80BG D5 T 11.990 1 1 99
HOUSE 106. 92 TAXABLE 00
t
TAX
00
NON TAXABLE 106.
SUB -TOTAL 11,° i
X
RECEIVED THE ABOVE IN GOOD CONDITION 1 OF, DO
TOTAL
QAl D A I r E 9 'B F3j C_� E (--j n- FS 13 t r-) F4Z 9=
7 Z3 I R 9::-) Ci EZ L_ I P4 EE I FZ ID
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 002
35706420* 21 05/18/09 10:41:08 044
BILL TO SHIP TO
BROOKSHIRE GOLF CLUD**-* BROOKSHIRE GOLF CL.UB*.ti-*
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL 11\1 46033 CARMEL. IN 46033
PURCHASER: CASH I ER PO TERMS:
KEN MILLER Mimi
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
4 =Witj zi v ru n to 1\1 I P- r P L_r_ 1 G A I 1 c- I C.t:pvl
1 4008710 CONNECTOR EXTEND 3/8X3/8 T 7.69121
1 41969 1 SHUTOFF 1/21P'X3/8CPXI/4CP' r 7.490 7.49
12 2019966 CHINA MARKER RED T 1. 3` 16.68
G_ 3121740 RCTGL BOX SNG DIP PVC NAIL T 470 2.82
HOUSE 116.59 t71 i
TAXABLE
L710
TAX
11 6. 5
NON-TAXABLE
SUB-TOTAL 1 IG. 59
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL
L41 V-9 x 7 E___ 9 C_— E-E a—j r—lo F4Z L W dq
;a I :E-3 F;t a=) P%4 r3 E7 L_ 1 IN4 F-::- rR n
C: n FR M E L_ I m -4- iFz-p 97 ZE5
4s em=u
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE�
HOUSE 3570G420 21 05/1.8/09 10:41:08 12100244
BILL. TO. SHIP TO:
BROOKSHIRE GOLF CLUB�•** BRODK GOC.F CL.UB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN •6033 CARMEL. IN 46033
PURCHASER C ASH I E R PO TERMS-, SALESMAN:
KEN MILLER Mimi
QUANTITY ITEM NUMBER DESCRIPTION PRICEIUNIT AMOUNT
1 40358 SHALLOW FLANGE 3/8 T 1.570 1. 7
1 44054 MULTI-PURPOSE CEMENT 1602 T 8.770 8. t 77
45107 BLK NIPPLE 1/2XCLO T .740
1 4066268 BLK FL FLANGE 1/2" T 3.490 3.49
2 406 BLJ/s FL FLANGE I /2" T 3.490 6.98
1 342036 PVC OUTLET BOX FSE 3 T 3.940 3.94
1 3•341 PVC CONDUIT ELL 3/4 r. 3.840 3.84
1 36357 PVC ELBOW 451) 314" T '340 .94
1 2091908 SAWHORSE 36" POLY 1 34. 99VI 34.949
1 4.053351 SINK SPLY 3/8X3/8X20"PVC T 4.490 4.49
1 4196952 SHUTOFF 3/8CMPX'-?, '-'8ClylF STR T 5.760 5.76
1 43030 CMPRESGN ADAPT 3/8XI/2FPT T 3.140 3.14
TAXABLE XXXXXXXX
CONTINUED ON NEXT PAGE TAX xxxxxxxx
NON-TAXABLE xxxxxxxx
XXXXXXXX
SUB-TOTAL
CONTINUED NEXT PAGE XXXXXXXX
RECEIVED THE ABOVE IN GOOD CONDITION XXXXXXXT
TOTAL
_7Z3 I E3 FRd=4iNC3F_: I MEE Rn
DD-
A=L rr__ It -n
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
1 1 7, rl f.
2 0 `0 9 1 17 3
BILL TO: SHIP TO:
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB•
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
Thl LLC,17i7. 0 p hl 971 TAI ZL r_. 01 Z
PURCHASERg CASHIER: PO TERMS: SALESMAN:
,KEN MILLER BRANDON
QUANTITY ITEM NUMB DESCRIPTION PRICEILINIT AMOUNT
1. 41314 ELL 45DEG 1/2CXI/2C T .960 .96
41314 ELL 45DEG 1/2CXI /ti C T .960 .96
41327 TEE 1/ECXI/2CXI/2C T .680 .68
41309 ADAPTER 1/2CXI/2MPT T 1.660 1.66
41320 ELL-. 90DEG 1/2CXI/2C T .900 .90
41320 ELL 90DEG 1/2CX1 /2C T .900 .90
41.320 ELL 90DEG 1/2CX1 /2C T .900 .90
41320 ELL 90DEG 1/2CXI/2C T .900 .90
46370 REPAIR COUPLING 1/2C T .530 .53
41320 ELL 90DEG 1/2CX1/2C T .900 .90
41320 ELL 90DEG 1/2CX1/2C T .900 .90
A. 02 f v REPAIR c0tipLiING 5,50
TAXABLE
yyyyyyyy
CONTINUED ON NEXT PAGE TAX yyyyyyyy
NON-TAXABLE
xxxxxxxx
SUB-TOTAL xxxxxxxx
MKITTLNI'pdL riAr.F xxxxxxxx
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL XXXXXXXX
sF 1 d,__r- R d- N 0 f= (L_ I "RE RID
1 c__ del ,,R m fF= 0 4 1 N Zo-• F---, 92pa Z3
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
_Inl IOC ?C'7� O /,d� �7�C /6ih 1 09 16 i 7. i ihih �T =�A A i
BILL_ TO: SHIP TO:
BROOKSHIRE GOLF CLIJB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY. 1 BROOKSHIRE PI;WY.
t C1[�MCI Thl laC.i'hi^+. f L]C1MC1 T hl /tC.#"A
PURCHASER: CASHIER: PO TERMS: SALESMAN:
N.EN MILLER BRANDON
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
9 41083 RIGID COPPER PIPE 1/2" T 14.930 134.37
10' LENGTH
1 41084 RIGID COPPER PIPE 3/4" T 22.430 22.43
10' LENGTH
1 73189 HOSE DRINK WATER 1/2X50 T 22.980 22.98
1 4161121 BALL VALVE 1/2" FPT T 6.170 6.17.
1 41972 HOSE B I BB 1 /2MPT T 5.270 5.27
1 4161154 BALL VALVE 3/4" FPT T 9.470 9.47
1 41338 ELL 9ODG 1 /2CX 1 /`FPT DROP T 4.520 4.52'
1 41314 ELL 45DEG 1 /2CX1 /2C T .960 .96
1 41309 ADAPTER 1 /2CX1 /2MPT T 1.6_60 1._66
1
Al CI 1 J"1 101 nn i /2nv a til"•1'1T rnnr r
TAXABLE XXXXXXXX
CONTINUED ON NEXT PAGE TAX XXXXXXXX
NON TAXABLE X X X X X X X X
SUB -TOTAL XXXXXXXX
X CONTINUED NEXT PAGE XXXXXXXX
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL XXXXXXXX
7,731 E3 R M C3 E= L_ 1 0 R n
9 6q R M fE= L_ I No Z-9- of 00
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAG
,L4ni iqp 35708492 22 05/20/09 14:17%13 000244 4
BILL TO: SHI F=T TO
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
KI A14.171 r.oplyipi IN 46033
PURCHASER: CASHIER: PO TERMS: SALESMAN:
.KEN MILLER BRANDON
QUANTITY T ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
41320 ELL 90DEG 1/2CX1/2Q T .90171 .90
41293 COUPLING 1/2CXI/2C T .330 .33
41293 COUPLING 1/2CXI/2C T .330 .33
1 41293 COUPLING 1/2CX1/2C T .330 .33
1 41293 COUPLING 1/2CXI/2C T .330 .33
1 46370 REPAIR COUPLING 1/2C T .530 .53
TAXABLE
HOUSE 238.72 .00
TAX .00
NON-TAXABLE 238.72
SUB-TOTAL
238.72
X
(7 RECE IVED THE ABOVE IN GOOD CONDITION
TOTAL 238.72
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
r LL Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2v
Y9
s"ag 9 35 is 6 6� 9a
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
j.:�) k j M (,Uklt k I W— k", C",—
IN SUM OF
Ocuf (we
ON ACCOUNT OF APP ROPRIATION FOR
d Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5 1 Nq 12 DI D b bill(s) is (are) true and correct and that the
/02o 11 ,6- CD materials or services itemized thereon for
1.20`7 9s'7 G.s' S96 9 9 166, which charge is made were ordered and
/0207 X57 3�0 c� y received except
20
I lFature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund