172099 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CHECK AMOUNT: $658.32
CARMEL IN 46032 CHECK NUMBER: 172099
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBE AMOUNT DESCRIPTION
1207 4238900 244 658.3.2 OTHER MAINT,SUPPLIES
I R 0 E 6 F
te r I E3 ,—y t ry f ry; D W l i FR F--- d' -M JJ_ m E3 n" R 1nt�'+yU, 4:. lL..!'
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE. ACCT NUMBER PAGE
HOUSE 3 ;67 303 21 04/09 1 3 N 47 A 40 000244 1
9
BILL TON SHIP TON
BROOKSHI RE GOLF CLUB BROOKSH I RE GOLF CLUE***
12120 P ROOKSH I RE PKWY. 1 B ROOKSH I RE PKWY.
`CARMEL IN 46033 CARMEL. IN 46033
PURI:HAE R CASH I ER PQ e 1 ARMS SALESMAN.
.KEN MILLER' OLGA
QUANTITY ITEM NUMBER F DESCRIPTION PRICE /UNIT AMOUNT
r
1 2 183341 SPEEDBOR MAX 1 1. /4X6° T 8. '270' 6. 27
HOUSE 8.27 TAXABLE
0
C
TAX
NON- TAXABLE
6. 27
SUB -TOTAL
x Gl 7
f REC5IVED THE ABOVE IN GOOD CONDITION
t r TOTAL
W V-0 Z -r EF E3 d'A C3 [f=
TYPE OF TRANSACTION DOCUMENT NUMBER. TRANSACTION DATE ACCT NUMBER PAGE
HOUSE o 04/21/09 12 :31 :59 000244 1
BALL TO: SHIP" TO:
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN.46033
PURCHASER: CASHIER PO t TERMS: SALESMAN
KEN -MILLER MIMI
QUANTITY ITEM NUMBER r DESCRIPTION PRICEIUNff AMOUNT
5 1099324 NAMBIUC f N O
2'. 3223104 BE HALOGEN SOW GS BI-PIN T 6.490 12.9
1 3223104 BE HALOGEN SOW G8 •,BI -jPIN T 6.490 61.49
1 305780 BE HALGN 50W GU10-VK3 T 18.790 18.79
HUU SE bb. a`3; 4
TAXABLE
t fIJ{tJ
TAX
crr, W a
NON- TAXABLE
5. 23
SUB -TOTAL
ti
RECEIVED THE ABOVE IN GOOD CONDITION
E TOTAL
I I}=-!1 �l E 4 0=z E U -A 0=:b R'ID-Qo Pb R I
ma�y•(,�
ej t x I)' `Kl '°'U" �..'':P 6 v
Zu- E� t
TYPE: OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOWSE 68754 28 04/22/09 13.-27 .03 000244 i
BILL TOo SHIP Tba
BROOKSHIRE GOLF CLUB* BROOKSHIRE GO LF,CLUP 1,
12120 BROOKSHIRE RKWY. 12120 BRO€1tC J 'PKWY. r
I
CARMEL I N'03. CARMEL IN 4603
PURCHASER. CASHIER;' Pq #e TERMS SALESMAN s
N.EN Irt1-LLE R Mimi
s
,QUANTITY-Y ITEM NUMBER DESCRIPTION 4 PRICEIUNIT AMOUNT
4 *56 I DDLE FASTNERS.; BOLTS, SCREW T 1.:x50 5.40-
2 X56 FASTN RS1OLTS SCREWS .350 .70
20 *5E W IRE, W'h 114, rMEt"ALST�O'K� -49� 9.80
r
'52970 70 COILED t.E 1 /�atl k�, 7.660 y 7. 6
.81 994.1 --4722 WAMh1ER S R SQL -T I f R 7. 990.:. 7..;:
1 82 9
co X 1 S 30. 990
s� �0 99
1 8212284 DBGI.' TOOL_ SET 3PC SS 29. 990
,9. 99
1 510632: P'A'pLCF4- W�EftJR 1�I./2'� ILK 23. 23.99
1 82115159 TOOL HOLDER" 4. 390 4. 39
4 9098 PROPANE 15.49P .4.39-
1.95
0 #.,TANK' k
HOUSE 182.s7 TAXABLE 00
TAX
NON- TAXABLE 182.87
SUB-TOTAL s �,i�. 87
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL 182.
713. IL R���! Z Cell F R
�04 Rm�L_ Tr a B ___35
TYPE OF TRANSACTION DOCUMENT NUMBER 1 TRANS_ ACTION DATE ACCT NUMBER PAGE
i4vu IMF' 739r 1123814 211 �iI4J:la" /09 11 9 44a :.3 000244 1
DILL TO. S�R T03
SROOKSgl'RE GOLF. CL fir# B QIQKSH. RE GOLF-
'i
121 B QOK' HIRE Gt JY o 1 a 0 F4SH LRE PKWY.
CARMEL I Ii�l 461 33 CAR IN 46033
'UFtCFiA CASHI PO n ;PERMS SALESMAN:
B OB H CGINS MM 1 1 j,' ti b 4 14.
QUANTITY ITEM NUMBER ff. CRiPT10N! i 1
�,v` ;DES r PRICEIUNIT AMOUNT
1 17182 vpz- 'L.�� UL •LAT ���L I T� 3a 990 3, 99
Ul RA FLAT. S i{ 30 990 y 3.99
4SP-9 J l b')NI TONE TJ r t G 1 1; I, 1
H,4
9S7 ,C I ZN7 /Sxrf.. )'v� 1.2 590 12. S3
1 .40$ S lil' FIT �t..l,wi/ £1-(x„ 7 1 j sy.
5.1rC*i1 1 1 l S�1Al »til r r a 59Q1�c S�9
i Ft 1 I 2 S •�ALLt r! w° ,n a 590 ,�9
L *56 t�' "A I t i �ir�q 1�CiLTS CW g �i0Q1 0
5S i NS 1C�I�L f" �l� c e 12�i a �4
2 *56
A TN .7 ��:1 .RVL1 4ig vl yd{ 1;' A f 330 1. rG
vo `i 1 IS]Ti4ii 1 9 121 1 An O[�7
HOUSE. 37.5 �9 ��TAXABLE l oo
1 TAX 4DUJ
b f l J .NON- TAXABLE
k f f SUB -TOTAL 37
R
1 t L U J
f 'RECEIVED THE ABOVE IN GOOD CONDITION`
t �t TOTAL
k- a u°u 1� ua:. .0 u u'-v u vrw u—m u -lr: a»...
Z_3 1.
j3
A
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 78296__.,___. 21 04 /09/09 1 c42:47 000 44 1
J BILL TO SHIP TO
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 121.20 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN 46033
PURCHASER: CASH I}ER i PO e T RMS It SALESMAN a'
KEN MILLER OLGA
QUANTITY ITEM NUMBER y, DESCRIPTION. w r PRICEIUNIT AMOUNT
I *56 iZ i u3 �,7 .N TN J AETI✓4SCREWS T 40 n
1 10`6205 ,SPRAYER e40Z -3pk T 5.160 5.16
62895 LARGE FUNNEL_— 1602 T 2. 990fJ 2. 99
,33368 PVC BLANK CVR o 'T 2. 176 f 2.17
1 33368 PVC BLANK CV.R' T 12 170 E. 17
1 32038 PQC OUTLET BOX FSC 3 ✓4" T 3.. 940 f
10 32361 WIRE SAFETY NAIL PLATE T .390 3.90
1 33341 PVC ,CONDUIT ELL S /4 T 3. 84.li��• 3. B4
1 2:82921 SPEEDBOR MAX 1X6" T '6.970 f''6.97
1 25872 ACE DUST MASK BX ✓25 T 7.490. 7.49
1 H37520 CARBIDE BIT 5 ✓32X3.1• T 4. 790r 4.79
%HOUSE 51.. 03 .00
TAXABLE
.00
TAX
y
5 1.03
NON TAXABLE
51.0, SUB -TOTAL
l RECEIVED THE ABOVE IN GOOD CONDITION y 5 1- 03
a TOTAL
el.. •i.eY`
w 0--{I 1 7 E=-" w C-3 d=h IG Ip= '0-4 del R 13 w d:::b R E:
a�i Z, 1 E T R I Na RID
IC del IFS Pb'il EE IL_
�TjYPE;OF TRANSACTION NUMBER IA4 47 01 ACGTjNUMBER PAGE
BILL TO: SHIP TO
G
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
t
121 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 460 CARMEL IN 46033
PURCHASER: CASHIER: PO ##a TERMS. SALESMAN
'.EN MILLER PORTIA
l_A
QUANTITY t ITEM NUMBER` i 2 RONEL DESCRIPTION.B r PRICE %UNITO' AMOUND
1 1 4 7 MOP H—FA JAN i I AN V .iPn 7' T y t P 1
4 66299 LINER 13GL 7M 90BG T 8.'990 35. 96
1 3 35074 BE CFL SPRIAL 26W PK5 T 13.990 13.99
1 3235074 BE CFL SPRIAL 26W PK5 T 13.990 13.99
1 203112 ARROW ELEC STAPL /NAIL GUN T 39.970 39.97
1 10500, MOP STICK. JANT SPRG7 -3/8 T 9.490 A 49
1 17375 RBRMD MOP BKT WRINGER T 54.970 �'5� 97
1 6033104 LINER 330 COMML BX120 T 16.990' t� 99
1 603.:x'104 LINER 33G COMML BX 120 T 16.990 99
4 603308 LINER DRUM 55G COMML BX60 T 17.990 7i� 96
'HOUSE 313.29 '00
r 1 TAXABLE 00
sl
TAX 313. 29'
NON- TAXABLE 3130 29
SUB
-TOTAL
,x 313. 29
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL
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
!�[1JfrkS£_ H<4ren6-li� Purchase Order No.
Terms
Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
G 4 j S 3c3
5
9 h 9 3 5 9
3`
y �s 1 s 40
a 3s"(a s rs g
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
�sw, 3,;
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Pon or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1o 3 3 6, r, bill(s) is (are) true and correct and that the
-16 .906 4 �5--C� materials or services itemized thereon for
1 s6 65 3T9�b 3�, s' 7 which charge is made were ordered and
6 6S .,�7) s,,2 received except
/aG 1 5 6-1
20
SI ture_
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund