HomeMy WebLinkAbout177443 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $15.49
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 177443
CHECK DATE: 9115/2009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4231100 244 15.49 BOTTLED GAS
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7 1 c_3 R d=II P413 IE L- 31 MF= RE)
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
35773807 PP W;/04/0q MA!31:33 000244 1
RECEIPT' REPRINT
BILL TO: SHIP. T0:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB***
121 BROOKSHIRE-PKWY. 18120 BR PKWY..
CARMEL IN 46033 CARMEL IN 46033
URCHASER: CASHIER: PO TERMS: SALESMAN:
ISEN MILLER MIMI
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
1 9098 PROPANE 7 15.490 1 49
2a TANK
HOUSE. 15. TAXABLE QJQJ
TAX
NON- TAXABLE 15.
r SUB -TOTAL 15.49
I
X
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL 15.49
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
U4 7��5 'G�� -L12 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
ON ACCOUNT OF APPROPRIATION FOR
6fliE
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�a20 S 73�'U 3// w bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Tit e
claim paid motor vehicle highway fund