177444 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
0 l ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CHECK AMOUNT: $161.16
CARMEL IN 46032 CHECK NUMBER: 177444
CHECK DATE: 9/15/2009
DEPA ACCO PO NUM INVOICE NUMBE AMOUNT DESCRIPTION
1120 4237000 350 161.16 REPAIR PARTS
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DATE 19 USTORAER NO,FN°
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CITY OF CARMEL FIRE*
DEPT.
x 2 CIVIC SQUARE
CARMEL IN 4603
2 INVUIGE 11{O E DATE *1 �DESCRIPTiON� 10 a., AMOUNT
x '35749585 072109 INVOICE PAID REF #176499 7.49
3575OB42 072509 ENVOICE PAID REF #176499 1.7.99
,"`"55751:457 072409 NVOICE FAIL REF #176499 6.99
s35752921 072709 KNVOIrCE PAID REF #176499 5.49
"x:35755629 072809 NVOICE PAID REF #176499 5.01
35754967 075109 INVOICE PAID REF #176499 40.05
55756.091 080209 NVOICE 8.99
r�- 761014 OB1109 NVOICE 2.99
155761262 0811.09 NVOICE 11.68
17521.2 081209 'AYMENT 559.61
35765697 081609 NVOICE 9.97
X5764.195 081709 INVOICE 66.22
55765259 081909 NVOICE 4.85
5767370 08 309 NVOICE 24.25
::.176499 082809 AYMENT 122.60
15769987 082809 NVOICE 32.21
DEDUCT 16.12 FOR PAYMENT OF 145.04 IF PAID B 51st,
L;`TOCK U ON 42 ALLON
CONTRACTOR BAGS FOR $9.99!!
CURRENT 30 DAYS 60 DAYS 7 90 _DAYS &.AVER,'
161.16 .00 .00 .00 1. 61.16
TERMS MET 30 ID FROI I ST !ENT VATE
c
A 1.5% (18% ANNUALLY) SERVICE FEE: WILL
BE CHARGED TO ALL PAST DUE INVOICES
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32lyTQ?S 083106 1 HAD I CE T 09
32"vToff OBTY06 1 Mno 1 CE G 66
5212106T 080501 1 MAO ici*-_ e 66
0212obvi WT06 IMADICE WD bEkHTi9!66 10
3212@136 015006 lWAOICE 6VID WAT19161 2"QT
3112%sy WWI 1 MAD ECE 6VID QUOTATIbb 3
3212TYS 015106 1HADICE •bVID EELNTAT466 9"66
SHOWS UNS306 Whom 6VID BELRYI2166
32111293 OIST06 IMUICE bVID bELHINY166
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WHITE' S ACE HARDWARE. W,MIT.E'',�i ACE MAR- DWAFvE
.7 4
5 ri 7 1 S. KANGELINE RD.,
�e�1. t. �'RANGELI'NE FIi`. a
PHONE{ 84b -24,75 F'YHOhiE f346 -2 475
CARMEL IN 46032 CiARMEL 'IN46032:.
,a e t)ATE" ?CUSTOMER NO. i DATE CUSTOMER NO.
i
g y
08/31 /09 000350 LOB/ 000350
STATEM ENT- STAT'EMEHT
a
RETAIN THIS PORTION FOR YOUR RECORDS
PLEASE RETURN THIS
PORTION- WIT H YOUR PAYMENT**
CITY OF CARMEL FIRE***�
DEPT.**
2 CIVIC SQUARE
CARMEL IN 46032
t
INVOICE NO., DATE ,DESCRIPTION, AMOUNT INVOICE,NO.�. AMOUNT,
35718639 060209 INVOICE PAID REF #175212 11.95 i 5718639 11.95
35718817 060209 INVOICE PAI REF #17.5212 34.84 5718817, 14.84
35718859 060209 INVOICE PAID REF #175212 2.49 1 x5718859 2.49
5720056 060409 INVOICE PAID REFI#175212 51.19 i 15720056 51.1.9
35724185 061009 INVOICE PAID*REF #175212 47.35 1 15724185 47.35
35725272 061.209 INVOICE* PAID REF #175212 1.80 i 572527; 1.80
357254.33 061209 INVOICE PAID'REF #175212 13.97 1 15725433 13.97
357,27.968 061.609 INVOICE PAID REF #175212 30.73 P 5727968 30.73
`';15731772 062209 INVOICE PAID REF #175212 34.98 5731772 34.98
35732550 062309 INVOICE PAID REf" #170212 11.98 W 5732550 11.98
:35732606 062309 INVOICE PAID'REF #175212 4.36 0 5732606 4.36
35734567 062609 INVOICE PAID REF #17521.2 8.00 5734567 8.00
:357:36540 062909 INVOICE PAI REF #175212 10.71 0 5736540 10.71
35736859 063009 INVOICE PAID REF 0175212 25.09 '5736859 25.09.
357:370:38 063009 INVOICE PAID 'REF #175212 :3:3.18 W 573702:18 :3:3.18
35737171. 063009 INVOLCE PAI REF #175212 16.99 .5737171 16.99
35737737 070109 INVOICE PAID 'REF #176499 2.55 5737737 2.55
35737828 070109 INVOICE PAID REF #176499 8.59 5737828 E1.59
357:38360 070209 INVOICE PAID REF #176499 17.96 i 5738360 17.96
15140683 070609 INVOICE PAID REF #176499 7.99 i 5740683 7.99
35744751 071309 INVOICE PAID REF #176499 2.99 5744751 2.99
35746942 071609 INVOICE PAIR REF #176499 .58 1 .5746942 .58
35747188 071709 INVOICE PAID REF##176499 .92 85747188 .92
I
CURRENT 30 DAYS 60 DAYS 90 DAYS OVER QL� e 1fQ
i
CONT'I:N ED ON NEXT PAGE THIS PAY LCONT'IhIUED
THIS
AMOUNT
NE 1 CITY OF CAR
i
A 1.5% (18% ANNUALLY) SERVICE FEE WELL
BE CHARGED TO ALL PAST DUE INVOICES
i
D9ANI% .17 1 A 0 MIT 35A MT10,1
AA PH'UMAT 10 1 MUMMA .2 tM
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550000
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3AAUG2 31
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0T.It qualsel mys SISFURMS UIAA MOM 90SO60 Q66BINK:
IWIC .71081M 59"Ic HOMO= AIAII BJICVHI 9 02060 TIOGINUII.
Ms •ti:wonw Van SISC7101BA UIAI 3310M 90&060 TaBBTNW.
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08A 'smoc 03.1 SISUNIN132 UlAq 3310VHI USM JNJQNW�
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CN&C Z16WSWF MOT SWAIRMS U!Aq 3jjQQMI V00160 86TASIQU
87.50 MICAT" SWO SISFUNRIA UfAq MOM T02160
RY 11 (''CUSETA 89-11 SIECTIN932 Q!Aq 331QVMI 9OSS80
My 606SPICE A&A SIQVINIJA jjAq 30TOUNI TOM0 MUNK:
00.8 KWACAW Wo ASTUMA •UAq 3310UMI V06260 NKPCNW
Mol OF :;1'.}':".1'` 11.01 SAWNIN93A a!Aq 3010UNI 709R60 OPMEM.'',
MM quoawNsp MIS SISCALK13A GjAq KIM:[ TOOM 9108CNA'..
BUM sco"WIT 1 MAC SiST11413A ajAq 3010M YOOC60 80016ND..':
qy.61 HISM& TYA, MeNINA32 GTAq 131GYMI 900860 ININSM.".
13-2 qf""Mvc fe.s 9?p671KI, ajAq MOM 7010 NO 'l 1.
q&B 820TEAK t` t:) TYPANIH139 U!Aq 33TUM q01070 32a%WT-I--`
MAT osesever MAI pquoymno alAq 331DYNI Tosovo o6escNA:
MA a a i ;4 p qWN RY16TIN13A QlAq 3010M MONO COMMA:
ME 4: Ms qyA6T14qjq OlAq MIUMT WINO AdANANK''
D& 74 as. 19161411A 4!Aq WOW TUINO
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03UNITHM"." :3O A9 7XAM NO GAUNITNO3
MATI WMAD 90 YTA ACAU THMITAIR i`3 :.f E .'I'. oc fAw 2MA31
ill A31VA32 (Y JjOUHWA M t
RAMMI MC T2Sq JJA OT UMAAH3 39
W I IF I v E3 C4 1 1 64 FZ n W Fl R I=
7� 1 E3 FZdEl1"x.1C3F=1_ I "EE FRn
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TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35769987 2 08/28/09 11:03:40 000350 1
BILL TO: SHIP TO.
CITY OF CARMEL FIRE*** CITY OF CARMEL FIRE***
DEPT. DEPT. -o-**
2 CIVIC SQUARE 2 CIVIC SQUARE-
CARMEL IN 46031.-*.' CARMEL I 1\1 46032
PURCHASER: CASHIER: P TERMS: SALESMAN:
KEITH FREER TRACI
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT T AMOUNT
72510 60" LT DUTY FENCE POSTS T 3.870 3.87
72510 60" LT DUTY FENCE POSTS T 3.870 3.87
72510 60" LT DUTY FENCE POSTS T 3.870 3.87
1 72510 60" LT DUTY FENCE POSTS T 3.870 3.87
1 72510 60" LT DUTY FENCE POSTS T 3.870 3.87
1 72510 GO" LT DUTY FENCE POSTS T 3.870 3.87
1 3001807 8 CABLE TIES PK100 BLK T 8.990 8.99
HOUSE 32.21 TAXABLE .00
TAX .00
NON-TAXABLE 32. 2 1
SUB-TOTAL 32.21
ABOV IN GOOD CONDITION
TOTA
32. L
.23 1 R C4 0 C-3 IF=,R I ONA BEE' RED
�1 F;t M E=1_ "p I HNJ -4- e, C;- Z3
Z+ ;EE!
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35764195 28 08/17/09 09:08:48 000350 1
BILL TO: SHIP TO:
CITY OF CARMEL FIRE*** CITY OF CARMEL FIRE***
DEPT.*** DEPT.***
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032'
iURCHASER: CASHIER: PO #e TERMS: SALESMAN:
JIM DAVIS PORTIA
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
t 7107947 POLY bPHHYLK hl UHLI I 2Tu 990 2TI a 1 99
1 7095193 SEVIN RTU 3202 T 7.670 7.67
1 75305 ROUNDUP RTU GL T 12.990 12.99
1 7103732 SEVIN CONCEN UT T 14.970 14.97
1 51221 GLIDE THREADED METAL 7/8" T 2.150 2.15
1 51221 GLIDE THREADED METAL 7/8" T 2.150 2.15
1 51221 GLIDE THREADED METAL 7/8" T 2.150 2.15
1 51221 GLIDE THREADED METAL 7/8" T 2.150 2.15
HOUSE 66.22 TAXABLE .00
00
TAX
66. 22
NON-TAXABLE
SUB-TOTAL 66. 22
RECEIVED HE ABOVE IN GOOD CONDITION TOTAL W 22
!E; 9::l Co EE 11 FR 13 hJ rl FR RE=
7 a.; 1 n m C EE 0 1 Im r= R n
Cori FRPlE=L_ IE PQ Zi Ei Q9 Z3 ;wE_"
fL_ ;2 Z3 1 1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
.35765259 22 08/19/09 08:48:20 000350 1
.BILL TO: SHIP TOg
CITY OF CARMEL FIRE*** CITY OF CARMEL FIRE***
DEPT.*** DEPT.***
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
DURCHASER: CASHIER: PO TERMS: SALESMAN:
30B VAN VOORST Mimi
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
1 17614 SNDPAPR 9XII A/0 MED 5PK T 2.170 2.17
1 10111 2" JEN POLY BRUSH T .670 .67
10111 2" JEN POLY BRUSH T .670 .67
10111 2" JEN POLY BRUSH T .670 .67
10111 2" JEN POLY BRUSH T .670
HOUSE 4.85 TAXABLE .00
TAX .00
NON-TAXABLE 4.85
SUB-TOTAL 4.85
j
(0i
t RECEIVE _TH_E ABOVE IN GOOD CONDITION TOTAL 4 .85
W VA I T E 9 E3 Cl EE "F) FZ n W 64 R FEE
7 Z3 :1. 1B FR e- �.J C3 F=- L_ 10.4 E-_ F? ID
IC r-1 F M P L_ I tq _4 no
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35763697 21 08/16/09 09-2'8:32 000350 1
BILL TO- SHIP TO.-
CITY OF CARMEL FIRE*• CITY OF CARMEL FIRE***
DEPT. *-k* DEPT. .**.x.
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL 46032 CARMEL IN 46032'
PURCHASER: CASHIER: Po #n TERMS: SALESMAN:
TONY COLLINS DINA
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
1 90872A.9 FUNNELS J./2p 3PC T 3.490. 3.49
1 74503 NOZZLE REPLACEMENT BRASS T 3.490 3.49
1 20535 UTIL KNF REPL BLD T 2.990 2.99
HOUSE 9.97 TAXABLE .00
TAX .00
NON-TAXABLE 9. 97
SUB-TOTAL 9. 97
RELEIVED THE ABOVE IN GOOD CONDITION 9.97
TOTAL
W 9-0 1 IF FE E3 �i C_ F—::: r-4 FR ID W F-1 F;Z E
7 .3 3. E3 R F4 P4 C-3 E= 0 1 M EE R f-)
C- d 4 R M E=_ L__ 1 m -4 CL cn_ Z3 E-1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAG
HOUSE 35761014 2 08/11/09 12:34:1.2 000350
BILL TO-. SHIP TO:
CITY OF CARMEL FIRE*** ciTy OF CARMEL FIRE***
DEFT. -X-** DEPT.
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
PURCHASER: CASHIER: PO TERMS: SALESMAN:
BOB VAN VOORST Mimi
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT _F AMOUNT
5272 5 PROTECT RUB PAD BRN 1/2SO T 2.990 2.99
HOUSE 2.99 TAXABLE .00
TAX .00
NON-TAXABLE
SUB-TOTAL 99
RECEI THE ABOVE IN GOOD CONDITION TOTAL 2. 99
_1F HE m! CSI C: FE r-'l F;t 0- W n-- R HE
1 S; R 6::) P4 1 1:3 F= 0 1 9N4 E RICE
IG. C R M EE I I P Z+ E CiD Z3 2ll
4s .4 C-1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PA
HOUSE 35761262 28 08/11/09 16:08:21 0001350 1 1
BILL TO- SHIP TO.
CITY OF CARMEL FIRE*** CITY OF CARMEL FIRE***
DEP1 DEPT.***
2' CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
PURCHASER: CASHIER: Po TERMS: SALESMAN:
ORBIE BOWLES CAROLINE
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
40934 LTLE PETE SWR AUG 1/4X15 T 11. GBIZI 11.68
HOUSE 11. FIB TAXABLE izi 0
TAX lzi 0
NON-TAXABLE 1.1.68
SUB-TOTAL 1 FIB
REIS&ZED THE ABOVE IN GOOD CONDITION
TOTAL 1 1 6_ a
W I _T S3 nZ C:, E-: 0--i ITA F;Z ID W 9mb F;t F—=
7 �a 1 Z3 R A=) 41; I OM E-: FZ n
C.. r- F;Z M FEE L_ 1 P4 PLIN Z;ll ;ER
43-44S ;R� I I
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35767370 20 08/23/09 10.41:23 000350 1
BILL TO: SHIP TO:
CITY OF CARMEL FIRE*-'(-* CITY OF CARMEL FIRE*-*-*
DEPT. -**-o DEPT. **.m.
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL :[hl 46032
PURCHASER: CASHIER: PO TERMS: SALESMAN:
MIKE LUX D
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT _F AMOUNT
H122240 CD BRASS SAFETY HOOK 7/8 T 1.390 1.39
1 23307 H-DTY BLD DISP 10OCT ACE T 12.990 12.99
1 70GO999 HOSE Y-CNCTR BRASS W/SHUT T 9.870 9.87
HOUSE 24.25 1 2z)l 0
TAXABLE
.00
TAX
24.25
NON-TAXABLE
SUB-TOTAL 24.25
1_4 sl� 0/1-
RECEIVED THE ABOVE IN GOOD CONDITION 24.25
TOTAL
r JL. -=:p rn. w--v a QLL=y u=-. I LA _u. u �u u---. 6 -0
C: Cl R M Z+ is k ,3
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
08/02/09 09;,3 tO 0003,50
BILL. TO: SHIP TO:
CITY OF CARMEL FIRE*** CITY OF CARMEL FIRE***
DEPT. **-f DEPT.***
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL 6 0 -76 GARMEL !N 46032
PURCHASER-. CASHIER: PO TERMS: SALESMAN:
ORBIE BOWLES MIMI
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
t 42789 ROTO PRO DRAIN OPENER OT T. 8.990 8.99
HOUSE 8.99 TAXABLE
.00
TAX .00
NON-TAXABLE 8. 99
SUB-TOTAL 8. 99
RECEIVED THE ABOVE IN GOOD CONDITION 8.99
TOTAL
F m
ARE' RARPWAfM, a T TE118 "DA H A 3 UARE
PHOWE 846-42475
ii NE 44
A'MEL 1 60.E �A L r �3
DATE CUSTOMER NO. DATE CUSTOMER NO.
OCR /ctl. /09 000350 !`013/ X1./0'7 C00.�1 0
r c:
s s t �.s`aa. r _R a
s STATEMENT e f 'STATEMENT
RETAIN THIS PORTION FOR YOUR RECORDS
PLEASE RETURN THIS
PORTION WITH YOUR PAYMENT
CITY OF C:F RIIEL. ('IRE-Xz:x r s
f INEPT x1c�c
2 CIVIC SnUARE
CARNEL. l:N 46032
4�.._x
INYOICENO D TE'
RIP
D
1 ESCTION s 'AMOUNT i INVOICE NO AMOUNT
157495 8 :at 072t09 INVOICE P Fa.I 13EF -49 7 «$9. t "i7�95E3 t 7.49 '3 5750B.42- 2 30.9 l:�Kv01 Ck r flt�TL F,E� FtiI7l 49 3 t 17 fA9 t�:i? 1.7�.�99
Si r r. :h'kyi"c gix?C:�! T`. L.rL �f 5 1 "4 :,t t':} a.99
t7 ±tad -.s 7, 1� 409 II�iVC.I.IC rt:l: 3F"f"##19 6.9 1
357 "12921 '072709 1: III V010E. FAI:L( REF'##1.76499 3.49 ;`.}7ci2 L 1.49
:3 17`3629 072EI09 INVOICE f -'AID FiEI= ##:1.7 "6199 !1.01 ?:t�i7�:3629 ':1.01
.5754967 07 3109 1 :h1 V0ICE:. PAII:! REF# #1.76499 40.0` ?`�7`.•.i4967 40.0`.:1
"4575,6091 0130209 IIIVCIICE El. 99 :t`-7` 6091 8.99
:5761.01.4 0131.1:09 1:111VCII :C:E '?.99 u :t�761014 .99
35761.262 01311.09 INVOICE 1.1. .68 35761.262 11..6£3
1.7521..' 0131209 ::'AYI*IE III T 3249.61- .7521.2 339.61-
1576:-t697 081609 INVOICE 9.97 1576::1697 9.97
:3'57_'64.1.95 0131.709 INVOICE 66.22 S :1`.
'.17641.95 66.22
15765259 081, x'09 INVOICE
4. E3 "i Z t!= 6�i�'4i9 4.85
3`_'i" 67;:170 082 X09 I:hIVOlI:',E: x14: 2 "r 674 7 0 24.2
1.1645� :OC3�'E3,0.9 A Yi *IE"hl'r r 122.60 W 176499 122.60
157E }99..137 QC34'.C3.09 hI,VC�J 1
u t� ,.4�1 157699137 7 1�'e 6: 1.
IIE.'EIl1C`T 1. �i 1 i Cl k E'` F� Y t�li:;hlT C)' C= �5 0 CC "Y �A Itl k 1�b'i 04r
.ltsks tfi..1
FI
t, L! f3 �d,' 'A' L Uf�i
Ct "I Tdr1 r; (3s .F,OR `u9.99
CURRENT 30 DAYS 60 DAYS 90,DAYS,& OVER' "CLIQ c 1
1.61.1.6 .00 .00 .00 1.61..1.6 PLEASE PAY 61..1.6
THIS
I AMOUNT r l
r r. r~ r 1I" C A_..
A j:'or`_`i 1.87 ANNUALLY) SE:RVIQU 19E:E Wl:L.L.°
BE CHARGED TO ALL _PAST LILIE II`IVOI(.I.'S
t- 011TE''S ACE H*RDW E�
x'31 RD.
a er 3 O 1.. TN E' Fi
V'HC11� t 34 2475 F ;f•IgN '8 4 6
CAR
A R 1 E L IN46032
v,
DATE CUSTOMER NO. m DATE CUSTOMERNO.
�g1�3i:�1 aaalei q 013r 31i09 coo a
tre
STATEMENT STATEMENT-
RETAIN THIS PORTION FOR YOUR RECOR[JS i
PLEASE. RETURN THIS
n ^r +t �u, z L.',r, 4: tr:..l, Y,aN, .F. 4 tai r,:vr. s, J. 1 r P
PoRTlo�- uu,Irl�:vouR. AvMENTt�:;
CITY OF CAF;11EL F:[F4ExX.x ;a
2 CIVIC: SQUARE
1t_ CARI"IEL_ 1:N 46032
I
1 e INVOICE,NO DATEg a�'' DESCRIPTION MOUNT
AMOUNT INVOICE ,NO. AMOUNT:
157. tQ60209 INVOICE PAID •FIEF #Ir5z12 1 9� t�7tE3f�.t9 11.a"��
'C7].ii[i`3.:? `.E1 +q.?'U9 ]:N r, F: 'T.;It F<C'rtt1:'7,�;. +'3k", r, r [3t�b te-, .F3`'F3,J 7w,.. 4
7113Ei`�9 G`f�`0?0' 'hfV'C1':[`C: -r t- 1F'' TLI �'FF #1. �'1' r'" J e .ri9p
e e r.• n ti e 7 n E3 f.3 i,�..., 2' x'4 9
,3.5700. 060409 ]:I%IVOICE: F'A]:LI F�f�F #J.7.��.1� X1..1. -'.457 .qq.. 6 ..1..1.9
:s`�7241.E3".
061.009 INVO]:CE:: F'A:[T1 REF 017521.2 a 47.35 _357:41.85 47.351
35725272 061.209 lNVO]:C:E: PA1:1 RE:Fit1.7521.2 1..,030 i`,°172°.27 t 1. BID
:i"fr!i ;:s 061.209 114VO:[CI PAID REF 1.7 2 1. 2 1.= {.97 I 85 1
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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 performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$161.16
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. W ARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF
731 South Rangeline Road
Carmel, IN 46032
$161.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 370.00 $161.16 1 hereby certify that the attached invoice(s), or
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
SEP 14 7009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund