169675 03/04/2009 CITY OF CARMEL., INDIANA VENDOR: 037500 Page 1 of 1
j 0 ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CHECK AMOUNT: $221.48
CARMEL IN 46032 CHECK NUMBER: 169675
CHECK DATE: 314!2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 244 221.48 BUILDING REPAIRS MA
7 1. !B R"NlC3U_L_ I PAEir- RID
F) R M ff� L_ I INJ oze Z3;a
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAG
HOUSE 356 21 01102109 09:03:32' 000244
BILL TO-. SHIP TO:
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE Pl 12120 BROOKSHIRE PKWY.
CARMEL :.IN 46033 CARMEL IN 46033
PURCHASER: CASHIER: Po TERMS: SALESMAN:
KEN MILLER PORTIA
QUANTITY fTEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
1 3198421 WORKLIGHT TWIN W/CAGE NS T 82.990 82.99
OK PER KEN MILLER
DAVID TRICE
HOUSE 82.99 TAXABLE
TAX OL7J
NON-TAXABLE
SUB-TOTAL
7
82. 99
RECEIVED THE ABOVE IN G D CONDITION
IV I
TOTAL
C:� if=4 F;Z M ff=_ L_ 19'w -4.4s aze Z3;E�
;EE! Z3 1 1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35644697 20 01/21/09 12g29:04 000244 li
BILL 'roe SH I P TO
BROOKSHIRE GOLF CLUB• BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL, IN 4,033
PURCHASER: CASHIER: Po #a TERMS: SALESMAN:
BOB HIGGINS TRACI
QUANTITY T NUMBER DESCRIPTION PRICE/UNIT AMOUNT
1 21224 4X5" DRYWALL CORNER TRWL T 13.990 13.99
4 *56 FASTNERS BOLTS, SCREWS, T .270 1.08
I H41426 XL—TOGGLE BOLTS 3/16X3 T 3.290 3.29
1 20536 STANLEY REPL BLD BX100 T 13.990 13.99
HOUSE 32.35 TAXABLE .00
TAX .00
NON-TAXABLE 32.35
SUB-TOTAL 32.35
X
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL 32.35
C: F) FR M 1 L_ I m Zi- CEO 901 Z.
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35644992 20 01/2 /09 10345:3G 000244
BILL TO: SHIP TO.
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL 11\1 46033 CARMEL IN 48033
PURCHASER: CASHIER: PO TERMS: SALESMAN:
KEN.MILLER TRACI
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
1 30753 SQUARE BOX DBL PVC NAILS T 2.190 2.19
1 2058949 ISRT BIT PHIL*2 I" PKIO T 5.470 5.47
1 1234301 FLAME STOP SEALANT IOOZ T 8.490 8.49
HOUSE 1G.15 TAXABLE .010
TAX .00
NON-TAXABLE IG. 15
SUB-TOTAL 1 8. 15
X_
RECEIVED THE ABOVE IN GOOD CONDITION TOTAL 1 G. 15
UGH 3' T EE" _c:3 P 0 EZ Cl R 1L) W C4 R
0A R m E=_ I I I m ZIF 0-1 RD Z-3;R
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAG
3F;F,46500 2A 01126.109 000244
BILL T04 SHIP TO:
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 460aa CARMEL IN 46033
PURCHASER: CASHIER: PO TERMS: SALESMAN:
OR HIGGINS PORTIA
QUANTITY ITEM N UMBER DESCRIPTION 7PRICE /UNIT AMOUNT
1 6118376 CERAMIC HEATER CYCLONIC T 89.990 89.99
HOUSE 89.99 TAXABLE .00
TAX .00
NON-TAXABLE 89.99
SUB-TOTAL 89.99
r) kRECEIVED THE ABOVE IN GOOD CONDITION
TOTAL 89. 99
1
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.
1 Payee
A/A rs &e ��%�%�f,C Purchase Order No.
Terms
C��I7 S�a� 3a Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
lb
a9 s v 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
�Age9 /-)A IN SUM OF
4"
OZi qk
ON ACCOUNT OF APPROPRIATION FOR
i
4 Board Members
P or l/ INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
p 3 r6l a, bill(s) is (are) true and correct and that the
q -7 S g), 3s materials or services itemized thereon for
5 y.:� S"aj -cam /s which charge is made were ordered and
oZo'j S cb G ,6v Q received except
20
4&�
Sic,atyr�e�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund