175232 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 360212 Page 1 of 1
e 0 ONE CIVIC SQUARE MATT WORTHLEY
CARMEL, INDIANA 46032 14383 GEORGE COURT CHECK AMOUNT: $111.53
CARMEL IN 46032
CHECK NUMBER: 175232
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4239099 7111 41.04 OTHER MISCELLANOUS
902 4239099 7112 41.04 OTHER MISCELLANOUS
902 4239099 7113 9.45 OTHER MISCELLANOUS
902 4239099 7114 20.00 OTHER MISCELLANOUS
R
Lu "Ac b LOUFS HOME CENTERS, INC. LOUE'S HOME CENTERS, INC.
S T L F� °k1o9 Tr`° 14598 LOUIES WAY 14598 LOWES WAY
Tae _[I,� CARMEL, IN 46033 CARMEL, IN 46033
(317)566 -8124 (317)566 -8124
-SALE- -SALE-
SALES S1525VN1 1230841 07 -11 -09 SALES a: S1525VN1 1230841 07 -11-09
J..LIVJ ,VV I+J vVlx !f1i'JIIIL iLli'JIIT'JI
>-fg c DA; IrCl WC Cln r, MCI TM
I' ,:I 1LL1!,L i\ VI,I:I ILL 15•' 224273 55 GAL 40 CT DRUM LINER 41.04 224273 55 GAL 40 CT DRUM LINER 41.04
3 13.68 3 13.68
SUBTOTAL: 41.04 SUBTOTAL: 41.04
TAX: 2.67 TAX: -ta—
u
INVOICE 10986 TOTAL: 43.91 INVOICE 10977 TOTAL: 43.91
:I Ar_:
J!il! I'i'J.dl -TI.'
T :iv !?!1 BALANCE DUE: 43.91 BALANCE DUE: 43.91
G II a.
ri
r
I'a, I LV V!, CASH 44,00 CASH 44.00
,JI I'l I ;S. u
!.JI 1'JI
rv,l; _rl F�.. 0.09 CHANGE 0.09
�.Gl{ ^r_tE :nEa17i �T." r E7 ^a CHANGE �d38 9�a
1525 TERMINAL: 10 07/11/09 13:55:20 1525 TERMINAL: 10 07/11/09 13:33 :37
I::Crff r!flll``i hQLIH f171 rDt; Al 7C;A �?FI
4 ivL VJl IR VL.1 VI%17 VA. I i IT LJ"
t
ere 07 OF ITEMS PURCHASED: 3 OF ITEMS PURCHASED: 3
I
I• L_.. 1La v� UIR 1
ds `v `3n6H EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
03Fld0131393`J 130VI :tuv i; 1'nr�y �IIIIIIIIIIIIIIII�IIII���IIIIIIIII�I IIIIII�I�IIIVIII 1I I l I II �i IIII
c THANK YOU FOR SHOPPING LOUPS
i10I5:�IUdU409 1f43Nd013(13tI3N 13�1!Jd0 THANK YOU FOR SHOPPING LOUIE'S
00'OZ$ RECEIPT REQUIRED FOR CASH REFUND. RECEIPT REQUIRED FOR CASH REFUND.
@y 4uf1o(Uv ;,Q pled CHECK PURCHASE REFUNDS REQUIRE CHECK PURCHASE REFUNDS REQUIRE
15 DAY WAIT PERIOD FOR CASH BACK. 15 DAY WAIT PERIOD FOR CASH BACK.
01 :Te4oj 4 8 y STORE MGR: TODD BYCZEK STORE MGR: TODD BYCZEK
U0`0Z3 �E ���1�rb
ci 00 ^GG' 1i43W33`19V zI',2ib0600Z HAVE A COMMENT OR FEEDBACK? LET US KNOW AT: HAVE A COMMENT OR FEEDBACK? LET US KNOU AT:
I WWW .LOWES.COM /FEEDBACK WWW.LOWES.COM /FEEDBACK
60o /;:T /G0 :@+El3 sS@UTSnq STORE CODE: 15250 71109 -10986
STORE CODE: 15250- 71109 -10977
6 6T0000 iii sue;j dTTaOM °£0 600Z/0T/�0
WE HAVE THE LOWEST PRICES, GUARANTEED! WE HAVE THE LOWEST PRICES, GUARANTEED!
t.:@[ 4. P i a@ Tuu@[ IF YOU FIND A LOWER PRICE, WE WILL IF YOU FIND A LOWER PRICE, WE WILL
N @F /�uricj uut(TtuEj{ BEAT IT BY 108. SEE STORE FOR DETAILS BEAT IT BY 108. SEE STORE FOR DETAILS
YOUR OPINIONS COUNT!
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LOWE'S HOME CENTERS, INC. LOWE'S HOME CENTERS, INC. ry �3H 0 Bar �p f` 14598 LOWES WAY 14598 LOWES WAY
r F. C 4;►IC•[P ?S UT1
CARMEL, IN 46033
CARMEL, IN 46033
(317)566 -8124 (317)566 -8124
�o 0
-SALE- -SALE-
tnio��nni� int PNOT'si [7111 Hr7 SALES q: S1525UN1 1230841 07 -11 -09 SALES A: S1525VN1 1230841 07 -11 09
.E.l /1VV ,VVT•J 'VVl Vl ii'JI I IL i -I JVI MQI
r,,p e n,;urn Ta,f DP, MEND Tu
VL 1!IL `I`I.IILL 115 224273 55 GAL 40 CT DRUM LINER 41.04 224273 55 GAL 40 CT DRUM LINER 41.04
3 13.68 3 13.68
SUBTOTAL: 41.04 SUBTOTAL: 41.04
D 'DA1:CCT; Tr'L P a P7. TAX: 2.87 TAX: 2.87
INVOICE 10986 TOTAL: 43.91 INVOICE 10977 TOTAL: 43.91
0, Ih +a i %G:
Arl
vv BALANCE DUE: 43.91 BALANCE DUE: 43.91
'T n ^9 CA AIZ
^au in rIn
CASH
IJI I' -III 44.00 CASH 44.00
SJ I
rv,. T V CHANGE
VII�'4+ 0.09 CHANGE 0.09
u_1C dyCe1_n1= HC'7rb3 1 'e %,Fnn9El
a,'trH tl H6 H 0 %1 2 H a H a__ a �rk-. u%
rr11 1 a_: 1 x.1 C C
_H_H 1525 TERMINAL: 10 07/11/09 13:55:20 1525 TERMINAL: 10 07/11/09 13:33:37
O
nr, nrlr+ r'i Dnkirt 0F.07",
1tLV'!t V4'VL !!'JI IT1 `Ji S if vl 11`.I ,15R LaJ!`.!T
ii
vI �nl_� i)•r�.=t; err+ OF ITEMS PURCHASED: 3 OF ITEMS PURCHASED:
V „1J. V.: 1Lv OTH .'1 3
4iji4 a 3AgH u EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
t4f1
IS�IWW�� P-DWd0 1363uh 13WW3 :WOJA p.. fi►I�il�lii6�li�li�l� fi���lili��ii�il�i�ii�ii� ►iiii�i�ii�ii�liiiii►Ni�li i6il�i��iii��lii��lial�i� IIIiI�11II l�IIII�I�1111I�I��i�, I�l�ili�IiP1IlIGI�11�IIi��IiI�IN il�llii ►l�ll�l�li il9�� y
t4oISSIWWU3 IUW'j013093d 13W` VJ THANK YOU FOR SHOPPING LOVE'S THANK YOU FOR SHOPPING LOWE'S
VON W 1 RECEIPT REQUIRED FOR CASH REFUND. RECEIPT REQUIRED FOR CASH REFUND.
gay +urTOtuy .gig PTe j CHECK PURCHASE REFUNDS REQUIRE CHECK PURCHASE REFUNDS REQUIRE
15 DAY WAIT PERIOD FOR CASH BACK. j 15 DAY WAIT PERIOD FOR CASH BACK.
`119 ;TE -40i 4d -ca;ay STORE MGR: TODD BYCZEK
STORE MGR: TODD BYCZEK
Uli`l LE+o-F'ans
i144 ^LtS `L�? 1i43W33'jid zTE D060K HAVE A COMMENT OR FEEDBACK? LET US KNOW AT: HAVE A COMMENT OR FEEDBACK? LET US KNOW AT:
WWW .LOWES.COM /FEEDBACK WWW. LOWES.COM /FEEDBACK
oOUZi'�I ;`GO :a FE11 ssauisr�y STORE CODE: 15250- 71109 -10986 STORE CODE: 15250 71109 -10977
T, suE.;I �U >z0 b��UZ!C1Ti'LJ
0 1 dl �1
UE HAUE THE LOWEST PRICES, GUARANTEED;! WE HAVE THE LOWEST PRICES, GUARANTEED!
,ap'E -H i A61TUL18f IF YOU FIND A LOWER PRICE, WE WILL IF YOU FIND A LOWER PRICE, WE WILL
;turrC:j uGyTitUEji BEAT IT BY 108. SEE STORE FOR DETAILS BEAT IT BY 10$. SEE STORE Fno n��
YOUR nPTUTn'1C
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.
I Payee
W L I ev Purchase Order No.
S t Terms
r Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7 n 7/ l RTO T y
7/"1 7 112 6 1 0 Tr a c,
0 1 1 2 Rrp c q ys
Total 111
1 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.
p�
ALLOWED 20
t In e w 1 ,)0f, 0f i e— T I N SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9 0 2 e �°j�_ j bill(s) is (are) true and correct and that the
q v 2 2 ,d 3' materials or services itemized thereon for
2 j 3 s which charge is made were ordered and
pZ j t Zo received except
7 -2U 20 U9
G
Signature
Cost distribution ledger classification if I e
claim paid motor vehicle highway fund