178778 10/28/2009 0 �4^M CITY OF CARMEL, INDIANA VENDOR: 353655 Page 1 of 1
ONE CIVIC SQUARE MENARDS FISHERS
'l ,a CARMEL, INDIANA 46032 7145 E 96TH STREET CHECK AMOUNT: $153.56
M,. INDIANAPOLIS IN 46250 CHECK NUMBER: 178778
CHECK DATE: 1012812009
D EPARTMENT ACCOUNT PO NUM INVOICE NUMB AMOUNT DESCRIPTION
651 5023990 27831 153.56 OTHER EXPENSES
GUEST COPY
GOV -CITY OF CARMEL WWTP MENARDS FISHERS
760 3RD AVENUE SW 7145 E. 96TH STREET
SUITE 110 INDIANAPOLIS, IN 46250
CARMEL IN 46032
FAX (317)571 -2265
INVOICE 27831 ACCOUNT: 31710268
TRANSACTION DATE YO/15/09 TRANSACTION 7336
TRANSACTION TIME 91722 PURCHASE ORDER jeff
REGISTER NUMBER 8 TYPE OF SALE Charge Sale
SIGNER JEFF COOPER CLAIM jeff
QUANTITY SKU DESCRIPTION AMOUNT
1.00 1251049 3/4 (23/32)4X8 SANDED UL 25.48
3.00 6481090 18 PK CHARMIN BATH TISSUE 26.94
1.00 5610596 CHINEX 2 DALE 9.76
6.00 5610740 PURDY GE 4" "X1/2 ROLLER 17.88
1.00 2742926 FIRE HOSE NOZZLE W /GRIP 8.98
1.00 2742926 FIRE HOSE NOZZLE W /GRIP 8.98
1.00 2742935 3PC METAL NOZZLE SET 13.94
3.00 5616495 3 PC BRUSH SET 29.91
1.00 2162180 3" STENCILS 2.98
1.00 2158345 3 BLACK DIE CUT #2 0.44
1.00 2158345 3 BLACK DIE CUT #2 0.44
1.00 2158374 3 BLACK DIE CUT 45 0.44
1.00 2158390 3 BLACK DIE CUT #7 0.44
1.00 5615322 4 SCRAPER REPLC BLADES 1.97
1.00 5615319 4 LONG HANDLE SCRAPER 4.98
SUB TOTAL: 153.56
TOTAL TAX: 0.00
PAYMENTS 0.00
TOTAL DUE: 153.56
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353655
4
MENARDS FISHERS Purchase Order No.
7145 E. 96th Street Terms
Indianapolis, IN 46250 Due Date 10/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/2W 27831 $153.56
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096628 WARRANT ALLOWED
VOUCHER
353655 IN SUM OF
MENARDS FISHERS
7145 E. 96th Street
Indianapolis, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
27831 01- 7202 -05 $153.56
i
Voucher Total $153.56
Cost distribution ledger classification if
claim paid under vehicle highway fund