178279 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 353655 Page 1 of 1
ONE CIVIC SQUARE MENARDS FISHERS
CARMEL, INDIANA 46032 7145 E 96TH STREET CHECK AMOUNT: $18.34
iuM INDIANAPOLIS IN 46250 CHECK NUMBER: 178279
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 55229 18.34 OTHER EXPENSES
From:Menards 3171 317 596 9590 10/05/2009 08.50 #324 P.005/006
TRANSACTION DATABASE REVIEW
Store r. -ember 3171 MENARDS FISHERS
Tran• date 11/29/07 Time: 09:11:00 AM Operating Mode Normal
Register ID 8
Transaction 8243
Type of sale Charge Sale MERCHANDISE:
Operator 3142 Taxable 0.00
Commission 0 Non -tax 18.34 16.34
Customer 31710268 NON MERCHANDISE:
PO number none NON MERCHANDISE TAXABLE......: 0.00
Non merchandise non -tax:
Invoice 55229 Non -food 0.00
Ref. 1 Food 0.00....: 0.00
Ref. 2 Tax 0.00
Ref. 3 Additional tax 0.00
Employee 3142 Sold lines total 18.34
Tax code 0 Non taxable Deposit_ 0.00
order number 0
Transaction total 18.34
Tax exempt
Exempt code 12
Org invoice Allowance 0.00
Demographic Spread di- scount 0.00
Tran Authorization 0 Order discount....... 0.00
TOS Signature no Line discount 0.00
Tax exempt signature: no
Tender signature yes
SOC signature no Total discounts 0.00
Ship to name
Ship to address
Item number Seq# Description Quantity Tax Line type Status Amount
6792710 1/2 X 3/8 X 3' PIPE 6.000 0 Normal line TAKE 11.34
7901487 39X64 WHITE N.INIBLIN 2.000 0 Normal line TAKE 7.00
Code Description Miscellaneous number Amount Auth. Signature
7 C.3ARGE 18.34 Yes
END OF TRANSACTION DATABASE REVIEW
f FromAenards 3171 317 596 9590 10/05/2009 08:51 #324 P.0061006
TRANSACTION DATABASE REVIEW
TENDER SIGNATURE
Store number: 3171 V20ARDS FISHERS
Date 11/29/07
Time 09:11:00 AN.
Employee 3142
Register ID 8
Transaction 8243
Order# 0
Type of Sale: 2 Charge Sale
Account# 31710268
Sold to GOV -CITY OF CARNEL WWTP
760 3RD AVENUE SW
SUITE 110
CARMEL IN
46032
Tender code 7 CHARGE
Tender amount 18.34
Account number
Auth. code
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
MENARDS FISHERS Purchase Order No.
7145 E. 96th Street Terms
Indianapolis, IN 46250 Due Date 10/7/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/2009 55229 $18.34
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 096557 WARRANT ALLOWED
33655 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
55229 01- 7202 -05 $18.34
Voucher Total $18.34
Cost distribution ledger classification if
claim paid under vehicle highway fund