209391 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CHECK AMOUNT: $103.90
CARMEL IN 46032
CHECK NUMBER: 209391
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4462401 330 103.90 2244409
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Thanks for shopping
our friendly store.
White's Ace Hardware-
Carmel
731 S Rangeline Rd
Carmel, IN 46032
317 846 -2311
CITY OF CARMEL DEPT
ACCOUNT 330
ITEM QTY SALE /REG EXT
082901749783 3.00 16.99 50.97
74978 EACH
SPRING RAKE 22T 19 -555
082901009641 3.00 9.98 29.94
7013527 EACH
GLOVE DRIVER LRG GOATSKIN A
082901246374 1.00 22.99 22.99
7209109 PR/1.
LEATHER PROTECT GLOVE M
SUBTOTAL 103.90
TAX 0.00
TOTAL 103.90'
CHARGE 103.90
I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
s r V
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f
SIGNATURE NICHOLE PASSINEAU
EMPLOYEE TERM INV# TIME DATE
2000014 1008 2244409 11:22 02- May -12
Ace Rewards ID 19800641274
Your receipt guarantees
your no- hassle return.
We're your source for
Spring, Summer, Winter and Fall
for all your hardware needs.
I
INVOICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF
731 S. Range Line Road
Carmel, IN 46032
$103.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I 2244409 I 44- 624.01 I $103.90 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
Monday, May 21, 2012
/C
Director
Title
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Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/02/12 2244409 Misc. supplies for intern $103.90
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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