210809 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366408 Page 1 of 1
ONE CIVIC SQUARE ALEX DAVIS
CHECK AMOUNT: $17.00,
CARMEL INDIANA 46032 C/O ENGINEERING
CHECK NUMBER: 210809
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 17 . 00 STORM WATER PHASE II
Prescribed by State Board of Accounts City Farm 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
Alex Davis Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
6/27/2012 0 Fastners for"No Mow" signs $ 17.00
Total $ 17.00
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.
Alex Davis ALLOWED 20
IN SUM OF $
$ 17.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 211-4462838 17 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
6/18/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
'1�'11�te'S H:1D'l'iw a re
Thanks for shopping
our friendly store.
White ' s Ace Hardware-
Carmel
731 S Rangeline Rd
Carmet, IN 46032
317-846-2311
ALE'!ANDER DAVIS
ITEM OTY SALE/REG EXT
FA 10.00 0.55 5.50
EACH 500.00 NONTAX
Fastners
FA 10.00 0.85 8.50
EACH 500.00 NONTAX
Fastners
FA 10.00 0.30 3.00
EACH 500.00 NONTAX
Fastners
TAX EXAMPT ID #0031201550-020
SUBTOTAL $ 17.00
TAX $ 0.00
TOTAL $ 17 . 00
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