211092 07/17/2012 �=,F 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: $15.72
CARMEL IN 46032 CHECK NUMBER: 211092
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 244 15 . 72 BUILDING REPAIRS & MA
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Thanks for shopping
our friendly store.
White ' s Ace Hardware-
Carme L "
731 S Rangeline Rd
Carmel, IN 46032
317-846-2311
BROOKSHIRE GOLF CLUB
ACCOUNT # 244
ITEM OTY SALEAEG EXT
5954 3.00 - 1.98 5.94
-EACH
KEY SINGLE CUT
047569062711 3.00 3.26 9.78
34018 EACH
BREAKR CIRC HMLN 20A SP - A
SUBTOTAL 8 15.72
TAX $ 0.00
TOTAL $ 15 . 72
CHARGE 15.72
I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO
, THE POSTED-TERMS AND CONDITIONS
SIGNATURE KEN MILLER
EMPLOYEE TERM _- INV# TIME DATE
2000009 101S_____ 2290660 10:15 09-Jul-12
1
Ace Rewards ID 4 19800654823
Your receipt guarantees
your no-hassle-return.
We're your source for
Spring, Summer, Winter and Fall
for all your hardware needs.
INVOICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 South Rangeline Road
Carmel, IN 46032
$15.72
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 2290660 ) 43-501.00 $15.72 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, July 09, 2012
i
Director, Brooks re Golf Club
Title
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))
07/09/12 2290660 Keys $15.72
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