211375 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 353655 Page 1 of 1
ONE CIVIC SQUARE MENARDS-FISHERS
CARMEL, INDIANA 46032 7145 E 96TH STREET CHECK AMOUNT: $4.41
INDIANAPOLIS IN 46250
CHECK NUMBER: 211375
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 33269 4 .41 OTHER EXPENSES
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* GUEST COPY
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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 # 33269 ACCOUNT : 31710268
TRANSACTION DATE 07/12/12 TRANSACTION # : 4714
TRANSACTION TIME 100251 PURCHASE ORDER # : JEFF
REGISTER NUMBER 10 TYPE OF SALE : Charge Sale
SIGNER : JEFF COOPER CLAIM # : JEFF
QUANTITY SKU DESCRIPTION AMOUNT
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3 . 00 2289258 PLTD ALL THRD 1/211 -13-lFT 4 .41
SUB-TOTAL: 4 .41
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 4 .41
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 7/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2012 33269 $4.41
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
Date Officer
VOUCHER # 125328 WARRANT # ALLOWED
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
33269 01-7202-06 $4.41
Voucher Total $4.41
Cost distribution ledger classification if
claim paid under vehicle highway fund