212416 08/28/2012 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: $4.28
'+ CARMEL IN 46032
<roH CHECK NUMBER: 212416
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 244 4 . 28 2308711
'4�'litite.'S AM, l:liirilta:yr
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 SALE/REG EXT
042854824135 1.00 4.28 4.28
1096205 PK/3
SPRAYER 240Z-3PK
SUBTOTAL $ 4.28
TAX $ 0.00 t
TOTAL $ 4 . 28
d
CHARGE 1.28
I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
t
SIGNATURE BOB HIGGINS
EMPLOYEE TERM INV# TIME DATE
2000009 1015 2308711 11:29 13-Aug-12
Ace Rewards IO # 19800654823
Your receipt guarantees
off. v— n hacala-raturn -
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))
08/13/12 2308711 Sprayer $4.28
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.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 South Rangeline Road
Carmel, IN 46032
$4.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 2308711 I 43-504.00 I $4.28 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
Wednesday, August 22, 2012
Director, Brookshy e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund