212813 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
0 ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $175.53
CARMEL, INDIANA 46032 731 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 212813
CHECK DATE: 9112/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 350 175 . 53 REPAIR PARTS
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White's AfAxHardware
aml Gurrlen Center
gV-1 J',ringy /.Y'iae
WHITE'S ACE HARDWARE-CARMEL
731 S RANGELINE RD
CARMEL IN 46032
317-846-2311 Statement
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STATEMENT ACCOUNT PAGE OfA cco u n t
DATE' NUMBER NO"
31-Aug-12 350 1
TO: CITY OF CARMEL FIRE DEPT.
2 CIVIC SQUARE
CARMEL, IN 46032
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ALL PURCHASES ARE DUE AND PAYABLE BY LAST DAY OF BILLING MONTH
DATE INVOICE DESCRIPTION AMOUNT BALANCE
02-Aug-12 2303137 BOB VAN VOORST 0.88 0.88
07-Aug-12 2305891 BOB VAN VOORST 0.64 1.52
08-Aug-12 2306187 JIM SPELBRING. 14.94 16.46
14-Aug-12 2309125 JASON FORCE 22.75 39.21
14-Aug-12 2309176 JASON FORCE 6.16 45.37
14-Aug-12 2309429 BOB VAN VOORST 4.49 49.86
16-Aug-12 2310333 BOB VAN VOORST 4.20 54.06
23 Aug-12 '2314058 . MIKE LUX 33.99. 88.05
24-Aug-12 2314404 JIM DAVIS 13.55 101.60
24-Aug-12 2314541 BOB VAN VOORST 37.45 139.05
26-Aug-12 2315425 JIM DAVIS 7.93. . 146.98 I
27-Aug-12 2316087 BOB VAN VOORST 20.59 167.57
31-Aug-12 2317828 JASON FORCE 7.96 175.53
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RRENT -PAST DUE PAST DUE ' PAST DUE TOTAL
AMT DUE 1 MONTH 2 MONTHS. 3 MONTHS DUE
175.53 0.00 0.00'. 175.53
YOUR RECEIPT GUARANTEES
YOUR NO-HASSLE-RETURN.
White's Ace Hardware-Carmel Customer Transaction Details 05-Sep-12 09:48 By: 2000005 Page:1
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2302908 Term:5006 Sales Store:l 01-Aug-12 15:06 L S
Person:2000006
X F T Scan Number Description Part # Oty Price One Sell Price Per Oty Ext L C
Payment Payment of $105.74 -1.00 0.00 -105.74 / 1 -105.74 -
Number: 211094 Name: CITY OF ROACHECK 105.74 Sub Total -105.74
CARMEL FIRE DEPT.
Total Tax 0.00
Grand Total -105.74
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2303137 Term:1014 Sales Store:l 02-Aug-12 09:12 L S
Person:2000015
X F T Scan Number Description Part # Oty Price One Setl Price Per Oty Ext L C
X FA Fastners FA 8.00 500.00 0.11 '/ 1 00:88 X
Account Number: 350 Name: BOB CHARGE .88 Sub Total 00.88
VAN VOORST Memo
Total Tax 0.00
Grand Total 00.88
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2305891 Term:1010 Sates Store:l 07-Aug-12 14:46 L S
Person:2000014
X F T Scan Number Description Part # Oty Price One Set[ Price Per Oty Ext L C
X: 'FA Fastners. FA;" 2.00 500.00 0.12 / 1" 00.24 X;
X FA .. Fastners FA 2.00 500.00 0'.'11 / 1 00.22 X-
X FA., Fastners FA -• 2.00 500.00 0.09 /, 1 00.18 X
Account Number: 350 Name: BOB CHARGE .64 Sub Totat 00.64
VAN VOORST Memo
� Total Tax 0.00
(t Grand Total 00.64
White's Ace Hardware-Carmel Customer Transaction Detai Ls 05-Sep-12 09:48 By: 2000005 Page:2
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2306187 Term:1015 Sales Store:l 08-Aug-12 09:40 L S
Person:2000014
X F T Scan Number Description Part # Oty Price One Sell Price Per Qty Ext L C
X 043168907071 GE REFRIG/OVEN BULB'40W 35578 6,00 2.49 i 2.49 / 1 -14.94
Account Number: 350 Name: JIM CHARGE 14.94 Sub Total 14.94
SPELBRING Memo
Total Tax 0.00
Grand TotaL 14.94
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2309125 Term:1008 Sales Store:l 14-Aug-12 08:37 L S
Person:2000119
X F T Scan Number Description Part # Oty Price One Se LL Price Per Oty Ext L C
X 008236220841 SS-FENDER WASH 3/16X1 H939604 „ 1.00 16.99 16.99 /. 1 16.99
_ ......
X, 082901015932 3/16X1/4 ALUM RIVET BX50 - A, 2014181, 1.00 5.76 1.5.76 / 1, 05.76
Account Number: 350 Name: JASON CHARGE 22.75 Sub Total 22.75
FORCE Memo: Total Tax 0.00
Grand TotaL 22.75
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2309176 Term:1008 Sales Store:l 14-Aug-12 10:22 L S
Person:2000119
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X 082901015956 3/16X1/2 ALUM RIVET 8X50 - A 2014207 1.00 6:16-= 6,W/ 1 06.16
Account Number: 350 Name: JASON CHARGE 6.16 Sub Total 06.16
_- FORCE Memo: Total Tax 0.00
Grand TotaL 06.16
White's Ace Hardware-Carme L Customer Transaction Details 05-Sep-12 09:48 By: 2000005 Page:3
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2309429 Term:1008 Sales Store:l 14-Aug-12 15:02 L S
Person:2000119
X F T Scan Number Description Part # Oty Price One Sell Price Per Oty Ext L C
X 082901092117 15OZ RUST-STOP STONE GRAY 1197094 1.00 4.49 4.49 / 1 04.49
Account Number: 350 Name: BOB CHARGE 4.49 Sub Total 04.49
VAN VOORST Memo: Total Tax 0.00
Manual Signature Grand Total 04.49
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2310333 Term:1015 Sates Store:l 16-Aug-12 13:33 L S
Person:2000009
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
X FA Fastners FA 2.00 500.00, 0.60 `/ 1 01.20', X
X- FA Fastners FA 4.00 500.00 0.75 / 1 03.00 X
Account Number: 350 Name: BOB CHARGE 4.20 Sub Total 04.20
VAN VOORST Memo
Total Tax 0.00
Grand Total 04.20
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2313572 Term:5006 Sales Store:l 22-Aug-12 14:17 L S
Person:2000006
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
Payment Payment of 8371.17 `` 4.00 0:00 -371.17 / 1 -371.17
Number: 211994 Name: CITY OF ROACHECK 371.17 Sub Total -371.17
CARMEL FIRE DEPT. Total Tax 0.00
j Grand Total -371.17
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White's Ace Hardware-Carmel Customer Transaction Details 05-Sep-12 09:48 By: 2000005 Page:4
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2314058 Term:1014 Sales Store:l 23-Aug-12 14:18 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One SeLI Price Per Oty Ext L C
X, WHLBRRW COMPLETE WHL 4X8 70005 1.00 33.99 1 33.99 / 1 33.99
Account Number: 350 Name: MIKE CHARGE 33.99 Sub Total 33.99
LUX Memo; Total Tax 0.00
ll Grand TotaL 33.99
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A E E CITY OF CARMEL FIRE DEPT. Acct#•350 Inv:2314404 Term:1014 Sales Stored 24-Aug-12 10:57 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Sell Price Per Oty Ext L C
X 082901 '9724 ;TEFLON TAPE"1/2X100 - A 40972 - " 1.00 0.97 0.97 / 1; 00.97 -
e:. . .
X 082901039099 ',.ICEMKR SPLY 1/4CX1/4CX72 4096699- 1.00 - 7.49 7.49 / 1 07.49
X ', ;ICE MAKER 3/4FPTX.1/4MPT'-".:= 46125. 1.00. 5.09.
46 125 , 15.09 /. 1 05:09
Account Number: 350 Name: JIM CHARGE 13.55 Sub Total 13.55
DAVIS Memos ,
TotaL Tax 0.00
Grand Total 13.55
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2314541 Term:1015 Sales Store:l 24-Aug-12 13:43 L S
Person:2000009
X F T Scan Number Description Part # Qty Price One SeLL'Price Per Qty Ext L C
X 008236142891,- 18-8 SPLT"LOCKWASH 3/8 H830670 - 1,-.00 14.99 . 14.99 / 1 14.99
X 008236141740' 18-8 FIN'NUT-USS 3/8-16 H829304 1.00 19.49 19.49 / 1"" 19.49
X 082901331803 ELEC TAPE 3/4-','i'.60' 7ML - A 33180 3.00 0.99 0".99 / 1 02.97
Account Number: 350 Name: BOB CHARGE 37.45 Sub Total 37.45
VAN VOORST Memo
Total Tax 0.00
Grand TotaL 37.45
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White's Ace Hardware-Carmel Customer Transaction Detai Ls 05-Sep-12 09:48 By: 2000005 Page:5
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2315425 Term:1008 Sales Store:1 26-Aug-12 09:56 L S
Person:2000014
X F T Scan Number Description Part # Oty Price One Sell Price Per Qty Ext L C
X 082901246671 CONNECTOR EXTEND 3/8X1/4 4308995 1:00 5.94 '' ,5.94 / 1 05.94
X 094857082517 COMPRESSION CAP 3/8 46954 1.00 1.99 ; 1-.99 /. 1 01.99
Account Number: 350 Name: JIM CHARGE 7.93 Sub Total 07.93
rl DAVIS Memo
/J Total Tax 0.00
Grand Total 07.93
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2316087 Term:1014 Sales Store:1 27-Aug-12 14:48 L S
Person:2000020
X F T Scan Number Description Part # Qty Price One Set Li Price Per Qty Ext L C
X FA :,Fa 4'.f'_.FA� - 4:00 18.99 18:99. / 1
X 008236220858 - SS FENDER WASH 1!4X1, H830610 )-.,00
500.00 0.40 ! 1 01,60 X
Account Number: 350 Name: BOB CHARGE 20.59 Sub Total 20.59
/ _ VAN VOORST Memo:
Total Tax 0.00
! Grand Total 20.59
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2317828 Term:1014 Sales Store:! 31-Aug-12 08:10 L S
Person:2000015 j
X F T Scan Number Description Part # Qty Price One SetljPrice Per Qty Ext L C
X _ @8290143072U--, BRASS-HEX NIPPLE 1/8MPT 43072"-, 1:00 2.37 1•:2.37 / 1 02.37,.
082901430674 .'BRASS BUSHING 1/4X1/8 43067 1.00 2.37 '2:37 / 1 02.37 ;
X 43070 BRASS COUPLING 1/4FPT" 43070 1.00" 3.22 .3.22 / 1 03.22,
Account Number: 350 Name: JASON CHARGE 7.96 Sub Total 07.96
FORCE Memo: Total Tax 0.00
Grand Total 07.96
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 South Rangeline Road
Carmel, IN 46032
$175.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
'J56
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
1120 I I 42-370.00 I $175.53 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
qn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
$175.53
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