213226 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
0 '•=. ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 S.RANGELINE ROAD CHECK AMOUNT: $47.15
CARMEL IN 46032 CHECK NUMBER: 213226
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 330 47 . 15 OTHER MISCELLANOUS
white's Harty~ are
f
Thanks for shopping
our friendly store.
White ' s Ace Hardware-
Carme L
731 S Rangeline Rd
Carmel. IN 46032
317-846-2311
CITY OF CARMEL DEPT
ACCOUNT 1f 330
ITEM OTY SALE/REG EXT
037000417675 1.00 8.38 8.38
1228857 EACH
SWIFFER DUSTER REFIL PK10
723987005454 1.00 38.77 38.77
4237269 EACH
FUR REPL FILTER PK3
SUBTOTAL f 47.15
TAX $ 0.00
TOTAL $ 47 . 15
CHARGE 47.15
I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
s '
a
SIC!.A)uRE� RACHEL BOONS
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 S. Range Line Road
Carmel, IN 46032
$47.15
ON ACCOUNT OF APPROPRIATION FOR
AtCarmel DOCS
k :5,3 b
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 42-390.99 $47.15 I 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
Frida , September 21, 2012
Director
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))
09/21/12 Kitchen supplies-resubmitted $47.15
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
20
Clerk-Treasurer