213228 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
`;. ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CHECK AMOUNT: $41.45
CARMEL, INDIANA 46032 731 S.RANGELINE ROAD
«off is CARMEL IN 46032 CHECK NUMBER: 213228
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 372 41 .45 OTHER EXPENSES
lVhite's ACEHardware
and(;ardepi Center
WHITE'S ACE HARDWARE—CARMEL
731 S RANGELINE RD
CARMEL IN 46032
317-846-2311
Statement
STATEMENT ACCOUNT jj PAGE
DATE NUMBER,:'
Account
31-Aug-12 372
TO: CITY OF CARMEL DEPT
OF HAZARDOUS WASTE***
760 THIRD AVE. SW,#110
CARMEL, IN 46032
ALL PURCHASES ARE DUE AND PAYABLE BY LAST DAY OF BILLING MONTH
DATE INVOICE DESCRIPTION AMOUNT BALANCE
16-Aug-12 2310202 WILLIAM A. KELLAM 41.45 41.45
PAS DUE PAST- DUE TOTAL
CURRENT PAST i
AMT DUE 1 MONTH 2 MONTHS 3 MONTHS DUE
41.45 6,00" 0.00: l
0 41.45
YOUR RECEIPT GUARANTEES
YOUR NO-HASSLE-RETURN.
i
White's Ace Hardware-Carmel Customer Transaction Details 05-SI ep-12 09:49 By: 2000005 Page:1
S D
T D N E I
A E E CITY OF CARMEL DEPT Acct#:372 Inv:2310202 Term:1008 Sales Store:l 16-Aug-12 10:28 L S
Person:2000014
X F T Scan Number Description Part # Oty Price One Se Li Price Per Oty Ext L C
X: 054000751905, SHOP TOWELS BX200 1014281 1 a, 10.48 10.48 / 1 - 10.48
X i:; 030400214691 SPARKLE TOWEL SR PRINT:<:. 6194757 1.00 8.99 8.99 / 7 „ 08.99
X 041788050900 OIL_ABSORB CMPD 50#-' 11372 2.00 10.99 "_10.99 /
1 21.98 "
Account Number: 372 Name: CHARGE 41.45 Sub TotaL 41.45
WILLIAM A. KELLAM Memo
t✓'-"'~ / ��/ I Total Tax 0.00
6f Grand Total 41.45
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VOUCHER # 125753 WARRANT # ALLOWED
37500 IN SUM OF $
WHITES ACE HARDWARE INC
731 S. RANGELINE ROAD
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
372 01-720H-08 $41.45
Voucher Total $41.45
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
37500
WHITES ACE HARDWARE INC Purchase Order No.
731 S. RANGELINE ROAD Terms
CARMEL, IN 46032 Due Date 9/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2012 372 $41.45
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
I?
Date Officer