213698 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
0 ` ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $24.98
CARMEL, INDIANA 46032 731 S.RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 213698
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 244 24 . 98 2331220
White's AWEffarthvare
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 QTY SALE/REG EXT
043168859394 2.00 12.49 24.98
3993359 PK/5
GE CFL SPIRAL 13W 5PK
SUBTOTAL $ 24.98
TAX $ 0.00
TOTAL $ 24 . 98
CHARGE 24.98
I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
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SIGNATURE KEN MILLER
EMPLOYEE TERM INV# TIME DATE
2000014 1008 2331220 08:31 27-Sep-12
Ace Rewards ID # 19800654823
Your receipt guarantees
your no-hassle-return.
We're your source for
Spring, Summer, Winter and Fall
for all your hardware needs.
I NVO I E
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 South Rangeline Road
Carmel, IN 46032
$24.98
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
12 p't a��
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 2331220 I 43-501.00 I $24.98 1 hereby certify that the attached invoice(s), or
i
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
Thursday, September 27, 2012
Director, Brook ire Golf Club
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))
09/27/12 f 2331220 I Light Bulbs I $24.98
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