214366 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 198900 Page 1 of 2
ONE CIVIC SQUARE MENARDS,INC
g 0 CHECK AMOUNT: $882.94
CARMEL, INDIANA 46032 2150 E GREYHOUND PASS
CARMEL IN 46033 CHECK NUMBER: 214366
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6646 167 . 18 OTHER EXPENSES
601 5023990 6650 122 . 73 OTHER EXPENSES
2201 4237000 6901 65 . 94 REPAIR PARTS
601 5023990 6903 41. 63 OTHER EXPENSES
2201 4237000 6911 12 . 50 REPAIR PARTS
2201 4237000 7060 50 . 70 REPAIR PARTS
601 5023990 7083 18 . 98 OTHER EXPENSES
1207 4350400 7122 79 . 93 GROUNDS MAINTENANCE
2201 4237000 7129 19 . 99 REPAIR PARTS
1207 4350400 7260 10 . 18 GROUNDS MAINTENANCE
2201 4237000 7464 10 . 39 REPAIR PARTS
2201 4232100 7542 112 . 38 GARAGE & MOTOR SUPPIE
2201 4232100 7543 90 . 34 GARAGE & MOTOR SUPPIE
- CITY OF CARMEL, INDIANA VENDOR: 198900 Page 2 of 2
ONE CIVIC SQUARE MENARDS,INC
CARMEL, INDIANA 46032 2150 E GREYHOUND PASS CHECK AMOUNT: $882.94
•� CARMEL IN 46033
CHECK NUMBER: 214366
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 7582 80 . 07 REPAIR PARTS
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G CITY/CARMEL FIRE DEPT MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
#2 CIVIC SQUARE CARMEL, IN 46033
CARMEL IN 46032
FAX #
INVOICE # 7582 ACCOUNT : 30830283
TRANSACTION DATE : 11/01/12 TRANSACTION # : 5481
TRANSACTION TIME : 163254 PURCHASE ORDER # : station 44 a
REGISTER NUMBER 4 TYPE OF SALE : Charge Sale
SIGNER : John Moriarty CLAIM # : station 44 a
QUANTITY SKU DESCRIPTION AMOUNT
--------------------------------------------------------------
1 . 00 6483854 SWIVEL DUSTER 6 . 96
1. 00 3533402 40W DBL SOFT WHITE 8PK 3 .36
1. 00 3533403 60W DBL SOFT WHITE 8PK 3 . 36
2 . 00 3466512 18" PLASTIC T8 PLUG IN 19 . 94
1. 00 1251699 3/4"-4X8 C3 CLASSIC BIRCH 38 . 99
4 . 00 1021075 2X4-6 ' SPF 7 . 56
SUB-TOTAL: 80 . 17
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 80 . 17
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))
7582 $80.07
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
Menards
IN SUM OF $
2150 East Greyhound Pass
Carmel, IN 46033
$80.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 7582 I 42-370.00 I $80.07 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
NOV
L
U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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G CITY/CARMEL STREET DEPT MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3400 W 131ST ST. CARMEL, IN 46033
CARMEL IN 46074
FAX # (317)
INVOICE # 7542 ACCOUNT : 30830255
TRANSACTION DATE : 11/01/12 TRANSACTION # 5259
TRANSACTION TIME : 102832 PURCHASE ORDER # SALT BARN
REGISTER NUMBER 4 TYPE OF SALE Charge Sale
SIGNER : Brad Henderson CLAIM # SALT BARN
QUANTITY SKU DESCRIPTION AMOUNT
------------------------------------------------------------- -
8 . 00 3457545 MOGUL-STNDRD SCKT ADAPTER 18 .24
8 . 00 3530941 42W 6500K DAYLIGHT CFL 71.76
1. 00 3541000 32W 2BULB T8 BALLAST 19 . 89
1. 00 3530962 13W 2700K T3 CFL 2 .49
SUB-TOTAL: 112 .38
TOTAL TAX: 0 . 00
PAYMENTS : 0. 00
TOTAL DUE: 112 .38
N�
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G CITY/CARMEL STREET DEPT MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3400 W 131ST ST. CARMEL, IN 46033
CARMEL IN 46074
FAX # (317)
INVOICE # 7543 ACCOUNT : 30830255
TRANSACTION DATE : 11/01/12 TRANSACTION # : 1945
TRANSACTION TIME : 103303 PURCHASE ORDER # : 0
REGISTER NUMBER 3 TYPE OF SALE : Charge Sale
SIGNER : James Bentley CLAIM # : 0
QUANTITY SKU DESCRIPTION AMOUNT
--------------------------------------------------------------
1.00 5755775 DURACELL ULTRA AA-8 PK 6.49
1. 00 5755771 DURACELL ALK. D-8 PK 11. 97
4 . 00 6450950 50 GAL ROUGH TOTE W/ LID 71.88
SUB-TOTAL: 90 .34
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 90.34
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Menards
IN SUM OF $
2150 E. Greyhound Pass
Carmel, IN 46033
$202.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. =E AMOUNT Board Members
2201 7543 42-321.00 j $90.34 1 hereby certify that the attached invoice(s), or
2201 7542 42-321.00 $112.38 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
`
Friday, No ember 02, 2012
LOX hd 4'- Wv4e(
Street Commissid oner
�
street uomrnissioner
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))
11/01/12 7543 $90.34
11/01/12 7542 $112.38
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
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G CITY/CARMEL STREET DEPT MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3400 W 131ST ST. CARMEL, IN 46033
CARMEL IN 46074
FAX # (317)
INVOICE # 6901 ACCOUNT : 30830255
TRANSACTION .DATE : 10/23/12 TRANSACTION # : 9173
TRANSACTION TIME : 92758 PURCHASE ORDER # : 0
REGISTER NUMBER 2 TYPE OF SALE : Charge Sale
SIGNER : Steve Zeller CLAIM # : 0
QUANTITY SKU DESCRIPTION AMOUNT
--------------------------------------------------------------
3 . 00 2356904 121X16 ' HEAVY DUTY TARP 65 . 94
SUB-TOTAL: 65 . 94
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 65 . 94
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G CITY/CARMEL STREET DEPT MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3400 W 131ST ST. CARMEL, IN 46033
CARMEL IN 46074
FAX # (317)
INVOICE # 6911 ACCOUNT : 30830255
TRANSACTION DATE : 10/23/12 TRANSACTION # 9248
TRANSACTION TIME : 105822 PURCHASE ORDER # 0
REGISTER NUMBER 2 TYPE OF SALE Charge Sale
SIGNER : Adam Towns CLAIM # 0
QUANTITY SKU DESCRIPTION AMOUNT
------------------------------ --------------------------------
1. 00 6806703 HOSE BARB 3/8ID X 1/2MIP 1. 19
2. 00 6873930 1-1/4" COPPER STRAP 0 .48
1.00 6472270 320Z MOLD CLEANER BLOCKER 5 . 99
1.00 6896784 1X1X1/2 FEMALE PVC TEE 0 . 94
2.00 6896483 1" 90DEG PVC ELBOW 0 . 96
1. 00 6790600 1/4"-5/8" HOSE- CLAMP 0 . 79
1. 00 6898520 1" X 5 ' SCH 40 PVC PIPE 2 . 15
SUB-TOTAL: 12 . 50
TOTAL TAX: 0 . 00
PAYMENTS 0. 00
TOTAL DUE: 12 .50
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G CITY/CARMEL STREET DEPT MENARDS - 'CARMEL
EMAIL 2150 E. GREYHOUND PASS
3400 W 131ST ST. CARMEL, IN 46033
CARMEL IN 46074
FAX # (317)
INVOICE # 7060 ACCOUNT : 30830255
TRANSACTION DATE : 10/25/12 TRANSACTION # : 8806
TRANSACTION TIME : 105602 PURCHASE ORDER # : shop
REGISTER NUMBER 3 TYPE OF SALE : Charge Sale
SIGNER : Jeff Stewart CLAIM # : shop
QUANTITY SKU DESCRIPTION AMOUNT
--------------------------------------------------------------
4 . 00 6481099 15 PK BOUNTY BASIC 47 .88
1.00 6471135 GREENWORKS AP CLEAN 320Z 2 .82
SUB-TOTAL: 50 .70
TOTAL TAX: 0 .00
PAYMENTS 0. 00
TOTAL DUE: 50 .70
{
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G CITY/CARMEL STREET DEPT MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3400 W 131ST ST. CARMEL, IN 46033
CARMEL IN 46074
FAX # (317)
INVOICE # 7129 ACCOUNT : 30830255
TRANSACTION DATE : 10/26/12 TRANSACTION # 5056
TRANSACTION TIME : 101537 PURCHASE ORDER # shop
REGISTER NUMBER 5 TYPE OF SALE Charge Sale
SIGNER : Fred Martz CLAIM # shop
QUANTITY SKU DESCRIPTION AMOUNT
--------------------------------------------------------------
1. 00 2419946 1/4 SHEET PALM SANDER 19. 99
SUB-TOTAL: 19. 99
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 19. 99
c.
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G CITY/CARMEL STREET DEPT MENARDS - . CARMEL
EMAIL 2150 E. GREYHOUND PASS
3400 W 131ST ST. CARMEL, IN 46033
CARMEL IN 46074
FAX # (317)
INVOICE # 7464 ACCOUNT : 30830255
TRANSACTION DATE : 10/31/12 TRANSACTION # 4891
TRANSACTION TIME : 94058 PURCHASE ORDER # bonnie
REGISTER NUMBER 4 TYPE OF SALE Charge Sale
SIGNER -: Mask--C-a-r-te-r-- C-L-rAIM bonnie-
QUANTITY SKU DESCRIPTION AMOUNT
--------------------------------------------------------------
1. 00 2104995 AA 20PK ENERGIZER MAX 10 .39
SUB-TOTAL: 10 .39
TOTAL TAX: 0. 00
PAYMENTS 0. 00
TOTAL DUE: 10.39
J
N
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))
10/23/12 6911 $12.50
10/23/12 6901 $65.94
10/25/12 7060 $50.70
10/26/12 7129 $19.99
10/31/12 7464 $10.39
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
Menards
IN SUM OF $
2150 E. Greyhound Pass
Carmel, IN 46033
$159.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 6911 42-370.00 $12.50 1 hereby certify that the attached invoice(s), or
2201 6901 42-370.00 $65.94 bill(s) is (are) true and correct and that the
2201 7060 42-370.00 $50.70
materials or services itemized thereon for
2201 7129 42-370.00 $19.99
2201 7464 42-370.00 $10.39 which charge is made were ordered and
received except
Thursday, November 01, 2012
A//r
k_/ -vv "Street Commi signer
r li
Street ComrTitlesioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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G BROOKSHIRE GOLF COURSE MENARDS - CARMEL
12120 BROOKSHIRE PARKWAY 2150 E. GREYHOUND PASS
EMAIL CARMEL, IN 46033
CARMEL IN 46033
FAX # (317)
INVOICE # 7122 ACCOUNT : 30830417
TRANSACTION DATE : 10/26/12 TRANSACTION # : 9186
TRANSACTION TIME : 85501 PURCHASE ORDER # : 0
REGISTER NUMBER 3 TYPE OF SALE : Charge Sale
SIGNER : Ken Miller CLAIM # : 0
QUANTITY SKU DESCRIPTION AMOUNT
-------------------.----------------------------
1. 00 2375368 3/4 BLUE CHIP CHISEL 9.49
1.00 2213918 BB ENTRY GEORGIAN KNOB 23 . 97
1.00 2447917 MAP//PRO GAS 14 . 1 OZ 8 . 99
2 . 00 2449931 1.4 OZ OXYGEN 17 . 04
1. 00 2210194 DR REINF2-3/8X1-3/8 4" PB 10.47
1. 00 2218195 SMARTKEY REKEY START SET 9 . 97
SUB-TOTAL: 79. 93
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 79. 93
4
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G BROOKSHIRE GOLF COURSE MENARDS - CARMEL
12120 BROOKSHIRE PARKWAY 2150 E. GREYHOUND PASS
EMAIL CARMEL, IN 46033
CARMEL IN 46033
FAX # (317)
INVOICE # 7260 ACCOUNT : 30830417
TRANSACTION DATE : 10/28/12 TRANSACTION # 1871
TRANSACTION TIME : 105521 PURCHASE ORDER $# 0
REGISTER NUMBER 2 TYPE OF SALE Charge Sale
SIGNER : Ken Miller CLAIM # 0
QUANTITY SKU DESCRIPTION AMOUNT
--------------------------------------------------------------
1. 00 3652361 1/2" PVC FEMALE ADAPTER 0 .20
1 . 00 3681211 STEM MOUNT PHOTO CONTROL 9 . 98
SUB-TOTAL: 10 . 18
TOTAL TAX: 0. 00
PAYMENTS 0 . 00
TOTAL DUE: 10 . 18
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))
10/26/12 7122 Grounds Supplies $79.93
10/28/12 7260 Grounds Supplies $10.18
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
Menards
IN SUM OF $
2150 E. Greyhound Pass
Carmel, IN 46033
$90.11
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 7122 43-504.00 $79.93 1 hereby certify that the attached invoice(s), or
1207 7260 43-504.00 $10.18 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
Tuesday, October 30, 2012
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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G CITY/CARMEL WATER DIST MENARDS - C«R:1EL
EMAIL 2150 E. GREYHOUND PASS
3450 W 131ST ST CARMEL, IN 46033
CARMEL IN 46074
FAX # (317) 733-2053
INVOICE # 7083 ACCOUNT : 30830253
TRANSACTION DATE . : 10/25/12 TRANSACTION
TRANSACTION TIME : 153222 PURCHASE ORDER # meter
REGISTER NUMBER 5 TYPE OF SALE i Charge Sale
SIGNER : BRUCE BUCKSOT CLAIM # meter
QUANTITY SKU DESCRIPTION iAIOUNT
-- ----------- -- -- --------- ------------ --------------- - -- -- - - -- -
2 . 00 6473012 32 OZ HEAVY DUTY SPRAYER 3
1 . 00 5755744 AA SUNBEAM ALKALINE 30 PK ^ . 95
1. 00 6471963 LYSOL ALL PURPOSE CLEANER 47
SUB-TOTAL: 18 . 98
TOTAL TAX: (1 . 00
PAYMENTS u . 00
TOTAL DUE:
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G CITY/CARMEL WATER DIST MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3450 W 131ST ST CARMEL, IN 46033
CARMEL IN 46074
FAX # (317) 733-2053
INVOICE # 6903 ACCOUNT : 30830253
TRANSACTION DATE : 10/23/12 TRANSACTION # : 9203
TRANSACTION TIME : 100128 PURCHASE ORDER # : 0
REGISTER NUMBER 2 TYPE OF SALE : Charge Sale
SIGNER : MIKE LUPER CLAIM # 0
QUANTITY SKU DESCRIPTION AMOUNT
------------------------------------ --- ---- ---- ----- ----------
1. 00 2073161 1/4" PETCOCK DRAIN 2 . 97
1. 00 2744980 5/8"-3/4" MALE THRD RPR 2 . 97
1. 00 2741211 5/8 1IX50 ' HEAVY DUTY HOSE 14 . 99
2 . 00 6486076 8 PK JUBILEE PAPER TOWELS 6 . 72
2 . 00 6471057 150 OZ A&H CLEAN BURST 13 . 98
SUB-TOTAL: 41 . 63
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
----------
TOTAL DUE: 41. 63
/ j
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G CITY/CARMEL WATER DIST MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3450 W 131ST ST CARMEL, IN 46033
CARMEL IN 46074
FAX # (317) 733-2053
INVOICE # 6646 ACCOUNT : 30830253
TRANSACTION DATE 10/19/12 TRANSACTION # 7202
TRANSACTION TIME 134107 PURCHASE ORDER # dan 101912a
REGISTER NUMBER 6 TYPE OF SALE Charge Sale
SIGNER : DANIEL JENKINS CLAIM # dan 101912a
QUANTITY SKU DESCRIPTION AMOUNT
------------- - --------- ------------- ------- -- - ------ - -- -------
3 . 00 2273165 HANG IT ALL BRACKET 5 .97
1. 00 2327257 TAPCON FLT 1/4X1-3/4 9. 98
1. 00 2327163 TAPCON FLT 3/16X1-1/4 5 .32
1 . 00 2256275 5 HOOK, WT, WT 17 . 99
2 . 00 2451866 1/2" MAGNETIC SOCKET RAIL 33 . 98
2 . 00 2451864 3/8" MAGNETIC SOCKET RAIL 29 .98
4 . 00 6805236 1" RED BRASS UNION FXF 63 . 96
SUB-TOTAL: 167 .18
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 167 .18
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G CITY/CARMEL WATER DIST MENARDS - CARMEL
EMAIL 2150 E. GREYHOUND PASS
3450 W 131ST ST CARMEL, IN 46033
CARMEL IN 46074
FAX # (317) 733-2053
INVOICE # 6650 ACCOUNT : 30830253
TRANSACTION DATE : 10/19/12 TRANSACTION # 5773
TRANSACTION TIME : 140142 PURCHASE ORDER # : plant 1
REGISTER NUMBER 3 TYPE OF SALE Charge Sale
SIGNER : TIM VANDERGRIFF CLAIM # plant 1
QUANTITY SKU DESCRIPTION AMOUNT
------------ ---- -- -- --- ----- -- ------ - - ----- ------------ -------
2 . 00 2654132 GARDEN HOE W/GRIP 17 .76
2 .00 2654131 16 TINE BOW RAKE W/GRIP 17 .76
2 . 00 2653400 2211LEAFRAKE STEEL SPRING 7. 92
1.-00 2654014 SHOVEL ALUM SCOOP D-HDL 19. 99
1. 00 2654130 DH DRAIN SPADE 16" BLADE 8 . 88
2 .00 2654125 LHRP SHOVEL W/GRIP 17 . 76
2 . 00 2654126 LHSP SHOVEL W/GRIP 17. 76
4 . 00 2200028 TRADITIONS COAT/HAT HK SC 3 . 96
2 .00 5470080 12 1IX7 ' SOLIDGRIPLNR TAUPE 10 . 94
SUB-TOTAL: 122 .73
TOTAL TAX: 0 . 00
PAYMENTS 0. 00
TOTAL DUE: 122. 73
VOUCHER # 122556 WARRANT # ALLOWED
198900 IN SUM OF $
MENARDS, INC
2150 E GREYHOUND PASS
CARMEL, IN 46033
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
x6650 01-6200-04 $122.73
70$3 I
Voucher Total35n, r)�$W4&-.73
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
198900
MENARDS, INC Purchase Order No.
2150 E GREYHOUND PASS Terms
CARMEL, IN 46033 - Due Date 10/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201: 6650 $122.73
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
Date Officer