214870 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
0 ` ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $99.86
CARMEL, INDIANA 46032 731 S.RANGELINE ROAD
*.roHi° CARMEL IN 46032 CHECK NUMBER: 214870
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 350 99 . 86 REPAIR PARTS
White's AWEHardware
un_d Gorden Center
C�rrM Srrnitr•�.'renl.irrre
WHITE'S ACE HARDWARE-CARMEL
731 S RANGELINE RD
CARMEL IN 46032
317-846-2311 Statement
STATEMENT ACCOUNT PAGE O��C`���t
DATE NUMBER NO
31-oct-12 350 1
TO: CITY of CARMEL FIRE DEPT.
2 CIVIC SQUARE
CARMEL, IN 46032
ALL PURCHASES ARE DUE AND PAYABLE BY LAST DAY OF BILLING MONTH
DATE INVOICE" DESCRIPTION AMOUNT BALANCE
04-oct-12 2335052 JIM SPELBRING 19.98 19.98
10-oct-12 2337671 JASON FORCE 1.80 21.78
11-oct-12 2338130 JASON FORCE 3.99 25.77
16-oct-12- _ 234069,6._._ __-,-.-.BOB----VAN V ORST.,,_.:__, _. 1.-52__.. _ _- "...._- 27.29-__..
22-oct-12 2343250 JASON FORCE 3.96 31.25
24-oct-12 2343851 JIM SPELBRING 35.97 67.22
29-oct-12 2346430 JASON FORCE 2.60. 69.82
30-oct-12 2346722__- _ _ __ JASON .FORCE;. - 16.98 - _ 86..80-
31-oct-12 2347116 BOB VAN VOORST 13.06 99.86
CURRENT PAST DUE PAST DUE PAST DUE TOTAL
AMT DUE- 1 MONTH 2 MONTHS 3 -MONTHS` DUE
99.86 .0:00 0.;00'p; '` 00`;:. . 99.86
YOUR RECEIPT GUARANTEES
YOUR NO-HASSLE-RETURN.
White's Ace Hardware-Carme L Customer Transaction Deta i Ls 02-Nov-12 11:40 By: 2000006 Page:1
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2335052 Term:1010 SaLes Store:l 04-Oct-12 15:43 L S
Person:2000009
X F T Scan Number Description Part # Qty Price One Sett Price Per Qty Ext L C
X '082901165545 RUST-STOP GLOSS BLACK 0T 16554 1.00 9.99 9.99 / 1 09.99
X 071497105646 SOFTIP 2 i"`r` 1238088 1.00 3,99 T' 3.99 / 1 03':99
X 082901137283 CORNER BRACE 1 GALV. 5289756 2.00 3.00 x' .3.00 / 1 06.00
Account Number: 350 Name: JIM CHARGE 19..98 Sub TotaL 19.98
SPELBRING Memo:' Total Tax 0.00
Grand Total 19.98
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2337671 Term:1008 SaLes Store: 10-Oct-12 10:57 L S
Person:2000020
X F T Scan Number Description Part # Qty Price One Se LL Price Per Qty Ext L C
X FA Fastners FA 2.00 500.00 0.90 1 01.80 X
Account Number; 350 Name: JASON CHARGE 1.80 Sub Total 01.80
FORCE Memo
Total Tax 0.00
Grand Total 01.80
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2338130 Term:1014 SaLes Store:l 11-Oct-12 10:41 L S
Person:2000020
X F T Scan Number Description Part # Qty Price One Sett,Price Per Qty Ext L C
X:- 052541140004 1.;70Z NOKORODE FLUX t- 20586 1.00 3.99 `.3.99 / 1 03.99
Account Number: 350 Name: JASON CHARGE 3.99 Sub Total 03.99
FORCE Memo:
Total Tax 0.00
Grand Totat 03.99
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White's Ace Hardware-Carmel Customer Transaction Detai Ls 02-NOV-12 11:40 By: 2000006 Page:2
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2340696 Term:1010 Sales Store:l I 16-Oct-12 17:08 L S
Person:2000014 l
X F T Scan Number Description Part # Qty Price One Sell Price Per Oty Ext L C
X FA Fastners , FA 4.00 500.. /< 1 "01,.52 X
Account Number: 350 Name: BOB CHARGE 1.52 Sub Total 01.52
VAN VOORST Memo
Total Tax 0.00
Grand Total 01.52
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2341055 Term:5006 SaLes Store: 17-Oct-12 14:55 L S
Person:2000006
X F T Scan Number Description Part # Qty Price One Sell Price Per Qty Ext L C
Paym"ent Payment of 5249.75, 1.00` 0:00 E249:75 7 "_ 1 —249.75 .:
Number: 213700 Name: CITY OF ROACHECK 249.75 Sub Total -249.75
CARMEL FIRE DEPT. Total Tax 0.00
Grand Total -249.75
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2343250 Term:1014 SaLes Store:l 22-Oct-12 15:21 L S
Person:2000119
X F T Scan Number Description Part # Qty Price One SeLL Price Per Qty Ext L C
X,, 5954 KEY,SINGLE CUT 5954, 2.00,' 1.98 1.98 / 1 03:96
Account Number: 350 Name: JASON CHARGE 3.96 Sub Total 03.96
FORCE Memo
Total Tax 0.00
Grand Total 03.96
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White's Ace Hardware-Carmel Customer Transaction Details 02�Nov-12 11 40 By: 2000006 Page:3
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 i Inv:2343851 Term:1015 Sales Store:1 li 24-Oct-12 09:08 L S
Person:2000014
X F T Scan Number Description Part # Qty Price One Se,l,t Price Per Qty Ext L C
X 0512.18124248 CM'HMMR 1602 STRGHT CLAW.. 1 i 2301323 1.00 19.99 19.99 / 1 19.99
X 082901205425 CUP.,HOOK ZNC 7/8"P WHT 5360631 2.00 7,99 .7.99 / 1 15.98
Account Number:,350 Name: JIM CHARGE 35.97 Sub Total 35.97
SPELBRING Memo } Total Tax 0.00
` Grand Total 35.97
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2346430 Term:1008 Sales Store:l ` 29-Oct-12 13:36 L S
Person:2000014
X F T Scan Number Description Part # Oty Price One Sell Price Per Qty Ext L C
X FA Fastners- ".:....FA . 4.00 500.00' 0.65 / 1 02.60 X
Account Number: 350 Name: JASON CHARGE 2.60 i Sub Total 02.60
FORCE Memo: I Total Tax 0.00
Grand Total 02.60
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A E E CITY OF CARMEL FIRE DEPT. Acct#:350 Inv:2346722 Term:1014 Sales Store:l 30-Oct-12 10:00 L S
Person:2000015
X F T Scan Number Description Part # Qty Price One Selli Price Per Qty Ext L C
X 0108236142792':=-18-8 FLAT-WASH NO.10 ' ' H830556- 1.00", 4`.49 '4:49 / 1 04.49'"
X 008236142327 18-8 STOP NUT USS 1/4-20 H829720 1.00 12.49 12.49 / l 12..49
Account Number: 350 Name: JASON CHARGE 16.98 i Sub Total 16.98
FORCE Memo: Total Tax 0.00
Grand Total 16.98
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White's Ace Hardware-Carmel Customer Transaction Detal Ls 02-Nov-12 11 40 By: 2000006 Page:4
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A E E CITY OF CARMEL FIRE DEPT. Acct# 350 Inv:2347116 Term:1015 Sales Store:1 I 31-Oct-12 08:33 L S
Person:2000014
X F T Scan Number Description Part # Qty Price One SeAL Price Per Qty Ext L C
X 079340686663 ADHS CONST PL MEM 10 OZ 1 1015395 1.00: 5.08 5.08 / '1 05.08
X : 078477841242 CAP VINYL GRND-"YLW 15A 34980 2.00' 3.99 3.99,/ 1'.. 07.98
Account Number::350 Name; BOB CHARGE 13.06 Sub Total 13.06
VAN VOORST Memo
Total Tax 0.00
t/ Grand Total 13.06
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VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 South Rangeline Road
Carmel, IN 46032
$99.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
3 15D
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I I 42-370.00 I $99.86 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
I ?a
Fire Chief
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
4n 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))
$99.86
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
120
Clerk-Treasurer