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214871 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1 0 ` ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $51.42 CARMEL, INDIANA 46032 731 S.RANGELINE ROAD CARMEL IN 46032 CHECK NUMBER: 214871 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 355 51 .42 OTHER MAINT SUPPLIES White's Hardware and Garden Center (!'ren!Serrrin-�,'rrnl.%rice WHITE'S ACE HARDWARE-CARMEL 731 S RANGELINE RD CARMEL IN 46032 317-846-2311 Statement STATEMENT ACCOUNT EGE 355 DATE f),fl cco u n t 31-oct-12 TO: CITY OF CARMEL DEPT OF ADMIN.-SHELLY ONE CIVIC SQUARE CARMEL, IN 46032 I ALL PURCHASES ARE DUE AND PAYABLE BY LAST DAY OF BILLING MONTH DATE INVOICE DESCRIPTION AMOUNT BALANCE 04-Oct-12 2334733 JEFF BARNES 51.42 51.42 Qa NOV 19 2012 B CURRENT _ PAST DUE PAST DUE, PAST DUE TOTAL AMT DUE 'l MONTH 2 MONTHS 3 MONTHS DUE 51.42 0.00:1'. 0.:00 ;.; , 0:,00". 51.42 YOUR RECEIPT GUARANTEES YOUR NO-HASSLE-RETURN. White's Ace Hardware-Carmel Customer Transaction Detai Ls 02-Nov-12 11:40 By: 2000006 Page:1 S D T D N E I A E E CITY OF CARMEL DEPT Acct#:355 Inv:2334733 Term:1008 Sales Store:1 04-Oct-12 08:35 L S Person:2000014 X F T Scan Number Description Part # Qty Price One SettiPrice Per Oty Ext L C X 070798185265 DAP KWIKSEAL- WHT TUBE-- .% t1t 1010396 2.00 5.99 / 1 11.98 X 029521557534 BATTERY CELL CLM5766 ry; 3298692, 1.00 17.99 17.99-/ 1 7749 X 041333015484 DURACELL ALKLN AAA 20PK 3296043 1.00 13-47 13.47 / 1 13.47 X 082901121725 ACE MINI-BRUSH`3PK STEEL 12172, 1.00. 3:99, 3.99 /; 1 - :;.03.99';, , X 082901121718, `ACE-MINI-BRUSH 3PK BRASS t' 12171 1-.00 3.99 3.99 / 1 03.99 ' Account Number: 355 Name: JEFF CHARGE 51.42 + Sub Total 51.42 BARNES Memo i Total Tax 0.00 - Grand Total 51.42 S D T D N E I A E E CITY OF CARMEL DEPT Acct#:355 Inv:2341056 Term:5006 Sales Store:1 17-Oct-12 14:56 L S Person:2000006 X F T Scan Number Description Part # Oty Price One Sell Price Per aty Ext L C Paymenf. ;,`, Payment of."839;95 1;0.00 " '39.95,/ 1 -39:95, Number; 213701 Name: CITY OF ROACHECK 39.95 Sub Total -39.95 CARMEL DEPT Total Tax 0.00 Grand Total -39.95 VOUCHER NO. WARRANT NO. ALLOWED 20 White's Ace Hardware IN SUM OF $ 731 S. Rangeline Rd. Carmel, IN 46032 $51.42 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 2334733 42-389.00 $51.42 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 Monday November 19, 2012 Director, Administration 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)) 10/04/12 2334733 $51.42 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