215445 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $4.98
CARMEL, INDIANA 46032 731 S.RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 215445
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 355 4 . 98 OTHER MAINT SUPPLIES
i
White's® Ilardware
and Garden Center
VwW Sew4 S,' l.%rite
WHITE'S ACE HARDWARE-CARMEL
731 S RANGELINE RD
CARMEL IN 46032
317-846-2311 Statement
STATEMENT ACCOUNT Eo ®j Account
DATE NUMBER 30-Nov-12 355
TO: CITY OF CARMEL DEPT
OF ADMIN.-SHELLY
ONE 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 2334733 JEFF BARNES 51.42 51.42
07-NOV-12 2350051 GARY LINDENMAYER 4.98 56.40
PAST ®UE
CURRENT PAST DUE PAST DUE PAST'DUE TOTAL
AMT DUE 1 MONTH 2 MONTHS 3 MONTHS DUE
4.98 51.4L ;0.,00:'K,;,: 0:00 ' 56.40
bl e
YOUR RECEIPT GUARANTEES
YOUR NO-HASSLE-RETURN.
7
I
White's Ace Hardware-Carme t I Customer Transaction Deta i Ls 04-Dec-12 11:45 By: 2000006 Page:1
, I
S D
T D N E I
A E E CITY OF CARMEL DEPT Acct#:355 Inv:2350051 Term:1015 Sales Store:l 07-Nov-12 09:35 L S
Per5on:2000014 j
X F T Scan Number Description Part # Oty Price One Selll Price Per Oty Ext L C
X"" "043168961127' MINIATURE'AUTO LAMP 1157 - A 82961 2.00, 2-.49 2.49 /, 1 04.98
- Account Number: 355 Name: GARY CHARGE 4.98 I Sub Total. 04.98
----�LINDENMAYER Memo:
� Total Tax 0.00
Grand Total 04.98
i
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 S. Rangeline Rd.
Carmel, IN 46032
$4.98
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
A-N4', -34S�. --
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 2350051 42-389.00 $4.98 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, December 10, 2012
C �
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))
11/07/12 2350051 $4.98
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