215776 12/18/2012 a CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1
ONE CIVIC SQUARE JEFF STEWART
CARMEL, INDIANA 46032 C/O STREET DEPT CHECK AMOUNT: $450.12
C/O STREET DEPT CHECK NUMBER: 215776
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 450 . 12 SMALL TOOLS & MINOR E
CA
co
Sears (f)
Cn FISHERS - HDWR 05340
(D 11728 FISHERS CROSSING DR
C I FISHERS, IN 46038-2791
® 317-841-9173
IIIIIiII IIII VIII II III CU
C6
RETAIN FOR COMPARISON Cll
WITH MONTHLY STATEMENT
C0 -
CD SALESCHECK #
053405003323
REWARDS CARD 0: 7071100201716252
SHOP YOUR WAY REWARDS XXXXXXXXXXXX2280 i
CU
PURCHASER: CARMEL. STREET DEPT aj
ADDRESS: 3400 W 131ST STREET
aITY/STATE: WESTFIELD, IN
QYIP CODE: 46074
PHONE: 317-733-2001
TRAN# PG/STORE REG# ASSOC# C/)
3323 98 05340 500 - 977629 CU
RINGING ASSOC # 977629 Cll
SALE U)
Cn 9 45826 x 9/16 1 ASER MDS 4.39T
CD UPC: 714994458265
9 34599 SOCKET,1/4 MDS 2.89T
® UPC: 714994345992
9 34609 SOCKET,1/4 MDS 2.89T
UPC: 714994346098 C
9 33182 182PC MTS, OVR 139.99T CQ
UPC: 714994331827 C1)
CA 9 34447 SOCKET ST, CLB 29.99T —
UPC: 714994344476
CD CLUB DISCOUNT $ . 15.00T-
9 35710 LITH BATTE SAL 59.99T
® UPC: 033287156474
34 82117 VCT2000 - MD S 34.99T n
(
UPC: 053533036381 �'
9 11445 DRILL/DRIV SAL 189.99T
UPC: 033287140633 C0
Cq SUBTOTAL 450.12
CD TAX EXEMPT .00
4 ARD.TYPE:
(ACCT #
AUTH CODE: 01159Z/E
12/11/12 TOTAL 450.12
CU
RC: 2719-4955-5133-3919-0619 aj
CIJ
CD
aYou are a BONUS Member
@Current Points Balance: 10,109 .
Base Points Earned: 4,501 U)
Bonus Poin-ts-Earned: 0 - L'
CU
Points Expiring 12/31/2012 : 2,400 CD
--- ------- rn
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jeff Stewart
IN SUM OF $
c/o Carmel Street Department
$450.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 053405003323 I 42-380.001 $450.12 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
' €6` = Friday,, December-1�4-,`2012
�j
Sbreet'Commissioner
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))
12/11/12 053405003323 $450.12
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