215801 12/18/2012 f CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 S.RANGELINE ROAD CHECK AMOUNT: $5.98
CARMEL IN 46032 CHECK NUMBER: 215801
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 320 5 . 98 2356843
±4
N1'hite's AADEHardware
Thanks for shopping
our friendly store.
/White 's Ace Hardware-
s Carme L
731 S Rangeline Rd
Carmel, IN 46032-
317-846-2311
CITY- OF CARMEL CLERK TREASURER
ACCOUNT 4 320
ITEM OTY SALE/REG. EXT
843518009376 2.00 2-.99 5.98
9826009 EACH'. 3.79
CELE MINI 100LT CLR
SUBTOTAL 5.98
TAX t 0.00
TOTAL-$_''.:-: 5 . 98
s -
�.. CHARGE 5.98
- I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO
-THE POSTED-TERMS AND-CONDITIONS ;
't
-r' °"
SIGNATURE Authorized,`Signer
EMPLOYEE TERM INV# TIME DATE
2000119 1008 2356843 091:36 21-Nov 712
Ace Rewards ID # 19800641267
Your receipt guarantees
your no-hassle-return.
We're-your source for
Spring, Summer, Winter and Fall
for all your hardware needs.
INVOICE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No.201(Rev.1995)
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.
AA 11 1 PayAa e fl-a �-' C _ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
( ��( ALLOWED 20
- IN SUM OF $
$ 5i
ON ACCOUNT OF APPROPRIATION FOR
67(r- U�1�( i4u�L--
A ✓ Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
--Z>!56 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
20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund