•I_NOM 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
js ONE CIVIC SQUARE WHITE'S ACE HARDWARE
� CARMEL INDIANA 46032 731 S.RANGELINE ROAD CHECK AMOUNT: $13.99
,
CARMEL IN 46032 CHECK NUMBER: 215803
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 370 13 . 99 2360866
White's Ace Hardware-Carmel customer Transaction DetalLs 04-Dec-12 11:45 By: 2000006 Page:1
S D
T D N E I
A E E CITY OF CARMEL SEWER Acct#:370 Inv:2360866 Term:1014 Sales Store:l 29-Nov-12 10:29 L S
Person:2000015
X F T Scan Number Description Part # oty Price One Se LL Price Per Qty Ext L C
X 078693590177 INWALL 24HR PGRM TMR WHT :"3290012 1.00 13.99 ,13.99 / 1 13.99
Account Number: 370 Name: LARRY CHARGE 13.99 Sub TotaL 13.99
D. SCHIMMEL Memo TotaL Tax 0.00
J Grand TotaL 13.99
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White's Hardware
Thanks for shopping
our friendly store.
White ' s Ace Hardware-
D3�S angel i e W
Ca '1 2 61X012
CITY OF CA MEL SEWER
ACCOUNT # �y_3l0
ITEM OTY SALE/REG EXT
078693590177 YAW I die A p 13.99
INWALL 24HR PGRM TMR WHAT 0 ® Z.
`SUBTOTAL $ 13.99
TAX $ 0.00
TOTAL $ 13 . 99
CHARGE 13.99
I AGREE TO PAY THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
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SIGNATURE LARRY D. SCHIMMEL
EMPLOYEE TERM INV# TIME DATE
2000015 1014 2360866 10:29 29-Nov-12,
�# l�
Ace Rewards ID-11 198006413 d
Your receipt guarantees
your no-hassle-return.
We're your source for
Spring, Summer, Winter and Fall
for all your hardware needs.
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N'hite's I Hardware
un_d Garden Center
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WHITE'S ACE HARDWARE-CARMEL
731 S RANGELINE RD
CARMEL IN 46032
317-846-2311 Statement
STATEMENT ACCOUNT � E AGE ®���^®,J�n t
DATE NUMBER NO d� u
30-Nov-12 370 1
TO: CITY OF CARMEL SEWER
DEPT.***
760 THIRD AVE. SW,#110
CARMEL, IN 46032
ALL PURCHASES ARE DUE AND PAYABLE BY LAST DAY OF BILLING MONTH
DATE INVOICE DESCRIPTION AMOUNT BALANCE ' '
08-Oct-12 2336654 LARRY D. SCHIMMEL 34.70 34.70
17-Oct-12 2340869 _ _ JEFFREY A. COOPER_ 36.12 70.82
30-Oct-12 2346751 BLAINE MALLABER 76.76
29-NOV-12 2360866 LARRY D. SCHIMMEL 99. 90.75 .
PAS.T ®U
CURRENT PAST DUE PAST DUE PAST DUE TOTAL
AMT DUE 1 MONTH 2 MONTHS 3 MONTHS DUE
13.99 76.76' ', ';', 0.:`00':"' 0:00 'r;`: 90.75
YOUR RECEIPT GUARANTEES
YOUR NO-HASSLE-RETURN.
VOUCHER # 126326 WARRANT # ALLOWED
37500 IN SUM OF $
WHITES ACE HARDWARE INC
731 S. RANGELINE ROAD
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
-voq; n8
2360866 01-72e2-e6 $13.99
Voucher Total $13.99
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
37500
WHITES ACE HARDWARE INC Purchase Order No.
731 S. RANGELINE ROAD Terms
CARMEL, IN 46032 Due Date 12/11/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/11/201; 2360866 $13.99
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
Date Officer