216450 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 353655 Page 1 of 1
ONE CIVIC SQUARE MENARDS-FISHERS
CARMEL, INDIANA 46032 7145 E 96TH STREET CHECK AMOUNT: $257.42
INDIANAPOLIS IN 46250 CHECK NUMBER: 216450
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 11275 257 .42 REPAIR PARTS
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* GUEST COPY
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GOV-CITY OF CARMEL FIRE MENARDS - FISHERS
2 CIVIC SQUARE 7145 E. 96TH STREET
INDIANAPOLIS, IN 46250
CARMEL IN 46032
FAX # (317)
INVOICE # 11275 ACCOUNT : 31710256
TRANSACTION DATE 01/06/13 TRANSACTION ## 4899
TRANSACTION TIME 151305 PURCHASE ORDER # 0
REGISTER NUMBER 8 TYPE OF SALE Charge Sale
SIGNER : ORBIE BOWLES CLAIM # 0
QUANTITY SKU DESCRIPTION AMOUNT
-------------------- ------------- -----------------------------
1 . 00 7057731 KERACOLOR U GROUT #42 11 . 26
1 . 00 7057311 PRIMER T 10 . 98
1 . 00 7057323 AQUA-DEFENSE WATRPROOFING 45 . 97
1 . 00 7111738 3/8 IN X 6 FT TILE TRIM 4 . 25
1 . 00 7098534 1/8" SPACER 200 2 . 97
1 . 00 7057020 ULTRAFLEX 2 - WHITE 25 . 46
5 . 00 7381210 12X12 ORIGINS TILE 126 . 75
1 . 00 7057301 ULTRAPLAN 1 PLUS 29 . 78
SUB-TOTAL: 257 . 42
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 257 .42
VOUCHER NO. WARRANT NO.
ALLOWED 20
Menards - F
IN SUM OF $
7145 East 96th Street
Indianapolis, IN 46250
$257.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE I AMOUNT Board Members
1120 I 11275 I 42-370.00 I $257.42 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
A! 14 2013
l�
Fire Chief
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))
11275 Misc. Parts- Sta.41 $257.42
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