217257 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 353655 Page 1 of 1
` ONE CIVIC SQUARE MENARDS-FISHERS
CARMEL, INDIANA 46032 7145 E 96TH STREET CHECK AMOUNT: $180.09
INDIANAPOLIS IN 46250
CHECK NUMBER: 217257
CHECK DATE: 2/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12251 180 . 09 OTHER EXPENSES
**************
* GUEST COPY
**************
GOV-CITY OF CARMEL WWTP MENARDS - FISHERS
760 3RD AVENUE SW 7145 E. 96TH STREET
SUITE 110 INDIANAPOLIS, IN 46250
CARMEL IN 46032
FAX # (317) 571-2265
INVOICE # 12251 ACCOUNT : 31710268
_ — TRANSACTION DATE _:_ _01/2 2/13 _ TRANSACTION # 4 8 0 8
TRANSACTION TIME 91145 PURCHASE ORDER # blaine
REGISTER NUMBER 4 TYPE OF SALE Charge Sale
SIGNER : BLAINE MALLABER CLAIM # blaine
QUANTITY SKU DESCRIPTION AMOUNT
---------- ---- - -------- ------ ---- ---- --- --- - --- ---- ---- ----- --
2 . 00 5650099 23 1IX35" DRI ERASE BOARD 21 . 98
1 . 00 3704215 16-3 30A TRI-TAP CORDREEL 28 . 49
1 . 00 3704028 18-3 25 ' TROUBLE LIGHT 9 . 97
1 . 00 6840264 1/2"ID X 20 ' VINYL TUBING 7 . 40
2 . 00 6840251 1/2"ID X 10 ' VINYL TUBING 7 . 40
2 . 00 3704219 14-3 30 ' TRITAP CORDREEL 79 . 96
2 . 00 5650280 MEDIUM MARKERS 4PK 6 . 94
2 . 00 3011930 INDOOR TV ANTENNA 15 . 98
1 . 00 5650387 LG FOAM ERASER 1 . 97
SUB-TOTAL: 180 . 09
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 180 . 09
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
353655
MENARDS - FISHERS Purchase Order No.
7145 E. 96th Street Terms
Indianapolis, IN 46250 Due Date 2/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2013 12251 $180.09
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 126613 WARRANT # ALLOWED
353655 IN SUM OF $
MENARDS - FISHERS
7145 E. 96th Street
Indianapolis, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
12251 01-7202-06 $180.09
Voucher Total $180.09
Cost distribution ledger classification if
claim paid under vehicle highway fund