219412 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 353655 Page 1 of 1
ONE CIVIC SQUARE MENARDS-FISHERS
CHECK AMOUNT: $149.88
CARMEL, INDIANA 46032 7145 E 96TH STREET
`* fir INDIANAPOLIS IN 46250 CHECK NUMBER: 219412
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 16750 149 . 88 OTHER EXPENSES
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* GUEST COPY
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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 # 16750 ACCOUNT : 31710268
TRANSACTION DATE 04/03/13 TRANSACTION # : 3352
TRANSACTION TIME 142427 PURCHASE ORDER # : baline
REGISTER NUMBER 8 TYPE OF SALE : Charge Sale
SIGNER : Blaine Mallaber CLAIM # : baline
QUANTITY SKU DESCRIPTION AMOUNT
---- - ------- ---- --- -------- ----- ------- ------ --- ------ -- ------
1 . 00 3011930 INDOOR TV ANTENNA 7 . 99
3 . 00 5655074 STANDARD STAPLES - 5000CT 6 . 72
1 . 00 2104917 ENERGIZER 3V LITH 2032 3 . 27
1 . 00 2105220 AA10PK ENERGIZER MAX 7 .49
1 . 00 2105246 AAA 1OPK ENERGIZER MAX 7 .49
1 . 00 2105233 9 VOLT 2 PK ENERGIZER MAX 6 . 97
1 . 00 2104726 ENERGZR 1 . 5V LITH 357/303 3 . 27
1 . 00 6480857 ZIPLOC FREEZER BAGS QT 2 . 86
2 . 00 6480860 ZIPLOC FREEZER BAGS GAL 5 . 72
1 . 00 6471166 CLOROX BLEACH 116/121OZ 3 . 50
10 . 00 6452157 15GAL FLIP TOP CLR TOTE 84 . 60
4 . 00 6471410 32 OZ .FANTASTIK CLEANER 10 . 00
SUB-TOTAL: 149 . 88
TOTAL TAX: 0 . 00
PAYMENTS 0 . 00
TOTAL DUE: 149 . 88
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 4/16/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2013 16750 $149.88
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
Date Officer
VOUCHER # 135322 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
16750 01-7202-06 $149.88
Voucher Total $149.88
Cost distribution ledger classification if
claim paid under vehicle highway fund