220399 05/21/2013 a F ` CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE CHECK AMOUNT: $95.03
s` �o CARMEL, INDIANA 46032 731 S.RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 220399
CHECK DATE: 512112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 330 45 . 98 SAFETY SUPPLIES
1192 4239099 330 3 . 08 OTHER MISCELLANOUS
1192 4350400 330 45 . 97 GROUNDS MAINTENANCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
White's Ace Hardware
IN SUM OF $
731 S. Range Line Road
Carmel, IN 46032
$95.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
-3-3 D
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1192 2429721 43-504.00 $45.97
bill(s) is (are)true and correct and that the
1192 2431132 42-390.99 $3.08
materials or services itemized thereon for
1192 I 2432529 I 42-390.12 I $45.98 which charge is made were ordered and
received except
Monday, May 21, 201
1
Director
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))
05/06/13 2429721 Round Up concentrate $45.97
05/08/13 2431132 Cement Mix $3.08
05/10/13 I 2432529 I Work Gloves- Forestry I $45.98
t
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
I Clerk-Treasurer