220833 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
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CARMEL, INDIANA 46032 731 S.RANGELINE ROAD CHECK AMOUNT: $6.98
•�, oM.; CARMEL IN 46032 CHECK NUMBER: 220833
CHECK DATE: 614/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 320 6 . 98 OTHER MISCELLANOUS
White's ACEHard-ware
Ci'u�rft`:Si<e•<uec-�vr--rr!.Y�r<r
Thanks for shopping
our friendly store.
White ' s Ace ; i 1i-i.Jware-
Ctq,� weL
731 :, range l i ne Rd
C.1 i;im I. I N 46032
311-t;tb-2ill
CITY OF CARMEL CLERK TREASURER
ACCOUNT # 320
ITEM OTY SALE/REG i
051131659889 1.00 2.99 '.99
9022377 EACH
3M COMMAND POSTER STRIPS
051131830271 1.00 3 99 3.99
5302799 EACH
3M COMMAND HOOK SML 4PC
SUBTOTAL $ 6.98
TAX $ 0.00
11'0TAL $ 6 . 98
C_CHARGE 6.98
I AGREE TO PF,Y THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
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SIGNATURE Authorized Signer
EMPLOYEE TERM INV# TIME DATE
2000015 1014 2446472 12:32 29-May-13
Acre Rewards ID # 19800641267
Your receipt guarantees
your no-hassle-return.
We're your source for
Spring, Summer, Winter and Fall
for all your hardware needs.
IINVOICE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
hf(�V/�e Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0—A//0
Total
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
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
�v16011, A&-�
��Zo Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
(-3Zj j - �Q 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund