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221299 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1 ONE CIVIC SQUARE WHITE'S ACE HARDWARE CARMEL, INDIANA 46032 731 S.RANGELINE ROAD CHECK AMOUNT: $24.97 '? CARMEL IN 46032 CHECK NUMBER: 221299 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 244 24 . 97 BUILDING REPAIRS & MA 1 1 re 1 t a jr w a r e, Thanks far sholip i ng our friericIty store. White ' s ACE) Hardware- Carme L 7�51 S Rang e i i ne Rd Carmel, IN 46032 317-846-2311 BROOKSHIRE GOLF CLUB ACCOUNT # 244 ITEM QTY SALUREC EXT 71926 -.1.00 22.9� -22.99 EA,^H DEFECT HOSE FLEXOGEN 5118X25' 08,1901227120 1.00 24.9� 24.98 71928 EA,'IH HOSE HVY-Dfll FLEX 5/8X150 08290110540:'F' 17.9� 17.99 10540 EACH 24" PUSH MULTI-SURFAI.E -- A @82901723912 1.00 4.9� 4.99 72391 EAC NOZZLE MEDW/BFIASS STEM -UB 1­ 24.97 (TT;7L TAX $- 0.00 IT GTA L 24 . 97 .,-CHAR71 71 I AGREE TO 110 THE ABOVE TOTAL ACCORDING TO THE POSTED )*ERMS AND LONDIrIONS !q SIG ATURE MIKE CALVEFT EMPLOYEE r FRM INV4 TIME DATE 70�80028 @8:55..--1�7-Jun-13 Ace Rewards 10 4 19300654823 (our receipt gucil-antees YOU[' 110-hassle-return. Wre YOW, 8,0urce for SPrif�g, Suminer, Winter and Fa I I for ;'I I Icur hardware, needs, INI VO I C VOUCHER NO. WARRANT NO. ALLOWED 20 White's Ace Hardware IN SUM OF $ 731 South Rangeline Road Carmel, IN 46032 $24.97 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. VOICE NO. ACCT#(TITLE AMOUNT Board Members 1207 I 2458979 I 43-501.00 I $24.97 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 Monday, June 17, 2013 Director, BrookshifA Golf Club 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)) 06/17/13 I 2458979 I Building Maintenance I $24.97 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