221309 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: $3.98
CARMEL IN 46032
CHECK NUMBER: 221309
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 398 3 . 98 BUILDING REPAIRS & MA
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Thanks for shopping
our friendly store.
White ' s Are Hardware-
Carmel
731 S Rangeline Rd
' Carmel, IN 46032
311-846-2_'11
BROOKSHIRE GOLF CLUB-
ACCOUNT fl 244
ITEM _ OTY _SALE/REG EXT
07079818065!) 2.00 1.99 3.98
11438 EACH
CAULK PAINTERS LTX10.IOZ
SUBTOTAL $ 3.98
�r y TAX $_ 0.00
[TOTAL $ 3 . 98
CYCHARGE 3T-981
I AGREE 10 PAY,THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
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SIGNATURE' KEN MILLER
EMPLOYEE fE!RM INV4 TIME DATE
2000020 14102 245134!)02:32~ 05-Jun-13
Ace Rewards ID 0 198006134323
Your receipt guarantees
Your no-hassle--return.
We're your, source For
Spring, Summer, Winter and Fall
for all your, hardware needs,
I INVO 6.1 CIE
VOUCHER NO. WARRANT NO.
ALLOWED 20
-White's Ace Hardware
IN SUM OF $
731 South Rangeline Road
Carmel, IN 46032
$3.98
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
/�Co f- 12k
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 2451349 I 43-501.00 I $3.98 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, Brooks Ire 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))
06/05/13 2451349 Caulk Paint $3.98
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