222616 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CHECK AMOUNT: $40.97
CARMEL, INDIANA 46032 731 S.RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 222616
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350000 330 40 . 97 EQUIPMENT REPAIRS & M
V/
White's . ,Hardy are
Thanks for shopping
our friendly store.
White ' s Ace Hardware-
Carrne L
731 S Rangeline Rd
Carmel, IN 46032
317-846-2311
CITY OF CARME.L DEPT
ACCOUNT 4 330
ITEM OTY SALE/REG EXT
082901741343 1.00 11.99 11.99
74134 EACH
ACE BAR/01AIN OIL 1GAL
082901741336 1.00 4.99 4.99
74133 EACH
ACE BAR/CHAKN OIL 1OT
078371909888 1.00 23.99 23.99
2132710 EACH
SAFETY GLASSES BL/PLATNM
SUBTOTAL $ 40.97
TAX $ 0.00
TOTAL. $ 40 . 97
_CHARGE 40.97
I AGREE TO PP,Y THE ABOVE TOTAL ACCORDING TO
THE POSTED TERMS AND CONDITIONS
tle71.
SIGNATURE\ NICHOLE PASSINEAU
EMPLOYEE TERM INV4 TIME DATE
2000015 1014 2473056 01--5 10-Jul-13
Acre Rewards IU 4 19800641274
Your receipt guarantees
your n6•-hassle-return.
We're your source for
Spring, Summer, Winter and Fall
for all your hardware needs.
INVO, I CE
I
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.7995)
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))
�►I1 ) k3 — cihaLv ' oiI :5 iassC-s L+o. q -7
Total D —7
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
VOUgHER NO. WARRANT NO.
S
ALLOWED 20
AG& lua-'e,
3 ' :S 2O�vL L, > a IN SUM OF $
Kyl&I I`' 4 2
$ )40 . g7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
4S-5v0 ql)A 7 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund