223966 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00352767 Page 1 of 1
ONE CIVIC SQUARE WILLIAM HOHLT CHECK AMOUNT: $29.40
s`�? CARMEL, INDIANA 46032 C/O ROCS
C/O ROCS CHECK NUMBER: 223966
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4238000 29 .40 SMALL TOOLS & MINOR E
E SPECIAL SERVICES CUSTOMER INVOICE Page 1 of 2 No. 2037-79726
Store 2037 CARMEL Phone: (317) 870-7680 VAILIDATIONAIR
9855 NORTH MICHIGAN RD Salesperson: BPQ4ZA 2037 00015 41697 08/26/13
°\ CARMEL, IN 46032 Reviewer: SALE 71 BP04ZA 1043 AM
This is only a QUOTE for the merchandise and services printed below. This becomes an ORDER ID: 2037-79726
Agreement upon payment and an endorsement by a Home Depot register validation. RECALL AMOUNT 29.40
Name Home Phone ADDL MDSE SUBTOTAL 0.00
SUBTOTAL 29.40
CARMEL OLD TOWN MALL CITY OF (317) 818-1908 SALES TAX 0.00
• TOTAL $29.41
Address 38 W MAIN ST Work Phone (317) 818-1908 CASH 30.00
1
Company Name
•
City CARMEL Job Descnption TOOLS
State IN Zip 46032-1764 County HAMILTON QUOTE is valid for this date: 08/26/2013 eserve® M E RC
We i A N D I S E AND SERVICE SUMMARY so drto c stomer right to limit the quantities of merchandise
REF#W02 :U#0000-515-664 The items listed in this section will be carried out of the store by the customer at time of sale.
STOCK MERCHANDISE CARRIED OUT:
REF# SKU QTY I UM DESCRIPTION PI. TAX :PRICE.EACH'. EXTENSION
R01 1 0000-661-038 1 3.001 EAJ LUFKIN 25-POWER RETURN TAPE MEASURE/ A N $9.80 $29.40
`" M EffiEfflufflomm $29.40
END OF CARRY OUT MERCHANDISE- REF#W02
TOTAL CHARGES OF ALL MERCHANDISE & SERVICES
Policy Id (PI): $29.40
A: 90 DAYS DEFAULT POLICY******•0000000000000e s0000s0000••*******.*.•*•**********••••••••••••0000oo•••. SALES TAX $0.00
TOTAL $29.40
BALANCE DUE 9.40
***CONTINUED ON NEXT" GE***
c (�j
T&Ie
Check your current order status online at . /�. r i �� �L f e /
www.homedepot.com/orderstatus t
(9801) 0100092402
Page 1 of 2 NO. 2037-79726 Customer Copy
SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: CARMEL OLD TOWN MALL Page 2 of 2 NO. 2 037-79726
.Y
TOTAL i`III CHARGES OF ALL
.MERCHANDISE & SERVICES
#1 :
(Continued)
'The Home Depot reserves the right to limit/deny returns. Please see the return policy sign in
stores for details.'
END'OF ORDER No.2037-79726
Page 2 of 2 N®. 2 037-79726 Customer Copy
VOUCHER NO. WARRANT NO.
William Hohlt ALLOWED 20
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$29.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 42-380.00 $29.40
I hereby certify that the attached invoice(s), or
I I �
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
Friday, to ber , 2013
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))
08/26/13 Tape Measurers $29.40
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