HomeMy WebLinkAbout228915 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 00350801 Page 1 of 1
ONE CIVIC SQUARE AUTOMATIC IRRIGATION SUPPLY CO CHECK AMOUNT: $3,019.00
CARMEL, INDIANA 46032 116 SHAWDOWLAWN DRIVE
FISHERS IN 46038-2431 CHECK NUMBER: 228915
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 20005 4000236-IN 3 , 019 . 00 GLOBAL SERVICE PLAN
111VOIce Page: 1
116 Shadowlawn Drive Invoice Number: 4000236-IN
Fishers, IN 46038-2431 Invoice Date: 1/24/2014
(317)842-3123
(800)842-3911
AUTOMATIC IRRIGATION Fax(317)845-0977 Order Number: 4000236
S U P P L Y C 0 M P A N Y Order Date 1/27/2014
Salesperson: GOLF
PLEASE REMIT TO OUR FISHERS ADDRESS Customer Number: 09-0002055
Sold To: Ship To:
BROOKSHIRE/CITY OF CARMEL BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PARKWAY
CARMEL,IN 46032 CARMEL,IN 46032
Confirm To:
BOB HIGGINS
Customer P.O. Ship VIA F.O.B. Terms
"20005— __ - 30-DAYS-NET - — —
Ord Ship BO Item Number Price Amount
/SPLAN GSP SERVICE PLAN 3,019.00
ANNUAL BILLING#2 OF 5,CURRENT PLAN
Net Invoice: 3,019.00
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
You May Deduct $0.00 If Paid by 1/24/2014 Invoice Total: 3,019.00
f� INDIANA RETAIL TAX EXEMPT PAGECityo Carmel
CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE rTHIUSCNUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 HER, DELIVERY MEMO, PACKING SLIPS,
PING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Ir
VENDOR /� ._ f1fa l�G iti�t1 � SHIPGL€1�
� TO .
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: � �.• � �I
1,2
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
.1.20PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY,CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS t APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• _ ,.-•� y
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE * r°l ` �^^t •� - �^'`A""
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 0 -
s
0
5 CLERK-TREASURER
DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._----_----_T_-.WARRANT NO.._............
_._._...__
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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.-------------------- --- - - - -- ---
20
...................................................................................................... .............................................. ....................----......-
Signature
.........._......................._....-......................._..............................-........-.. -.
_.........-.............-..............
......... Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Automatic Irrigation Supply Company
IN SUM OF $
P.O. Box 2879
Indianapolis, IN 46206-2879
$3,019.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20005 I 4000236-IN I 43-509.00 I $3,019.00 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
Friday, January 31, 2014
Director, Brookshire If 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))
01/24/14 I 4000236-IN ( Service Plan I $3,019.00
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