HomeMy WebLinkAbout237889 10/08/2014 `�0•..5�9.yF(
CITY OF CARMEL, INDIANA VENDOR: 176650
® ONE CIVIC SQUARE WORSEN ENVIRONMENTAL SERVICES CHECK AMOUNT: S*'*`*`*328.20*
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK NUMBER: 237889
INDIANAPOLIS IN 46218-3300 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 033823 328.20 BUILDING REPAIRS & MA
' Koorsen
www.KoorsenES.com
INVOICE
ENVIRONMENTAL SERVICES
033823 Date of 09/24/2014 cuss-
REMIT TO:Koorsen Environmental Services No.. work: Order#.
2719 N Arlington Avenue
Indianapolis,IN 46218-3322 Invoice Date: 09/25/2014 SO#: 127846 Date 10/20/2014
317-308-7676 Include invoice#on check. Due:
Cust ID 51BRO1212 TERMS: NET 25 DAYS JOB# SERVICE51 / 0
Sold To: Location:
CITY OF CARMEL CITY OF CARMEL
d/b/a BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PARKWAY D/B/A BROOKSHIRE GOLF CLUB
CARMEL, IN 46033 CARMEL, IN 46032
51-HOUSE / 51-371427 / STOCK
_. _,
-...:. .:. .. -_ ... .. _. - AMOUNT.._
SEPTEMBER EXHAUST CLEANING/SVC Semi-Annual -
1.00 CLEAN-EXHAUST CLEANING,KITCHEN EXHAUST 318.25 318.25
1.00 99STCK SERVICE CALL KITCHEN SERVICE 9.95 9.95
TOTAL SALES/SERVICES XMP4 0031201550-020 328.20
TOTAL 328.20
To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number
Name on Card Expiration Date
_ _ Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
328.2 0 _« ___0_.
—0.00-- _ ---- 0-:00-^_ __, -- -- - 328.20
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Koorsen Environmental Services
IN SUM OF$
2719 N Arlington Avenue
Indianapolis, Indiana 46218-3322
$328.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/rITLE AMOUNT Board Members
1207 I 033823 I 43-501.00 I $328.20 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
Tuesday, September 30, 2014
Director, Brooksh' 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))
09/25/14 033823 Vent Cleaning $328.20
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