238506 10/21/14 C4q"' CITY OF CARMEL, INDIANA VENDOR: 359498
4/ �c
4 ONE CIVIC SQUARE SHELBY MATERIALS CHECK AMOUNT: $*****1,480.32*
xC ,=a; CARMEL, INDIANA 46032 P o Box 242 CHECK NUMBER: 238506
�.yiTON�: SHELBYVILLE IN 46176 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4236100 475181 1,480.32 SAND
INVOICE
CUSTOMER NO. DATE INVOICE N0. PAGE
TM
M A T E= Ft 1 A L S
The Concrete and Aggregate Experts"® BRO01 09/30/2014 475181 1
317-398-4485•FAX 317-398-2727
BROOKSHIRE GOLF CLUB SEND ALL
CITY OF CARMEL REMITTANCE TO:
12120 BROOKSHIRE PKWY Shelby Materials
Please attach top part P.O.Box 242
CARMEL, IN 46033 Shelbyville,Indiana 46176
with your remittance. Detach Here
JOB NUMBER-JOB LOCATION-ADDRESS : PRICE PER TAX TOTAL
DATE TICKET NO. QUANTITY` UNIT DESCRIPTION UNIT
000201 GOLF COURSE
PO NUMBER: G-98
09/25 032-537005 21 . 29 TN TOP DRESSING SAND 22 .750 484 . 35
09/25 032-537005 21 . 29 TN DELIVERY CHARGE 9 . 000 191 . 61
09/-25- 032-537.005 1 . 70 . TN FUEL SURCHARGE 9 : 000 15-.33: "
09/25 032-537047 24 . 30 TN TOP DRESSING SAND 22 . 750 552 . 83
09/25 032-537047 24 . 30 TN DELIVERY CHARGE 9 . 000 218 . 70
09/25 032-537047 1 . 94 TN FUEL SURCHARGE 9 . 000 17 . 50
JOB TOTAL LINE 1480 . 32
1480 . 32
INVOICE AMOUNT DUE -0-
TERMS:NET 30 DAYS-THERE WILL BE A FINANCE CHARGE OF 2.000/6 PER MONTH(24%PER
ANNUM) ON ALL ACCOUNTS PAST 30 DAYS.ALL ACCOUNTS,WITHOUT PRIOR APPROVAL,
_WHICH HAVE OUTSTANDING BALANCES OVER 90 DAYS,WILL BE TEMPORARILY PLACED ON
C.OD-TRE`ACCOUNT-WILL=REMAIN-ON-ACO.D-BASIS-UNTIL-BAFANCE-IS-PAID"OR SUITABLE—
ARRANGEMENTS ARE MADE WITH THE CREDIT DEPARTMENT. ALL ACCOUNTS TURNED
OVER FOR COLLECTION WILL INCUR REASONABLE ATTORNEY FEES AND COURT COSTS TO
BE PAID BYTHE PURCHASER WITH PROPER VENUE AS SHELBY COUNTY. '
Office HUB(Rev.11/13)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shelby Materials
IN SUM OF$
P.O. Box 242
Shelbyville, IN 46176
$1,480.32
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
1207 I 475181 I 42-361.00 I $1,480.32 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, October 14, 2014
Director, Brookshir 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))
09/30/14 475181 Sand $1,480.32
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
120
Clerk-Treasurer