248494 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 369044
® Fi ONE CIVIC SQUARE PURDUE UNIVERSITY CHECK AMOUNT: $****""**11.00*
CARMEL, INDIANA 46032 PLANT AND PEST DIAGNOSTIC LAB CHECK NUMBER: 248494
915 WEST STATE STREET CHECK DATE: 08/12/15
WEST LAFAYETTE IN 47907-2054
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 1500917 11.00 GROUNDS MAINTENANCE
Page I of 1
Sample# 1"0917
Field ID
PURID L'1:4 Host Annual Bluegrass
ram IkPbCkr?atPr-Y L,, r, YvFRsT ,ry Received bate 7128/2015
Completed Date 8/3/2016
INVOICE PO# N/A
Invoice Date 8/7/2015
Bill To:
Bob Higgins Submitter: Aaron Patton
Brookshire Golf Club Contact: Bob Higgins
12120 Brookshire Pk"
Carmel IN 46033 FIRST WMICE
Phone: Fax: Email:
317-249-2716 bhiggins@carmel.in.gov
- ----------------- ---------- -------------------- ----------------
Service/J Payment Information Payments Charges
Basic Sample Fee $11.00
Total: $11.00
Amount Due: $11.00
Late Fee:$0.00 Total Due:$1,11.00
Mail payment to: Telephone: (765)494-7071
Plant and Pest Diagnostic Lab Fax: (765)494-3958
Purdue University
915 West State Street
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))
08/07/15 I 1500917 I Sample Fee I $11.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Plant and Pest Diagnostic Lab
Purdue University Cneck Pay at' IN SUM OF $
915 West State Street
West Lafayette, IN 47907-2054
$11.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1500917 43-504.00 I $11.00 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, August 07, 2015
Director, Brookshire If Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund