250846 10/21/15 y p�_t�gM
CITY OF CARMEL, INDIANA VENDOR: 359498
® �l ONE CIVIC SQUARE SHELBY MATERIALS CHECK AMOUNT: $*****1,455.36*
_� CARMEL, INDIANA 46032 P 0 Box 242 CHECK NUMBER: 250846
.yiTON�� SHELBYVILLE IN 46176 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4236100 501647 1,455.36 SAND
INVOICE
CUSTOMER NO. DATE INVOICE NO. PAGE
rM
M A T E Ft I A L S
"The Concrete and Aggregate Experts'0 B RO01 09/30/2015 501647 1
317-398-4485•FAX 317-398-2727
BROOKSHIRE GOLF CLUB SEND ALL
CITY OF CARMEL REMITTANCE TO:
12120 BROOKSHIRE PKWY Shelby Materials
CARMEL, IN 46033 Please attach top part P.O.Box 242
with your remittance. Shelbyville, Indiana 46176 Detach Here
JOB NUMBER-JOB LOCATION-ADDRESS PER
DATE °' PRICE TAX TOTAL
"TICKET NO. QUANTITY. `` UNIT DESCRIPTION UNIT = ,
000201 GOLF COURSE
PO NUMBER: G-98
09/21 032-561571 2.2 . 41 TN TOP DRESSING SAND 23 . 000 515 . 43.
09/21 032-561571 22 . 41 TN DELIVERY CHARGE 9. 000 201 . 69
09/21 032-561572- 23 . 07 TN TOP DRESSING SAND 23 .000 - 530 . 61 -
09/21 032-561572 23 . 07 TN DELIVERY CHARGE 9. 000 207 . 63
JOB TOTAL LINE 1455 . 36
� t
z U7 Z -,
1
INVOICE 455 . 36
AMOUNT DUE —►
TERMS:NET 30 DAYS-THERE WILL BEA FINANCE CHARGE OF 2.00%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.O.D.THE ACCOUNT WILL REMAIN ON A C.O.D.BASIS UNTIL BALANCE 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 BY THE PURCHASER WITH PROPER VENUE AS SHELBY COUNTY.
Office HUB(Rev.12/14)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shelby Materials
IN SUM OF $
P.O. Box 242
Shelbyville, IN 46176
$1,455.36
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 501647 I 42-361.00 I $1,455.36 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
Monday, October 19, 2015
Director Brookshir off 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))
09/30/15 501647 Sand $1,455.36
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