HomeMy WebLinkAbout260231 06/28/16 .v<,�f. CITY OF CARMEL, INDIANA VENDOR: 176650
1 ONE CIVIC SQUARE KOORSEN ENVIRONMENTAL SERVICES CHECK AMOUNT: $....***333.25*
;. _� CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK NUMBER: 260231
9y«oN�� INDIANAPOLIS IN 46218-3300 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 042446 333.25 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
WORSEN ENVIRONMENTAL SERVICES
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
,
2719 N ARLINGTON AVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46218-3300 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$333.25 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members ,DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
042446 43-501.00 $333.25 1 hereby certify that the attached invoice(s),or 6/12/16 042446 Hood Cleaning $333.25
1207 101 1207 101
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,June 20,2016
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
.20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
o www.KoorsenES.com
Koorsen INVOICE
ENVIRONMENTAL SERVICES
042446 Dateof 06/12/2016 odes
REMIT TO:Koorsen Environmental Services N o.; work:
2719 N Arlington Avenue
Indianapolis,IN 46218-3322 Invoice Date: 06/13/2016 SO#: 136567 Date 07/08/2016
317-308-7676 Include invoice#on check. Due:
Cus t ID 51BRO 1212 TERMS: NET 25 DAYS JOE# S ERV I CE 51 / 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 / 51-000077 / STOCK
.AMOUNT
JUNE EXHAUST CLEANING/SVC Semi-Annual
1.00 CLEAN-EXHAUST CLEANING,KITCHEN EXHAUST 318.25 318.25
1.00 99STCK2 SERVICE CALL KITCHEN SERVICE II 15.00 15.00
TOTAL SALES/SERVICES XMP# 0031201550-020 333.25
TOTAL 333.25
To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number
Name on Card Expiration Date—/—
Total
_Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
333.25 0.00 0.00 333.25