HomeMy WebLinkAbout306475 12/21/16 9+,ur Cep*f
�; CITY OF CARMEL, INDIANA VENDOR: 176650
�� ONE CIVIC SQUARE' WORSEN ENVIRONMENTAL SERVICES CHECK AMOUNT: $....***333.25*
=q CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK NUMBER: 306475
,.y�, INDIANAPOLIS IN 46218-3300 CHECK DATE: 12/21/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4235000 047086 333.25 BUILDING MATERIAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#°r INVOICE NO. ACCT#/TITLE AMOUNT I herebythat the attached invoice(s), or
DEPT.# �r certify
,2 3 S' U „3 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
/ 20
Si ure
TitleI.
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Koorsenwww.KoorsenES.com
ENVIRONMENTAL SERVICES INVOICE
ate of 12/14/2016 cu
047086 DOrder
REMIT TO: Koorsen Environmental Services N Q.; work:
2719 N Arlington Avenue #:
Indianapolis,IN 46218-3322 Invoice Date: 12/14/2016 SO#: 142819 Date 01/08/2017
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 / 51-000077 / STOCK
AMOUNT
DECEMBER 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 Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
333.25 0.00 0.00 333.25