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315500 08/30/2017
�a.�,.S�q,�*( �; �, CITY OF CARMEL, INDIANA VENDOR: 176650 ONE CIVIC SQUARE WORSEN ENVIRONMENTAL SERVICES CHECK AMOUNT: $....***333.25* i ,=a; CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK NUMBER: 315500 ''y,�roN. INDIANAPOLIS IN 46218-3300 CHECK DATE: 08/30/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 054131 333.25 BUILDING REPAIRS & MA n Z \ $ « q \ 3 0 c / a? 4 ¥ # 2 > 2 = 0 n ® > > > $ # / � \ - 0 r- 2 2 2 2 C S < 0 2 q < $ O m ° o w z 0 o [ ' e ) J O ? k © -n / 2 5 D % � $ m \ 0u § S - > - 0 � D \ o \ g n 0 m m 3 © c ;uX \ ° k 0 2 CL m a z \ to2 - . O | § } m a L ¥ m _ J a i a ¥ - � r, Er k 0 [ k a / § % A g ( E F J k . m § 3 R ® / m ® � 2 \ m k r_ « - E m % % 3 q & @ r4* a su o E a ° E _ 0) I 2 I E » E a - 2 � / k R £ 3 § / | . - e ± CL %MG & q § \ \ cL D \ \$0 \ 0 g 0) � ° C < \ i/ § § m ƒ \ C o ) 0 ° k Z \ / N %E_ § E / eo a £ | af o 2 f }/ D \� = 0) £ « n 2 § k / ? _ I f n / \ j E \ r r + ± / % j \ CD C:% ( \ E $ / 0 p OL k 2 CD� \ § 7 m ] k k ] w ( CL 419K ƒ / \ ca o z ° \ Koorsen®R www.KoorsenES.com INVOICE ENVIRONMENTAL. SERVICES 054131 Date of 08/15/2017 ode. REMIT TO:Koorsen Environmental Services N 0., work: # 2719 N Arlington Avenue Indianapolis,IN 46218-3322 Invoice Date: 08/16/2017 SO#: 149093 Date 09/10/2017 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 QUANTITY AMOUNT AUGUST 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