185427 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 359498 Page 1 of 1
0 ONE CIVIC SQUARE SHELBY MATERIALS
CARMEL, INDIANA 46032 P 0 Box 242
CHECK AMOUNT: $700.51
SHELBYVILLE IN 46176 CHECK NUMBER: 185427
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 366691 700.51 GROUNDS MAINTENANCE
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INVOICE
CUSTOMER N0. ,,DATE INVOICE NO, I =PAGE
TM
M A T E i= I A L S
The Concfele and Aggregate Experts '10 BRO01 04/3 0/ 2 010 366691 1
317 398 -4485 FAX 317 398 -2727
BROOKSHIRE GOLF CLUB Send remittance to:
CITY OF CARMEL
12120 BROOKSHIRE PKWY Shelby Ma CARMEL IN 4 6 0 3 3 Please attach top part Shelbyville, Indiana 46176
with your remittance. Detach Here
JOB
NUMBER'-JOB LOCATION ADDRESS PER
DATE PRICE TAX TOTAL
TICKET ISO. QUANTITY UNIT DESCRIPTION UNIT'��
000201 GOLF COURSE
PO NUMBER: G -98
04/23 032 442971 23.69 TN TOP DRESSING SAND 21.250 503.41
04/23 032 442971 23.69 TN DELIVERY CHARGE 8.000 189.52
04/23 032 442971 0.95 TN FUEL SURCHARGE 8.000 7.58
JOB TOTAL LINE 700.51
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INVOICE 700.51
AMOUNT DUE
TERMS: NET 30 DAYS-THERE WILL BE A. 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
Coo 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.
CC750392 (4101) Shelby Supply (Rev. 11108)
VOUCHER NO. WARRANT N
ALLOWED 20
Shelby Materials
IN SUM OF
P.O. Box 242
Shelbyville, IN 46176
$700.51
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 366691 43- 504.00 $700.51 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, May 07, 2010
Director, Brooks ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev. 199:
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))
04/30/10 366691 Sand $700.F
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
Clerk- Treasurer