189364 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
CHECK AMOUNT: $1,950.00
CARMEL, INDIANA 46032 P 0 BOX 402927
ATLANTA GA 30384 -2927 CHECK NUMBER: 189364
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 20687 INVO0418970 1,950.00 CHEMICALS
DETACH UPPER PORTION AND RETURN WITH PAYMENT
B. Higgins October 10, 2010 211 BROGOL2 INVO0418970 8/13/2010
UNIT PRICIE
CITY 1TEIVI
10 CONGER Concert 2.5 Gal (Agency) $195.00000 $1,950.00
SYNGENT
Syngenta is the seller of this product a qd Harrell's, LLC. is Syngenta's agent for the sale of this product, For convenience, make chec s payable to Harrell's, LL and
remit to Ha rell's, LLC P O B x 402927, Atlanta, GA 30384.
REMINDER Any state mandated NITROGEN and/or TONNAGE INSPECTION FEES will be included i i the TAX /STATE F ES total amount.
lur oe az A myRarmUsxom
LIN Your exclusive online resource!
Invoices Sales History Delivery Info
s
Harrell's LLC, PO Box 807, Lakeland, FL 33802, 1 -800- 780 -2774 x 2281.
SHIPPING ADDRESS
TERMS AND CONDITIONS Ship -to Acct Number: BROGOL2 SUBTOTAL $1,950.00
Seller retains title to above listed merchandise until fully paid for. If account is
not paid within 30 days from billing date, I agree to pay a finance charge of 1.5% BROOKSH IRE GOLF COURSE TAX /STATE FEES $.00
per month which is an annual percentage rate of 18% applied to the previous 12120 BROOKSHIRE PARKWAY
balance without deducting current payments and/or credits appearing on this CARMEL, IN 46033 -3314 O $1,950.00
statement I further agree to pay attorney's fees and other collection costs
incurred if I shall default in the payment hereof.
Page 1 of 1
0001;0001
VOUCHER NO. WARRANT NO.
ALLOWED 20
'Harrell's LLC
IN SUM OF
P.O. Box 402927
Atlanta, GA 30384 -4526
$1,950.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
20687 INVO0418970 43-504.00 $1,950.00 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
Tuesday, August 17, 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. 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))
08/13/10 INVO0418970 f=ertilizer $1,950.00
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
2a
Clerk Treasurer