190953 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 359498 Page 1 of 1
0 ONE CIVIC SQUARE SHELBY MATERIALS CHECK AMOUNT: $696.9fi
CARMEL, INDIANA 46032 P o BOX 242
SHELBYVILLE IN 46176 CHECK NUMBER: 190953
CHECK DATE: 1011312010
DEPART A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 378462 696.96 OTHER MAINT SUPPLIES
INVOICE
.CUSTOMER °NQ. DATE INVUCE NO. PAGE
TM
M A T E R I A L_ S
BR001 09/30/2010 378462 1
The Concrete and Aggregate Experts 0
317 -398 -4485 FAX 317 -398 -2727
13ROOKSHIRE GOLF CLUB
CITY OF CARMEL Send remittance to:
12120 BROOKSHIRE PKWY Shelby Materials
P.O. Box 242
CARMEL, IN 46033 Please attach top part Shelbyville, Indiana 46176
with your remittance. Detach Here
JOB NUMBER LOCATION ADDRESS pt
DATE' PRICE TAX' TOTAL
I QUANTITY UNIT DESCRIPTION UN1T r
000201 GOLF COURSE
PO NUMBER: G -98
09/27 032 452215 23.57 TN TOP DRESSING SAND 21.250 500.86
09/27 032 452215 23.57 TN DELIVERY CHARGE 8.000 188.56
09/27 032 452215 0.94 TN FUEL SURCHARGE 8.000 7.54
JOB TOTAL LINE 696.96
O
t r t J J+
i; f
INVOICE 696.96
i4MOUNT DUE
TERMS: NET 30 DAYS -THERE WILL BE A FINANCE CHARGE OF 2.00% PER MONTH (24 o 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
C.O.D.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 (4Qo) Shelby Supply (Rev. 11106)
r
VOUCHER NO. WARRANT NO.
Shelby Materials ALLOWED 20
IN SUM OF
P.O. Box 242
Shelbyville, IN 46176
$696.96
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 378462 42- 389.00 $696.96 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
Monday, October 11, 2010
Director, Brookshi 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))
09/30/10 378462 Sand $696.96
1 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