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192368 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352930 Page 1 of 1 ONE CIVIC SQUARE ADVANCED TURF SOLUTIONS INC 0 CHECK AMOUNT: $92.00 CARMEL, INDIANA 46032 12840 FORD DRIVE FISHERS IN 46038 CHECK NUMBER: 192368 CHECK DATE: 12/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 2531550 92.00 OTHER MAINT SUPPLIES ADVANCED TURF SOLUTIONS, INC. r r q 1 12840 FORD DRIVE r FISHERS IN 46038 AN VICED Phone: 317 -596 -9600 Fax: 317 842 -1847 SOLUTIONS Invoice Bill to: Ship to: CITY OF CARMEL CITY OF CARMEL ADMINISTRATION OFFICE STREET DEPT. 1 CIVIC SQUARE 3400 W. 131 ST. STREET CARMEL IN 46032 CARMEL IN 46074 Invoice date: 11/22/2010 Invoice no.: 2531550 Payment due date: 12/22/2010 (NET 30) Ship date: 11/22/2010 Customer no.: 100525 Purchase Order no: N/A Order date: 11/1812010 Shipped via: Walk In Order placed by: Quantity Item no. Description Unit Price Extended Price 1 HC1068 -2.5GL TRANSFILM 2.5 GAL 92.00 92.00 Item total: 92.00 Sales Tax: 0.00 Shipping: 0.00 Order total: 92.00 15% RESTOCKING FEE ON ALL RETURNS (MUST HAVE RECEIPT) NO RETURNS ON PRE EMERGENT OR ANY ICE MELT PRODUCTS A SERVICE CHARGE OF 1 112% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18 WILL BE ADDED TO ALL PAST DUE BALANCES Please tear off bottom portion and return wit your payment Y Invoice date:1 1/22/2010 Invoice no.: 2531550 Payment due date: 12122/2010 (NET 30) Ship date: 11/22/2010 Customer no.: 100525 Purchase Order no: N/A Please remit payment to: Item total: 92.00 ADVANCED TURF SOLUTIONS, INC. Sales Tax: 0.00 12840 FORD DRIVE Shipping: 0.00 FISHERS IN 46038 Order total: 92.00 VOUCHER NO. WARRANT N Advanced Turf Solutions ALLOWED 20 IN SUM OF 12840 Ford Drive Fishers, IN 46038 $92.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 2531550 42- 389.00 $92.00 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 Thursda December 02, 2010 All I y' r A A v St��teetorr�missioner 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)) 11/22110 2531550 $92.00 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 20 Clerk- Treasurer