167259 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00350837 Page 1 of 1
`c O ONE CIVIC SQUARE ATLAS RESTAURANT SUPPLY
CHECK AMOUNT: $1,284.14
CARMEL, INDIANA 46032 Po Box 4075
SOUTH BEND IN 46634 -4075 CHECK NUMBER: 167259
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4350100 .713937 1,284.14 BUILDING REPAIRS MA
ME 52245 STATE RD. 933 NORTH 2244 S. DIVISION PLEASE REMIT TO
SOUTH BEND, IN 46637 GRAND RAPIDS, MI 49507
(574) 272 -3343 1- 800 -552 -ATLAS (616) 248 -2888 1 -800- 492 8527 ATLAS RESTAURANT SUPPLY 7 337
RESTAURANT SUPPLY P.O. BOX 4075
3329 N. SHADELAND AVE. 929 N. COLISEUM SOUTH BEND, IN 46634 4075
INDIANAPOLIS, IN 46226 FORT WAYNE, IN 46805 1
FOOD SERVICE EQUIPMENT SUPPLIES (317) 541 -1111 1 800 333 2001 (260) 467 1788. 1 866 467 1788
1`/.10/08
20G230 ..01
CITY OF CARMEL d ba BROOKSH I RE GOLF, CLUB
BROOKSHIRE GOLF CLUB 12120 BROOKSHIRF PARKWAY
I C I V I'C SQUARE CARMEL I N 4ta 33 r
CARMEL:, IN 60.:,'
REFERENCE NUMBER SHIP SALESPERSON TERMS TAX C ODE
PO #BROOKSHIRE. 1.2/10/08 20 JULI FENNE NET 30'. IG 360191Z 0 GREPAII' DROP SHIP,'
ITEM DESCRIPTION,
WL -1 1 S I NIGLE TIER LOCKER 6.1 00 01 G: O02 u 00Q Er 1680 1 E 1009. 1
SERVICES 'FREIGHT `DIRECT 1.000 1.00 OOIZ Er- 275.0 EP 270. IZIIZ
MERCHANDISE MISCELLANE
SECURITY AGRGEMAl T. Purchaser hereby grants and conveys to Seller a
security interfA in the goods described above and their proceeds pursuant to the y
terms and conditions contained on the reverse side of this document. u`"
DATE Company: 12840 14 0 QIIZ 0 .1.8 1�
x:
By:— t' CUSTOMER COPY"'.
Signature Title
EXCLUSION OF WARRANTIES. THE PURCHASER AND SELLER AGREE THAT THE IMPLIED
WARRANTff ES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR LAR P UIIRIPOS E AND
ALL OTHER WARRANTIES EXPRESS OR IMPLIED, ARE EXCLUDED FROM TIHIIIS TRANSA(.-
TION AND SHALL NOT APPLY TO THE GOODS SOLD, PROVIDED HOWEVER, WIEVER, THAT THIS
EXCLUSION OF WARRANTIES APPILIIIES ONLY TO SELLER AND THAT THE GOODS
SOLD-
PURSUANT TO THIS TRANSACITIION BRIE OR MAY BE SUBJECT- TO T'HIE WyA1RIIRANTTIES,
EXPRESS OR IMPLIED, GIVEN BY THE MANUFACTURER THEREOF.
Purchaser agrees to purchase the above described goods and to pay Atlas' Restaurant S I (Seller) the
total price stated. herein for the above described goods, including_ sales: tax, in accordance with the Sale Terms.
Sale Teims'are net cash seven (7) after delivery, with intdrest at the rate df One -and one half per
cent (l per month, on the unpaid total price, cornmencing seven (7) days delivery of the described goods
for each month or portion thereof during which an outstanding balance of the total price remains. Purchaser
assumes all, risk of damages or destruction to the goods upon delivery. Purchaser agrees to pay Seller's rea-
sonable attorney's fees and costs of collection of any amount not-paid when due. Purchaser agrees that no
return of the goods sold hereunder may be made to Seller without express written approval of Seller and that
Seller may charge a reasonable stocking fee for all goods so returned.
SECURITY AGREEMENT. Purchaser hereby grants and conveys to Seller a security .interest in and to the
described goods, and in and to the proceeds thereon, to secure the: payment of Purchaser for the goods sold
hereunder. Purchaser authorizes Seller to execute on its behalf and file any f:inancin4 statements deemed nec-
essary by Seller to perfect its security interest in said goods. Purchaser warrants that the goods will be main-
tained in good condition and repair. The failure to pay` when due of,any ainount.payable here under shall con
stitute a default under this agreement. Upon default, Seller have a.nd may .exercise all the rights and remedies
of :.a secured part under the Uniform Commercial Code or any other,upplicable law.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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.
�0e Terms
�'UL(TH 80 -0 2TJ Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I;zh a a 353 2 8/, 19
Total 9 34
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
-,PO 7S
-A6 LN Yo 21
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
1 5 igna
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund