167349 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
_ONE CIVIC SQUARE HARRELL'S
0 CHECK AMOUNT: $3,000.00
CARMEL, INDIANA 46032 P o aox 402927
ATLANTA GA 30384 -2927 CHECK NUMBER: 167349
CHECK DATE: 12/23/2008
DE PARTMENT ACC OUNT PO NUMBER INVOICE N UMBER AM OUNT DESCRIPT
1150 4350400 00310425 3,000.00 GROUNDS MAINTENANCE
r -f
arrelft SEEDS FERTILIZER CHEMICALS
P.O. Box 402927
Custom Fertilizers Worldwide Atlanta, GA 30384 2927
(863) 687 -2774 FAX (863) 904 -1545
W.A.T.S (800) 282 -8007
Ship To: BROOKSHIRE GOLF COURSE
"!f ICE w
12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 -3314 Inv.
INV00310425
Inv. Date Page
12/11/2008 1
Bill T BROOKSHIRE GOLF COURSE
Cost Salesperson
BROGOL2 211
12120 BROOKSHIRE PARKWAY P.O. Number Master#
CARMEL, IN 46033 -3314 Bob Higgins 62242
Payment Terms Ship Date
May 1, 2009 4/6/2009
a �r� N ti ,N•� a t v �av a...., ��.5. w�a�et ,>�!,�.�:a�s�`a'.= ,k� ..,.�..'..»3 �.h ns r'S�.?a
CHIPSIG Chipco Signature 5.5 lb Bag 24 24 0.0000 $125.00000 $3,000.00
REMINDER: Any state mandated NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX /STATE
FEES total amount.
t'
01
TERMSa &rCON ID T Su� Subtotal $3,000.00
i to w>ir,�sx'� a N k Mlsc $0.00
Seller retains title to above fisted merchandise until fully paid for Ifaaccount is not
aid within 30da s from bill n date I a ee to a a`6narice char e of I5 Tax/State Fees $0.00
p y e 4 gz p: g p
month`wl%ch �s an annual peicentage,rdte of 18%,applted,to the prev i ous balance
without deductm current a ents and/or credits appeanng;on tatement I Freight $0.00
further agree to pay attorney s fees,and other collecuoncosts incurred if I`shall� Trade Discount $0.00
Ult. m the payment xf
�rre` .»_,,s.«xz:.x�xai+3.�'"��' ».wa..w..,ad.:�`'. fi��� z �.�xa,...�.��
Total —$3;000X0
Original Invoice
Prescribed by State Board of Accounts 1 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.
r
13 40.2 f 1 7 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1x1h Id W104115 00
Total .6T
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
36a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT. -TITLE AMOUNT
DEPT. i I hereby certify that the attached invoice(s), or
30w,o 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
Ig 7,0
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund