160896 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
0 ONE CIVIC SQUARE HARRELL'S
CARMEL, INDIANA 46032 P 0 BOX 402927 CHECK AMOUNT: $2,300.80
ATLANTA GA 30384 -2927 CHECK NUMBER: 160896
CHECK DATE: 6/2512008
DEPARTME ACCOUNT PO NUM INVO NUMBER AMOUNT DESCRIP
905 4238900 INVO0275346 2,300.80 OTHER MAINT SUPPLIES
(F
I
Ha p� SEEDS FERTILIZER CHEMICALS
S 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
12120 BROOKSHIRE PARKWAY, I NVOICES
CARMEL, IN 46033 -3314 Inv.#
INV00275346
Inv. Date Page
5/29/2008 1
Bill To. BROOKSHIRE GOLF COURSE oust Salesperson
BROGOL2 211
12120 BROOKSHIRE PARKWAY P.O. Number Master
CARMEL, IN 46033 -3314 OIWO11475 22136
Payment Terms Ship Date
NET 30 5/27/2008
r m
r e ,f
item
L'. critian _Orde ed Shipped B/0 Urst� r c ExPr -sc_
F
CHIPSIG Chipco Signature 5.5 lb Bag 16 16 0.0000 $132.55000 $2,120.80
PROVAU Provaunt 10 Ounce 2 2 0.0000 $90.00000 $180.00
Cam" e
TERIVIS�& CONDITIONS Subtotal $2,300.80
Misc $0.00
Seller retains tole to above'hsted merchandise until full aid for ff account is not
a�d$w� hen 30 da from bilhn date a reepioa atfinance char e of 15% er
p y g g p�y g p Tax /State Fees $0.00
month which is an annual ;percentage rate:6 f 18Vapplied to the previous balanced
Freight $0.00
w,�thout deducting current payments andloracredrts appearing on tlns'8statement I'
further agree to pay�attorney s fees and other collecriomcosts incurred rfI shall Trade Discount $0.00
Total $2,300.80
Original Invoice
LAKELAND, FL NORWAY, SC SYLACAUGA, AL SHIP TI
P.O. BOX 807 P0. BOX 400 P.O. BOX 187
LAKELAND, FL 33802 NORWAY, SC 29113 SYLACAUGA, AL 35150 PAG E
(863) 687 -2774 (803) 263 -4201 (256) 245-5559
7 (800)282-
8007 FAX (803) 263 -4200 (866) 245 -5559 TOLL FREE
FrofessiomlFertiiizerSolutions FAX (863) 66888836 FAX (256) 245 -8689 my�
O D D �r D'U�uwv�N
TRUCK SPREADER
1 TRAILER
SOLD T0: SHIP TO:
BROOK GOLF COURSE BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PAMMY 12120 BROOKSHIRE PARKWAY
CARM IM 46033 -3314 CREML, 10 46033 -3314
t
Warehouse: ZOBLESVILL
0-
COUNTY R.P. LICENSE EXPIRATION DATE
1°�U j o• o o o °U aU
CHIPSM 16 Chlpcc Signature 5.5 lb Bag 6
PROVA pr ®vausage 10 ounce .0
S alesperson: 211 a C Ay Smith
ne
7
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1 A ---j
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1
!_____...5
e
TERMS AND CONDITIONS: Seller retains title to above listed merchandise until fully paid for. If account is not paid within 30 days from monthly billing date 1 agree to pay a finance charge of 11/2% per month which is an
annual percentage rate of 18% applied to the previous balance without deducting current payments and /or credits appearing on this statement. I further agree to pay attorney's fees and other collection cost incurred it I
shall default in the payment hereof.
FOR HELP IN CHEMICAL EMERGENCIES INVOLVING SPILL, LEAK, FIRE OR EXPOSURE CALL TOLL FREE 1-800-424-9300 DAY OR NIGHT.
This is to certify that the above named materials are properly classified, described, MSDS SHEETS ARE 7 packa ged, marked and labeled and are in proper condition for transportation according to the applicable regulations of the Department of Transportation. AVAILABLE UPON REQUEST D R CARRIER
RECEIVED BY DELIVERED BY
CUSTOMER
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
S ei� 2 3 0 D
Total C�,
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
7
ON ACCOUNT OF APPROPRIATION FOR
9os 6
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. 4 I hereby certify that the attached invoice(s), or
L7S Doa 7S3 .3'� 3UU 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 UY
Si ture
C Title
ost distribution ledger classification if
claim paid motor vehicle highway fund