HomeMy WebLinkAbout200463 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S CHECK AMOUNT: $150.00
1y� t CARMEL, INDIANA 46032 P o BOX 402927
ATLANTA GA 30384 -2927 CHECK NUMBER: 200463
CHECK DATE: 8117/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20697 00483674 150.00 CHEMICALS -GOLF COURSE
DETACH UPPER PORTION AND RETURN WITH PAYMENT
:Bob ;Higgins September 6, 2011 211 BROGOL2 INVO0483674 7/26/2011
3 ACl2 Tenacity Herbicide 8oz Bottle (Agency) No NY $50.00000 $150.00
REMINDER Any state mand ted NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX /STATE FEES total amount.
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Invoices Sales History Delivery Info
Harrell's LLC, PO Box 807, Lakeland, FL 33802, 1- 800 -780 -2774 x 2281.
SHIPPING ADDRESS
TERMS AND CONDITIONS Ship -to Acct Number: BROGOL2 SUBTOTAL $150.00
Seller retains title to above listed merchandise until fully paid for. If account is
not paid within 30 days from billing date, I agree to pay a finance charge of 1,5% BROOKSHIRE GOLF COURSE TAX/STATE FEES $.00
per month which is an annual percentage rate of 18% applied to the previous 12120 BROOKSHIRE PARKWAY
balance without deducting current payments and /or credits appearing on this CARMEL, IN 46033 -3314 11121111M $150.00
statement. I further agree to pay attorney's fees and other collection costs
incurred if 1 shall default in the payment hereof.
Page 1 of 1
0001:0001
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rey. 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.
L✓ 7 n� Terms
a�'J Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a 7
Total
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
1 zze,;
o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
J Sad- 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
kjS 20 ,r
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund