164926 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 359498 Page 1 of 1
ONE CIVIC SQUARE SHELBY MATERIALS
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,336.56
P O BOX 242
SHELBYVILLE IN 46176 CHECK NUMBER: 164926
CHECK DATE: 10/1612008
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DEPARTMENT ACCOUNT PO NUMBER INV NUMBER A DESCRIPTION
1 1 150 4235000 333327 1,336.56 BUILDING MATERIAL
INVOICE
CUSTq ER Nfl„ DATE IN1!OICE IUO i PAGE
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"The Concrete and Aggregate Experts'®
BRO01 09/30/2008 333327 1
317 398 4485 FAX 317 398 2727
BROOKSHIRE GOLF CLUB Send remittance to:
CITY OF CARMEL
12120 BROOKSHIRE PKWY S helb
CARMEL IN 46033 Please attach top part Shelbyville, Indiana 46176
with your remittance. Detach Here
ty JB )NIJIVIBER'JOBLOCATION
'DATE° ARICE Y PER, TAX'S `TOTAL
AU
TIC!(ET NO
QUANTITY UNIT �E�I)ESCRIP,TI,QN a UNI.7
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000201 GOLF COURSE
PO NUMBER: G -98
09/22 032 414802 23.65 TN TOP DRESSING SAND 20.500 484.83
09/22 032 414802 23.65 TN DELIVERY CHARGE 7.250 171.46
09/22 032- 414802 2.84 TN FUEL SURCHARGE 7.250 20.58
09/22 032 414804 23.05 TN TOP DRESSING SAND 20.500 472.53
09/22 032 414804 23.05 TN DELIVERY CHARGE 7.250 167.11
09/22 032 414804 2.77 TN FUEL SURCHARGE 7.250 20.05
JOB TOTAL LINE 1336.56
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INVOICE
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MOUNT aUE A ir` 1336.56
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TERMS: NET 30 DAYS•THERE WILL BE A FINANCE CHARGE OF 2.00% PER M y ONTH (24% PER p, T ry
ANNUM) ON ALL ACCOUNTS PAST 30 DAYS. ALL ACCOUNTS, WITHOUT PRIOR APPROVAL,
WHICH HAVE OUTSTANDING BALANCES OVER 90 DAYS, WILL BE TEMPORARILY PLACED ON T s�„•'Y.' a
C.O.D. THE ACCOUNT WILL REMAIN ON q C.O.D. BASIS UNTIL BALANCE IS PAID OR SUITABLE �G
ARRANGEMENTS ARE MADE WITH THE CREDIT DEPARTMENT. ALL ACCOUNTS TURNED
OVER FOR COLLECTION WILL INCUR REASONABLE ATTORNEY FEES AND COURT COSTS TO
BE PAID BY THE PURCHASER WITH PROPER VENUE AS SHELBY COUNTY.
CC750392 TP 00 2606
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
74 CL r S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
d8 33337
Total J3�o
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 -1.5.
20
Clerk- Treasurer