163395 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 359498 Page 1 of 1
ONE CIVIC SQUARE SHELBY MATERIALS CHECK AMOUNT: $672.00
CARMEL, INDIANA 46032 P o Box 242
.o: SHELBYVILLE IN 46176 CHECK NUMBER: 163395
CHECK DATE: 9/3/2008
DEPARTMENT A PO NUMBER I NVOICE NUM A MOU N T DESCRIPTION
1150 4238900 328333 i 672.00 OTHER MAINT SUPPLIES
INVOICE
CU' OMER NO` DATE INVOiCE'NO a� 0 P
T Ghs Cfiy 3s
N1 A T E R 1 A IL S
"The Concrete and Aggregate Experts BRO01 07/31/2008 3 2 8 3 3 3 1
317- 398 -4485 FAX 317 -398 -2727
BROOKSHIRE GOLF CLUB
Send remittance to:
f CITY OF CARMEL
12120 BROOKSHIRE PKWY S helby P.O. Box
CARMEL IN 46033 Please attach top part Shelbyville, Indiana 46176
with your remittance. Detach Here
,c .JC)BaN0MBER JqB L0CATI0,N, 7ADDRESS r
A
,DATE` W P,FilOE TAXI q} TOTL;
"TICKETNOt :.t QUWNT.ITY' DESCRIPTIO(V r Via.
-dr.4 ,z.,�J�w�s dam. a_.��. H:. ;�e
000201 GOLF COURSE
PO NUMBER: G -98
07 /23 032 410543 23.4 TN T DRESSING SAND 20.500 481.34
7
0 Y /23 032 410 43, G 7 .48 T 7 LliL1 V CHA AGE 7.250
1
07/23 032- 410543 2.82 TN FUEL SURCHARGE 12% 7.250 20.43
JOB TOTAL LINE 672.00
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a INVOICE- 67-2.00
AMOUNT pIJE
TERMS: NET 30 DAYS -THERE WILL BE A FINANCE CHARGE OF 2.00% PER MONTH (24% PER
ANNUM} ON ALL ACCOUNTS PAST 30 DAYS. ALL ACCOUNTS, WITHOUT PRIOR APPROVAL,
WHICH HAVE OUTSTANDING BALANCES OVER 90 DAYS, WILL BE TEMPORARILY PLACED ON7 G x 'a•9 c'' i
C.O.D. THE ACCOUNT WILL REMAIN ON A G.O.D. BASIS UNTIL BALANCE IS PAID OR SUITABLE
ARRANGEMENT$ 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 (4101) TP 00 2806
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (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
LI Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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