HomeMy WebLinkAbout202142 09/27/2011 C" OF CARMEL, ,INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S CHECK AMOUNT: $265.00
CARMEL, INDIANA 46032 P o BOX 402927
ATLANTA GA 30384 -2927 CHECK NUMBER: 202142
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20697 INVO0493232 265.00 CHEMICALS -GOLF COURSE
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DETACH UPPER PORTION AND RETURN WITH PAYMENT
Bob Higgins I Net 60 211 BROGOL2 INVO0493232 9/7/2011
QTY 'ITEM D9SCRIPTi6N
10 883048 18 -5 -9 50% MethEx, SOP Mini 50 Lb $26.50000 $265.00
Total Fees
Tonnage Inspection Fee 50# $.00
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REMINDER Any state mandated NITROGEN and /or TONNAGE INSPECTION FEES will be included in the TAX/STATE FE-ES total amount.
PQ P r9
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
Seller retains title to above listed merchandise until fully paid for. If account is SUBTOTAL $265.00
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
statement. I further agree to pay attorney's fees and other collection costs $265.00
incurred if I shall default in the payment hereof.
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0001:0001
VOUCHER NO. WARRANT N
ALLOWED 20
Harrell's LLC
IN SUM OF
P.O. Box 402927
Atlanta, GA 30384 -4526
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
20697 INV00493232 43- 504.00 $265.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, September 14, 2011
A d,
Director, Brooksh a Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199E
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/09/11 I NVO0493232 $265.0
1 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