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205135 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352930 Page 1 of 1 ONE CIVIC SQUARE ADVANCED TURF SOLUTIONS INC CARMEL, INDIANA 46032 12840 FORD DRIVE CHECK AMOUNT: $1,156.00 s FISHERS IN 46038 CHECK NUMBER: 205135 CHECK DATE: 1/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 R4350400 27354 2953820 1,156.00 MISC SUPPLIES ADVANCED TURF SOLUTIONS, INC. r r r o t 12840 FORD DRIVE 410 ADV FISHERS IN 46038 Phone: 317 596 -9600 Fax: 317 842 -1847 I SOLUTION Invoice Bill to: Ship to: CITY OF CARMEL CITY OF CARMEL ADMINISTRATION OFFICE ADMINISTRATION OFFICE 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Invoice date: 12/20/2011 Invoice no.: 2953820 Payment due date: 01/19/2012 (NET 30) Ship date: 12/20/2011 Customer no.: 100525 Purchase Order no: N/A Order date: 12/16/2011 Shipped via: Walk In Order placed by: Quantity Item no. Description Unit Price Extended Price 17 NS10155 -50LB N.S. 27 -2 -2 32.00 544.00 2 PL1001 -EZPK TRUE BLUE EZ PAKS 24 X 5.25 OZ CASE 238.00 476.00 1 HC1076 -JUG QUIK PRO JUG 6.8 LBS 89.00 89.00 1 AN1500 -25LB SNAPSHOT DG 47.00 47.00 Item total: 1,156.00 Sales Tax: 0.00 Shipping: 0.00 Order total: 1,156.00 D Q 0 JAN 4 2012 By 15% RESTOCKING FEE ON ALL RETURNS (MUST HAVE RECEIPT) NO RETURNS ON PRE EMERGENT OR ANY ICE MELT PRODUCTS A SERVICE CHARGE OF 1 1/2% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18 WILL BE ADDED TO ALL PAST DUE BALANCES Please tear off bottom portion and return with your payment Thank You Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 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)) 12/20/11 2953820 $1,156.00 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 N ALLOWED 20 Advanced Turf Solutions, Inc. IN SUM OF 12840 Ford Drive Fishers, IN 46038 $1,156.00 ON ACCOUNT OF APPROPRIATION FOR Administration De artme PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 27354 2953820 43 504.00 $1,156.00 1 hereby certify that the attached invoice(s), or 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 Wednesday, January 04, 2012 Aa Director, Administration' Title Cost distribution ledger classification if claim paid motor vehicle highway fund