205782 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350801 Page 1 of 1
t' ONE CIVIC SQUARE AUTOMATIC IRRIGATION SUPPLY CO
o CARMEL, INDIANA 46032 116 SHAWDOWLAWN DRIVE CHECK AMOUNT: $2,650.00
FISHERS IN 46038 -2431
CHECK NUMBER: 205782
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 2023101 -IN 2,650.00 OTHER CONT SERVICES
Invoice Page: 1
116 Shadowlawn Drive Invoice Number: 2023101 -IN
Fishers, IN 46038 -2431 Invoice Date: 1/16/2012
(317) 842 -3123
(800) 842 -3911
AUTOMATIC IRRIGATION Fax (317) 845 -0977 Order Number: 2023101
SUPPLY C O M P A N Y Order Date 1/16/2012
Salesperson: GOLF
PLEASE REMIT TO OUR FISHERS ADDRESS Customer Number: 09- 0002055
Ilion
BROOKSHIRE /CITY OF CARMEL BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46032 CARMEL, IN 46032
Confirm To:
BOB HIGGINS
I
30 DAYS NET
Ship Item Number
/SPLAN GSP SERVICE PLAN 1 YEAR 2,650.00
ANNUAL BILLING
Net Invoice: 2,650.00
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
You May Deduct $0.00 If Paid by 1/16/2012 Invoice Total: 2,650.00
C 4 INDIANA RETAIL TAX EXEMPT PAGE
o C arine l CERTIFICATE NO. 003120155 002 0
Jl li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �d 7o
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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QUANTITY F MEASUR E DESCRIPTION UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1007 j�j C� x (06 PAYMENT Y k
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
CIo C NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. iJ
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY v -1- f 4 5
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE lP f 1'1. �1 "j, M f e
ENDATORY THEREOF AND SUPPLEMENT THERETO.
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