180443 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
CARMEL, INDIANA 46032 P 0 BOX 402927 CHECK AMOUNT: $580.38
ATLANTA 0A 30334 -2927
CHECK NUMBER: 180443
CHECK DATE: 12/16/2009
f1 F-PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 IVN00354135 600.00 OTHER MAINT SUPPLIES
1207 4238900 PYXLB502369 -19.62 OTHER MAINT SUPPLIES
Credit
Harre
Custom Fetti/izers Worldwide
INVOICE NO:PYXLB000000502369
P. 0. Box 807 DATE: June 9, 2008
Lakeland, FL 33802
863 687 -2774 Fax 863 688 -8836
To Brookshire Golf Course Ship To:
12120 Brookshire Parkway
Attn: Pam
Carmel, IN 46003
SALESPERSON P.O. NUMBER DATE SHIPPED CUSTOMER F.O.B. POINT TERMS
11 BROGOL2 Credit
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Check 159905 rec'd 619!09 299.57
Payment Applied to INVO0267309A 279.95
Discription- INVO0267309 was rebilled tax exempt
SUBTOTAL
Tax
Total/ Due -19.62
H /`/'il°i� J a SEEDS FERTILIZER CHEMICALS
`t P.O. Box 402927
CustomFertihz— Wor/dmde Atlanta, GA 30384 -2927
(863) 687 -2774 FAX (863) 904 -1545
W.A.T.S (800) 282 -8007
Ship To BROOKSHIRE GOLF COURSE'
12120 BROOKSHIRE PARKWAY
3.:INV ICE a
CARMEL, IN 46033 -3314 Inv.#
INV00354135
Inv. Date Page
8/25/2009 1 Of I
Bill To: BROOKSHIRE GOLF COURSE p
Cust Sales
BROGOL2 211
12120 BROOKSHIRE PARKWAY P.O. Number Master#
CARMEL, .IN 46033 -3314 Bob Higgins 109961
Payment Terms Ship Date
NET 30 8/21/2009
Itemi# Dcscrtptton Ot dei ed Sittpped E B/O LImt Prrce aExtPrtce�
g �rz s. i .a Ji.
.Wea`k ffim a
n-
FLEET Fleet Soil Penetrant 2.5 Gal .fug 3 3 0.0000 $200.00000 $600.00
REMINDER: Any state mandated NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX /STATE
FEES total amount.
O subtotal $600.00
T TERMS
j e 3 e r
Mise $0.00
Setter retains tnlerto above listed merchandise untr! tullyapatd For It account rs not' t
p d ithin 30 daysfrom hill tits g,date[agr�ee to pay aEGpeecrge o€ IS%o er a Tax/State Fees $0.00
month which is an annual percentage rate ot�18 %applied to the h previous�balance
I
Freight $0.00
���ti�hout dc�uchng current payments and/or credits appearing on this statementI
further agreeto pay attorney s tees and other collection costs me urred rf t shol3,3 Trade Discount $0.00
Total $600.00
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
5- 11 s Purchase Order No.
�6°� 4 2 Terms
2 96 9.2 -7 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a �r
0 sva3� en.� Sr�l�s 7
Total 5�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 -1.6.
20
Clerk- Treasurer
(VOUCHER NO. WARRANT NO.
ALLOWED 20
W SUM OF
�Q. SY
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
vx&30110Z� 399 -0?� l/9• materials or services itemized thereon for
S'o a369 which charge is made were ordered and
received except
20
Si g y n��tu rw
�;i1 /S V
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund