HomeMy WebLinkAbout175718 08/06/2009 VENDOR: 361360
CITY OF CARMEL, INDIANA Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
CARMEL, INDIANA 46032 P 0 Box 402927 CHECK AMOUNT: $800.00
ATLANTA GA 30384 -2927 CHECK NUMBER: 175718
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CHECK DATE: 8/612009
DEPART A PO NUMBER INVOIC NUMBE AMO UNT DESCR IPTION
1207 4238900 00347341 800.00 OTHER MAINT SUPPLIES
401WO14394 DETACH UPPER PORTION AND RETURN WITH PAYMENT
D
NET 30 211 BROGOL2 INVO0347341 7/17/2009
CITY' ITEM D I ESCRIPTION UNIT PRICE AMOUNT.
4 FLEET Fleet Soil Penetrant 2.5 Gal Jug $200.00000 $800.00
REMINDER Any state mandated NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX /STATE FEES total amount.
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To sign up, contact us at 800 780 -2774 x2281 or creditar @harrells.com.
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 SUBTOTAL $800.00
Seller retains title to above listed merchandise until fully paid for. If account is
not paid within 30 days from billing date, I agree to pay a finance charge of 1.5% BROOKSHIRE GOLF COURSE
per month which is an annual percentage rate of 18% applied to the previous RIVA CORP TAX/STATE FEES $.00
balance without deducting current payments and/or credits appearing on this 12120 gROOKSHIRE PARKWAY
statement. I further agree to pay attorney's fees and other collection costs $$00.00
incurred if I shall default in the payment hereof. CARMEL, IN 46033 -3314
Page 1 of 1
0001:0001
Prescribed by state Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 1895)
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.
t�� 6 �--q t3 Terms
A HC( GeT(I t&. 36 3 N_ 4Q1(e Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
INV0o31A1 3q Dt 7 r
Total V 6"
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
i O b 4 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
I Z3�1 e-S k re,
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
D1 InWft6 4 1541 3 00 S06. el 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
20 6
Signature
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itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund