173356 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S CHECK AMOUNT: $186.41
CARMEL, INDIANA 46032 P 0 Box 402927
ATLANTA GA 30384 -2927 CHECK NUMBER: 173356
CHECK DATE: 6/1012009
DEPARTM ACCOUNT PO NUMB INV OICE NUMBER AM OUNT D ESCRIPTI O N
1207 4238900 INVO0333632 186.41 OTHER MAINT SUPPLIES
DETACH UPPER PORTION AND RETURN WITH PAYMENT
M SALE
h I" CUSTOMER NUMBER
Bob Higgins NET 30 211 BROGOL2 INVO0333632 5/13/2009
AQTY ITEM U It RICE AMOUNT,
9 SG18333 ST2000 Aluminum Cup $19.75000 $177.75
8.66 FREIGHT1 Freight Charges $1.00000 $8.66
REMINDER Any state mand ted NITROGEN and /or TONNAGE INSPECTION FEES will be included i 1 the TAX/STATE FEES total amount.
RECEIVED
MAY 2 6 2009
BY:
GO FROM GETTING A STATEMENT TO MAKING A STATEMENT
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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
Seller retains title to above listed merchandise until fully paid for. if account is SUBTOTAL $186.41
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 12120 BROOKSHIRE PARKWAY TAX/STATE FEES
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 $186.41
incurred if I shall default in the payment hereof.
Page 1 of 1
0001:0001
Proscribed'"by slate 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
'S Purchase Order No.
a
Terms
go :5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
:3_2
Total
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.
l ALLOWED 20
//�fAe -5 11- LC IN SUM OF
7
IAA
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
materials or services itemized thereon for
which charge is made were ordered and
received except
20
4 7 161,
c,�atu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund