HomeMy WebLinkAbout178861 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 359498 Page 1 of 1
t' ONE CIVIC SQUARE SHELBY MATERIALS
CHECK AMOUNT: $1,336.57
GARMEL, INDIANA 46032 P o eox 242
SHELBYVILLE IN 46176 CHECK NUMBER: 178861
CHECK DATE: 10/28/2009
.i
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 355559 1,336.57 OTHER MAINT SUPPLIES
INVOICE
CUSTOMER NO DATE INVOICE NO. PAGE,
TM
M A T E F[ I A L S
"'he Concrete and Aggregate Experts '0 BROO 1 09/30/2009 3 5 5 5 5 9 1
317 398 -4485 FAX 317 398 -2727
BROOKSHI RE GOLF CLUB Send remittance to:
CITY OF CARMEL
12120 BROOKSHIRE PKWY Shelby Materials
P.O. Box 242
CARMEL, IN 46033 Please attach top part Shelbyville, Indiana 46176
with your remittance. Detach Here
JOB NUMBER JOB LOCATION ADDRESS PER
DATE PRICE TAX TOTAL
TICKET NO. QUANTITY UNIT DESCRIPTION UNIT;
000201 GOLF COURSE
PO NUMBER: G--98
09/24 032 435669 23.15 TN TOP DRESSING SAND 21.250 491.94
09/24 032 435669 23.15 TN DELIVERY CHARGE 8.000 185.20
09/24 032 435669 0.93 TN FUEL, SURCHARGE 8.000 7.41
09/24 032 435689 22.05 TN TOP DRESSING SAND 21.250 468.56
09/24 032 435689 22.05 TN DELIVERY CHARGE 8.000 176.40
09/24 032 435689 0.88 TN FUEL SURCHARGE 8.000 7.06
JOB TOTAL LINE 1336.57
4
INVOICE 1336.57
AMOUNT DUE
TERMS: NET 30 DAYS -THERE WILL BE A FINANCE CHARGE OF 2.00% PER MONTH (P4% PER
ANNUM) ON ALL ACCOUNTS PAST 30 DAYS. ALL ACCOUNTS, WITHOUT PRIOR APPROVAL,
WHICH HAVE OUTSTANDING BALANCES OVER 90 DAYS, WILL BE TEMPORARILY PLACED ON
C.OD.THE ACCOUNT WILL REMAIN ON A C.O.D. BASIS UNTIL BALANCE IS PAID OR SUITABLE
ARRANGEMENTS ARE MADE WITH THE CREDIT DEPARTMENT ALL ACCOUNTS TURNED
OVER FOR COLLECTION WILL INCUR REASONABLE ATTORNEY FEES AND COURT COSTSTO
BE PAID BY THE PURCHASER WITH PROPER VENUE AS SHELBY COUNTY.
CC750392(4tu Shelby Supply (Rev. 11/
Prescribed by Slate 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
Purchase Order No.
Terms
`Z I &I2& Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4 1921,.S7
Total "7
1 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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1-16 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
1 20 6)q
i natu
v
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund