HomeMy WebLinkAbout178780 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 359368 Page 1 of 1
ONE CIVIC SQUARE MIDWEST GOLF TURF CHECK AMOUNT: $126.82
CARMEL, INDIANA 46032 10737 MEDALLION DRIVE SUITE A
CINCINNATI OH 45241 CHECK NUMBER: 178780
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMB I NVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 44616 126.82 EQUIPMENT REPAIRS M
Invoice 44616
x Invoice Date 10/08/09
Midwest Golf and Turf
10737 MEDALLION DRIVE
SUITE A
CINCINNATI, OH 45241 USA
Telephone: 866/514 -TURF
Bill To: Ship To:
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
12100 BROOKSHIRE PARKWAY 12100 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
Customer� a Ship Uia Q Terms.
20 -039 NET 20`DAYS
t a pia
.Purchase Grder_Number Salespersorr Oder Date., ro p, Our Order fJumber
JS 10/06/09 36614
�s
Quantity Sliipped Item Number Unit of Measure Umt Pnce.
..Quantity Ordered o Extendetl'Ptice
Baek Ordered Item Descn r tion, 33'•••••3 „3 Discount” /o Tax .g
2 2 P521749 EA 57.20 114.40
0 ROLLER ANTI SCALP 4" W /PIN N
Shipping Subtotal 12.42
Nontaxable Subtotal 114.40
Taxable Subtotal 0.00
Tax (7.000 0.00
Total Invoice
Customer Original
Page 1
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
l akcJ �12 Purchase Order No.
/Q �J Z aAVZ/ 6z� c�21 /fir; Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0
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.
ALLOWED 20
nn 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
p 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
Si at r
M CJ
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund