210883 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
`. ONE CIVIC SQUARE HARRELL'S CHECK AMOUNT: $2,361.60
CARMEL, INDIANA 46032 P 0 BOX 935358
ATLANTA GA 31193-5358 CHECK NUMBER: 210883
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20706 INV00553455 675 . 00 CHEMICALS
1207 4350400 20706 INVO0553456 1, 686 . 60 CHEMICALS
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DETACH UPPER PORTION AND RETURN WITH PAYMENT
Bob Higgins Net 60 211 BROGOL2 INVO0553456 6/25/2012
12 CHIPSIG Chipco Signature 5.5 lb Bag $140.55000 $1,686.60
REMINDER Any state mand ted NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX/STATE FEES total amount.
Date—]--.-)--
tr
Account
Account#_ . $
I :Account # $
Accou n'. _ $
CA EtF.U'S:cusToiv Emil
:Harrell.a LLC.
see:our N��?if liri�address , ,. .......
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.4. Box 935353 a= .
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Atlarit G 1 w:
a;: A 31 93'5358.^: �.
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 $1,686.60
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 TAX/STATE FEES $.00
per month which is an annual percentage rate of 18%applied to the previous 12120 BROOKSHIRE PARKWAY
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 $1,686.60
incurred if I shall default in the payment hereof.
Page 1 of 1
0001:0002
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DETACH UPPER PORTION AND RETURN WITH PAYMENT
Bob Higgins August 9, 2012 211 BROGOL2 INV00553455 6/25/2012
4 DACACT Daconil Action (Agency) 2.5 Gal $168.75000 $675.00
Syngenta
Syngenta is the seller of this product a d Harrell's,LLC.is Syngenta's agent for the sale of this product. For convenience,make chec s payable to Harrell's,LL 1 and
remit to Hai rell's, LLC P O B Dx 402927,Atlanta, GA 30384.
REMINDER Any state mand ted NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX/STATE FEES total amount.
Date _ Init. ( Lk
Account # o $
Account # $
Account # $
Account # $
ATTEN'I'I4N:HL� .'S�`GUS`I?E3MEItSi
y� Earie].l'' LLC -
y see oetr: V bitlig address:
.,,.,.
P Box 93535$
,
W�
;. A
�Atlant`a; � �1g 58
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 $675.00
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 12120 BROOKSHIRE PARKWAY TAX/STATE FEES $.00
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 8 ' $675.00
incurred if I shall default in the payment hereof.
Page 1 of 1
0002:0002
VOUCHER NO. WARRANT NO.
ALLOWED 20
Harrell's LLC
IN SUM OF $
P.O. Box 935358
Atlanta, GA 31193-5358
$2,361.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACC-F#/TITLE AMOUNT Board Members
20706 INVO0553455 43-504.00 $675.00 1 hereby certify that the attached invoice(s), or
20706 INVO0553456 43-504.00 $1,686.60 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
Monday, July 02, 2012
Director, Brooksh 1 irreyGolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/27/12 INVO0553455 Fertilizer $675.00
06/27/12 I N VO0553456 Fertilizer $1,686.60
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