211311 07/31/2012 *f CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
CARMEL, INDIANA 46032 P O BOX 935358 CHECK AMOUNT: $2,361.60
ATLANTA GA 31193-5358 CHECK NUMBER: 211311
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20706 INVO0559323 675 . 00 CHEMICALS
1207 4350400 20706 INVO0559324 1, 686 . 60 CHEMICALS
DETACH UPPER PORTION AND RETURN WITH PAYMENT
• • • INVIDICE'NUMBER SHIP DATE
Bob Higgins September 9,2012 1 21 1 BROGOL2 INV00559323 7/18/2012
QTY ITEM DESCRIPTION .UNIT PRICE AMOUNT,--,-
4 DACACT Daconil Action (Agency) 2.5 Gal $168.75000 $675.00
Syngenta
Syngenta is the seller of this product aid Harrell's,LLC.is Syngenta's agent for the sale of this product. For convenience,make chec s payable to Harrell's,LL:;.and
remit to Hai rell's, LLC PO B x 402927,Atlanta, GA 30384.
REMINDER Any state mand ted NITROGEN and/or TONNAGE INSPECTION FEES will be included i i the TAX/STATE F ES total amount.
Date_3
Account # Lk) , q $
Account # (Z'
w
Account#
Account # $
ATTENTION HARREU S cusmMERS:"
n
see urNEW billing adders Harrell'S LLC
i� fey P.O. Box 935358. . d
.. Atlanta, GA:31193-5358
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
Seller retains title to above listed merchandise until fully paid for. If account is SUBTOTAL $675.00
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 $675.00
incurred if I shall default in the payment hereof.
Page 1 of 1
0001:0002
DETACH UPPER PORTION AND RETURN WITH PAYMENT
• • • • .•
Bob Higgins Net 60 1 211 BROGOL2 IN700559324 1 7/18/2012
12 CHIPSIG Chipco Signature 5.5 lb Bag $140.55000 $1,686.60
REMINDER Any state mand 3ted NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX/STATE FEES total amount.
Date �D Init.
Account # q3 s� g
Account #
Account #
Account#
- 4 ye r 'A1'i�i�'IION' 'S cusTOMERS ,
' 0 ec our=NEW billing,address Harrell's LLC
v,ee P.O.Box 935358
n .: Atlanta, GA 3193-5358 %
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
Seller retains title to above listed merchandise until fully paid for. If account is SUBTOTAL $1,686.60
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 • ` $1,686.60
incurred if I shall default in the payment hereof.
0002:0002 Page 1 of 1
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))
07/20/12 INVO0559323 Fertilizer $675.00
07/20/12 INVO0559324 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
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. ACCT#/TITLE AMOUNT Board Members
20706 INVO0559323 43-504.00 $675.00 1 hereby certify that the attached invoice(s), or
20706 INVO0559324 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
Friday, July 27, 2012
Director, Brookshire If Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund