212613 09/12/2012 a CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
CARMEL, INDIANA 46032 P 0 BOX 935358 CHECK AMOUNT: $260.10
" ? ATLANTA GA 31193-5358 CHECK NUMBER: 212613
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 INVO0569103 260 . 10 GROUNDS MAINTENANCE
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DETACH UPPER PORTION AND RETURN WITH PAYMENT
e • e II i • e•
Bob Higgins Net 60 211 BROGOL2 INVO0569103 8/28/2012
e
ITEM . '
AMOU
9 883048 18-5-9 50% MethEx, SOP Mini 50 Lb $28.90000 $260.10
Total Fees
Tonnage Inspection Fee 50# $.00
REMINDER Any state mand ted NITROGEN and/or TONNAGE INSPECTION FEES will be included i i the TAX/STATE FEES total amount.
Date q Init. ;
Account # L4 5-o It $
Account # $
Account# $
Account# $
p... x,ATM or4 HAR MS cusTio Rs: t
see out NEW �?Ll�lii�2C�CiTt fi - F1c`l'rrell'S�LL�
P.O �aX 93535
y.
Atlanta, GA ii 8
_.. .A. �. �..:. .3 93-535
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 $260.10
not paid within 30 days from billing date,I agree to pay a finance charge of 1.5% BROOKSHIRE GOLF COURSE TAX/STATE FEES $.��
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 ® $260.10
statement. I further agree to pay attorney's fees and other collection costs
incurred if I shall default in the payment hereof.
Page 1 of 1
0001:0001
VOUCHER NO. WARRANT NO.
ALLOWED 20
Harrell's LLC
IN SUM OF $
P.O. Box 935358
Atlanta, GA 31193-5358
$260.10
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I INVO0569103 I 43-504.00 I $260.10 1 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
Wednesday, September 05, 2012
'A �j 4.1.
Director, Brooks I Golf 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))
08/30/12 I N VO0569103 Fertilizer $260.10
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