HomeMy WebLinkAbout213947 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 359475 Page 1 of 1
ONE CIVIC SQUARE HELENA CHEMICAL CO
t CARMEL, INDIANA 46032 98324 COLLECTION CENTER DR CHECK AMOUNT: $335.40
CHICAGO IL 60693-0983 CHECK NUMBER: 213947
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20708 73666160 335 .40 CHEMICALS
(Liberty Center (IN)) Helena Chemical
3073 S Main St J ® Invoice 73666160
Liberty Center IN 46766
260-694-6926
Invoice Date 10/16/2012
Bill To: CITY OF CARMEL BROOKSHIPE GOLF COURSE Due Date 11/15/2012
12120 BROOKSHIRE PWY Customer ID 3576723
CARMEL, IN 46033
-__ ---- - Salesperson 17090
Shipping Loc. 1
Ship To: 12120 BROOKSHIRE PWY
CARMEL, IN 46033
i Ticket(s) 73653710
I
Quantity Description Unit Price Total $ 'I
12.000 BAG Fert 14-4-14 w/Ammonium Sulfate SOP Minors(50 Lb 27.95 /BAG 335.40
^�e nit. �
-ount # (435oq $
,nt # $
+t $
$
NOTE:By acceptance of the products or services reflected on this invoice,the purchaser agrees to be bound by Amount Due 335.40
all the terms and conditions of sale set forth in this invoice,including those on the reverse side of this invoice.
Remit To: Helena Chemical Company
98324 Collection Center Drive
CHICAGO IL 60693-0983
Recommendation Was Made By or Provided to the Seller. Yes No Invoice 73666160
CITY OF CARMEL BROOKSHIPE GOLF COURSE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Helena Chemical Company
IN SUM OF $
98324 Collection Center Drive
Chicago, IL 60693-0983
$335.40
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20708 I 73666160 I 43-504.00 I $335.40 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
Monday, October 22, 2012
x L
Director, Brookshire' olf 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))
10/16/12 I 73666160 I Fertilizer I $335.40
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