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214540 11/19/2012 CITY OF CARMEL, INDIANA VENDOR: 00352930 Page 1 of 1 ONE CIVIC SQUARE ADVANCED TURF SOLUTIONS INC a CARMEL, INDIANA 46032 12840 FORD DRIVE CHECK AMOUNT: $547.00 FISHERS IN 46038 CHECK NUMBER: 214540 CHECK DATE: 11119/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350400 20705 3366990 547. 00 CHEMICALS ADVANCED TURF SOLUTIONS, INC. 12840 FORD DRIVE I FISHERS IN 46038 Phone:317-596-9600 Fax:317-842-1847 TURF SOLUTIONS Invoice Bill to: Ship to: BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE 12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY Carmel IN 46032 Carmel IN 46032 Invoice date: 11/15/2012 Invoice no.: 3366990 Payment due date: 12/15/2012 (NET 30) Ship date: 11/15/2012 Customer no.: 102604 Purchase Order no: N/A -Order-date-1-1/43/201-2- - Shipped via:TRUCK. - - Order placed-by: Quantity Item no. Description Unit Price Extended Price 15 NS1012-50LB N.S. 12-2-6 FINE 35.40 531.00 Item total: 531.00 Sales Tax: 0.00 Shipping: 16.00 Order total: 547.00 15%RESTOCKING FEE ON ALL RETURNS(MUST HAVE RECEIPT) NO RETURNS ON PRE-EMERGENT OR ANY ICE MELT PRODUCTS A SERVICE CHARGE OF 1 1/2%PER MONTH,WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%,WILL BE ADDED TO ALL PAST DUE BALANCES `� , tiHn _rfinn and refr.rat�:c `» �:ae Tryank Yn�x me.�:u�.:rr� o �«,c..►:3� VOUCHER NO. WARRANT NO. ALLOWED 20 Advanced Turf Solutions, Inc. IN SUM OF $ 12840 Ford Drive Fishers, IN 46038 $547.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20705 I 3366990 I 43-504.00 I $547.00 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, November 19, 2012 Director, Br o shire 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)) 11/15/12 3366990 Fertilizer $547.00 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