214943 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00352930 Page 1 of 1
ONE CIVIC SQUARE ADVANCED TURF SOLUTIONS INC CHECK AMOUNT: $1,064.00
CARMEL, INDIANA 46032 12840 FORD DRIVE
FISHERS IN 46038 CHECK NUMBER: 214943
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20705 371080 1, 064 . 00 CHEMICALS
ADVANCED TURF SOLUTIONS, INC. ffl1
12840 FORD DRIVE A )FISHERS IN 46038 s -
CED
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: 11/19/2012 Invoice no.: 3371080 Payment due date: 12/19/2012 (NET 30)
Ship date: 11/1912012 Customer no.: 102604 Purchase Order no: N/A
.--Order-date: 1-111912012 Shipped via:Alex.Cannon - --Order placed-by: - - - - —
Quantity Item no. Description Unit Price Extended Price
2 FS10171-CS ARMORTECH CLT 825 DF (4X10#) 232.00 464.00
4 GP1002-2.5GL ARMORTECH IP 233 148.00 592.00
Item total: 1,056.00
Sales Tax: 0.00
Shipping: 8.00
Order total: 1,064.00
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
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))
11/19/12 3371080 Fertilizer $1,064.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Advanced Turf Solutions, Inc.
IN SUM OF $
12840 Ford Drive
Fishers, IN 46038
$1,064.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
20705 I 3371080 I 42-389.00 I $1,064.00 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
Tuesday, November 27, 2012
,�c✓ /A 9
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund