219760 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 363988 Page 1 of 1
` ONE CIVIC SQUARE THE HILL COMPANY
CARMEL, INDIANA 46032 2776 CIRCLE PORT DRIVE CHECK AMOUNT: $1,030.50
ERLANGER KY 41018-1019 CHECK NUMBER: 219760
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20017 INV36515 1, 030 . 50 CHEMICALS
0> kampany thehfl
2776 CirclePort Drive Date 4/26/2013
Erlanger KY,41018-1019 Invoice# INV36515
859.815.8320
859.815.8322 Fax Terms Net 30
Due Date 5/26/2013
PO#
Sales Rep Greg Lovell
Ship Via
Bill To Ship Date 4/26/2013
Bob Higgins Tracking#
City of Carmel dba Brookshire Golf... Created From Sales Order#SO32808
12120 Brookshire Pkwy
Carmel IN 46033 Ship To
Bob Higgins
City of Carmel dba Brookshire Golf...
12120 Brookshire Pkwy
Carmel IN 46033
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10626 Andersons 24 0 Andersons 22-4-18,93%MUtech 38.25 918.00
220418, (AGC22715)SGN 125-50 lb Bag
MUtech,
SGN 125-
50 lb
9061 TV-23 w/ 3 0 TV-23-with SIN Technology(Surfactant 37.50 112.50
SIN Infused Nitrogen)-2.5 Gal Jug
Technology-
2.5 Gal
PLEASE REFERENCE INVOICE NUMBERS ON PAYMENTS.
Total 1,030.50
1%SERVICE CHARGE PER MONTH WILL BE CHARGED ON ALL OVERDUE ACCOUNTS Amount Due $1,030.50
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))
04/26/13 INV36515 Fertilizer $1,030.50
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
The Hill Company
IN SUM OF $
2776 Circle Port Drive
Erlanger, KY 41018-1019
$1,030.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
111�7 I INV36515 I 43-504.00 I $1,030.50 1 hereby certify that the attached invoice(s), or
01 y7 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, April 29, 2013
Director, Brookshi Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund