HomeMy WebLinkAbout219964 05/08/2013 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
;f CARMEL, INDIANA 46032 P 0 BOX 935358 CHECK AMOUNT: $1,621.73
L roe i� ATLANTA GA 31193-5358 CHECK NUMBER: 219964
CHECK DATE: 518/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20024 CREDIT12991 -64 . 87 CHEMICALS
1207 4350400 20024 INVO0583751 1, 686 . 60 CHEMICALS
~ DETACH UPPER PORTION AND RETURN WITH PAYMENT
• e e
Bob Higgins May 15, 2013 211 BROGOL2 INv083751 11/12/2012
05
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12 CHIPSIG Chipco Signature 5.5 lb Bag $140.55000 $1,686.60
REMINDER Any state mand ted NITROGEN and/or TONNAGE INSPECTION FEES will be included in the TAX/STATE FEES total amount.
Date f (- 8 Init.
Account # 1431-6 $
Account # $
Account # $
Account# $
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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 $1,686.60
not paid within 30 days from billing date,I agree to pay a finance charge of 1.5% BROOKSHIRE GOLF COURSE TAX/STATE FEES $.00
per month which is an annual percentage rate of 18%applied to the previous 12120 BROOKSHIRE PARKWAY
balance without deducting current payments andlor credits appearing on this CARMEL,IN 46033-3314
statement. I further agree to,pay attorney's fees and other collection costs $1,686.60
incurred if I shall default in the payment hereof.
Page 1 of 1
0001:0002
HarrmU\yLLC
PO Box 007
Lmbm|andFL 33802
Customer:
BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PARKWAY
CARMEL IN 46033-3314
Description: Amount
1%Oct 2012 EOP Rebate $64.87
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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))
10/31/12 INVO0583751 Fertilizer $1,686.60
01/30/13 REDT000000O129 Fertilizer ($64.87)
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
Harrell's LLC
IN SUM OF $
P.O. Box 935358
Atlanta, GA 31193-5358
$1,621.73
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20024 INVO0583751 43-504.00 $1,686.60 1 hereby certify that the attached invoice(s), or
20024 CREDT0000000 43-504.00 ($64.87) bill(s) is (are) true and correct and that the
1"Mal materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 01, 2013
Director, Brooks e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund