HomeMy WebLinkAbout221684 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 367098 Page 1 of 1
` ONE CIVIC SQUARE RESIDEX LLC
CHECK AMOUNT: $2,170.00
CARMEL, INDIANA 46032 46495 HUMBOLDT DR
NOVI MI 48377-2446 CHECK NUMBER: 221684
CHECK DATE: 712/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 INV285171 2, 170 . 00 OTHER MAINT SUPPLIES
3 ® Invoice INV285171
RESIDEX, LLC pate 6/25/2013
Indianapolis, IN Branch Page 1/1
;•., _ 9I �'° 5753 W. 85th Street
Indianapolis, IN 46278
(317) 471-8309
Bill To: Ship To:
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL, IN 46033-3314 CARMEL, IN 46033-3314
(317) 571-2414 Contact: CINDY SHEEKS
(317) 846-7431 (317) 571-2414
(317) 846-7431
,,Purchase Order No. Customer ID Salesperson ID ._Shipping Method TPayment Terms Req Ship Date } Entered By
- BR0425 CHRISS OUR TRUCK NET 30 DAYS 6/18/2013 kanno
: .
Item# HazMat Description UofM "'Unit'Pric Ext.Price
3.00 79414633 SIGNATURE CHIPCO WG80 4X5.5LB/CS CS $660.00 $1,980.00
4.00 CA401-250 TURF FUEL 25-0-0 40%SRN 2X2.5GUCS CS $47.50 $190.00
Notes
Subtotal $2,170.00
Tax $0.00
PLEASE REMIT TO.' Total $2,170.00
Programs offering early payment discounts are based RESIDEX LLC Payments $0.00
on product subtotal, before sales tax,as sales tax is 46495 HUMBOLDT DR Invoice Balance $2170.00
not discountable. NOVI, MI 48377-2446
P
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))
06/25/13 I INV285171 I Fertilizer I $2,170.00
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
Residex LLC
IN SUM OF $
46495 Humboldt Dr.
Novi, MI 48377-2446
$2,170.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I INV285171 I 42-389.00 I $2,170.00 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, July 01, 2013
Director, Brookshir olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund