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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