HomeMy WebLinkAbout223504 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
CARMEL, INDIANA 46032 CHECK AMOUNT: $475.00
P 0 BOX 935358
�? ATLANTA GA 31193-5358 CHECK NUMBER: 223504
ON�
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20024 00646314 475 . 00 CHEMICALS
DETACH UPPER PORTION AND RETURN WITH PAYMENT
• • • • •.
Bob Higgins Net 60 211 BROGOL2 INVO0646314 8/8/2013
CITY ITEM DESCRIPTION UNIT PRICE AMOUNT
2 FLEET Fleet Fast&Firm 2.5 Gal $237.50 $475.00
REMINDER Any state mand ted NITROGEN and/or TONNAGE INSPECTION FEES will be included i i the TAX/STATE FEES total amount.
IF
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SHIPPING ADDRESS
TERMS AND CONDITIONS Ship-to Acct Number: BROG0 L2
Seller retains title to above listed merchandise until fully paid for. If account is "TAX/STATE $475.00
not paid within 30 days from billing date,I agree to pay a finance charge of 1.5% BROOKSHIRE GOLF COURSE
per month which is an annual percentage rate of 18%applied to the previous 12120 BROOKSHIRE PARKWAY $0.00 balance without deducting current payments and/or credits appearing on this CARMEL, IN 46033-3314 statement. I further agree to pay attorney's fees and other collection costs $475:00
incurred if I shall default in the payment hereof.
0001:0001 Page 1 of 1
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))
08/12/13 INVO0646314 Fertilizer $475.00
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
Harrell's LLC
IN SUM OF $
P.O. Box 935358
Atlanta, GA 31193-5358
$475.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20024 I INVO0646314 I 42-389.00 I $475.00 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
Friday, August 16, 2013
t
A i
Director, Broo 19hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund