225064 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 367098 Page 1 of 1
ONE CIVIC SQUARE RESIDEX LLC CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 46495 HUMBOLDT DR
NOVI MI 48377-2446 CHECK NUMBER: 225064
CHECK DATE: 10/812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 INV320825 300 . 00 OTHER MAINT SUPPLIES
Invoice INV320825
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' A
" ,! - '; 0 RESI®EX LLC
6,
, ® i Date 9/26/2013
Indianapolis, IN Branch Page 1/1
5753 W. 85th Street
Indianapolis,IN 46278
(317)471-8309
Bill To: Ship To:
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
..-..... ........ ....... .........- .. .. , .... . ..... ...... .... ...... ...
PO Number s Customer ID Salesperson ID ', Shipping Method Payment Terms ? Due Date Req Ship Date_ .1 Entered By
BR0425 CHRISS OUR TRUCK NET 30 DAYS 10/26/2013 ^^ 9/24/2013 i kanno
Special Instructions
Delivery Waiver on file 7/2013Signed by: Robert Higgins
tyl Item# HazMat Descri tion UofM Unit P' el
Ext.Price
2.00 CA416-250 TURF FUEL QUICK GREEN 15-30-0 with GA CS $150.00 $300.00
2X2.5GL/CS
Notes
o Subtotal $300.00
Tax $0.00
PLEASE REMIT TO: Total $300.00
Programs offering early payment discounts are based RESIDEX LLC Payments $0.00
onproductsubtotal, before sa/es tax, assa/es tax is 46495 HUMBOLDT DR--- Invoice Balance
not discountable. - NOVI, MI 48377-2446
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))
09/26/13 I N V320825 Fertilizer $300.00
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
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I INV320825 I 42-389.00 I $300.00 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, September 30, 2013
Director, BrookAild Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund