HomeMy WebLinkAbout228809 1/29/2014 CITY OF CARMEL, INDIANA VENDOR: 361360 Page 1 of 1
ONE CIVIC SQUARE HARRELL'S
CARMEL, INDIANA 46032 P O BOX 935358 CHECK AMOUNT: $160.00
ATLANTA GA 31193-5358 CHECK NUMBER: 228809
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CHECK DATE: 1/29/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 20008 INVO0681086 160 . 00 CHEMICALS
DETACH UPPER PORTION AND RETURN WITH PAYMENT
Bob Higgins Net 60 211 BROGOL2 INVO0681086 1/14/2014
P l' P • •
1 HSMPIG Harrell's Pigment Cleaner Plus (4x1 Gal) Case $160.00 $160.00
7
REMINDER Any state mandated NITROGEN and/or TONNAGE INSPECTION FEES will be included i i the TAX/STATE FEES total amount.
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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 $160.00
not paid within 30 days from billing date,I agree to pay a finance charge of 1.5% BROOKSHIRE GOLF COURSE TAX/STATE FEES $0.00
per month which is an annual percentage rate of 18%applied to the previous 12120 BROOKSHIRE PARKWAY
balance without deducting current payments-and/or credits appearing on this 3314 IN 46033
statement. I further agree to pay attorney's fees and other collection costs CARMEL, $160.00-
incurred
160.00-incurred if I shall default in the payment hereof.
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0001:0001
VOUCHER NO. WARRANT NO.
ALLOWED 20
Harrell's LLC
IN SUM OF $
P.O. Box 935358
Atlanta, GA 31193-5358
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20008 I INVO0681086 I 42-389.00 I $160.00 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, January 27, 2014
3�� f
W
Director, Bro hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
01/16/14 INVO0681086 Fertilizer $160.00
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