HomeMy WebLinkAbout228604 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN ENVIRONMENTAL SERVICES
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK AMOUNT: $318.95
.' '?• INDIANAPOLIS IN 46218-3300
CHECK NUMBER: 228604
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 031076 318 . 95 BUILDING REPAIRS & MA
Koorsen 0 www.KoorsenES.com INVOICE
ENVIRONMENTAL SERVICES
ale of 01/10/2014 ofd
031076 D
REMIT TO:Koorsen Environmental Services No.: work: #
2719 N Arlington Avenue
Indianapolis,IN 46218-3322 Invoice Date: 01/13/2014 SO#: 125300 Date 02/07/2014
317-308-7676 Include invoice#on check. Due:
Cust ID 51BRO1212 TERMS: NET25DAYS JOB# SERVICE51 / 0
Sold To: Location:
CITY OF CARMEL CITY OF CARMEL
d/b/a BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PARKWAY D/B/A BROOKSHIRE GOLF CLUB
CARMEL, IN 46033 CARMEL, IN 46032
51-HOUSE / 51-371427 / STOCK
AMOUNT .w
JANUARY EXHAUST CLEANING/SVC Semi-Annual
1.00 99EXH-CLEAN CLEANING,KITCHEN EXHAUST 309.00 309.00
1.00 99STCK SERVICE CALL KITCHEN SERVICE 9.95 9.95
TOTAL SALES/SERVICES XMP# 0031201550-020 318.95
TOTAL 318.95
To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number — — —
Name on Card Expiration Date—/—
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total I=>
318.95 0.00 0.00 318.95
VOUCHER NO. WARRANT NO.
ALLOWED 20
Koorsen Environmental Services
IN SUM OF $
2719 N Arlington Avenue
Indianapolis, Indiana 46218-3322
$318.95
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 031076 I 43-501.00 I $318.95 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
Wednesday, January 22, 2014
Director, Brookshlr 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))
01/10/14 031076 Hood Cleaning $318.95
I 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