235186 7 /22/2014 y°—'SAM
f� CITY OF CARMEL, INDIANA VENDOR: 367405
�, ONE CIVIC SQUARE PRAIRIE CREEK SOD FARM INC CHECK AMOUNT: $"'""""'142.00'
'' a 4306 W 96TH ST CHECK NUMBER: 235186
r.. ,_ CARMEL, INDIANA 46032
+,;;,_,-� INDIANAPOLIS IN 46266 CHECK DATE: 07!22/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 161193 142.00 OTHER EXPENSES
Prairie Creek Sod Farm, LLC Invoice
4306 W.96th St.
Indianapolis,IN 46268 DATE INVOICE#
Office: (317)337-0058 7/10/2014 161193
Fax: (317)337-0066
BILL TO SHIP TO
Carmel Wastewater Treatment 96th Pickup
9609 Hazel Dell Pkwy
Indianapolis,In 46280
TERMS P.O.NO. ACCOUNT# TIME DRIVER TOTAL Sq.Ft. PALLETS
Net 30 Wood Creek
r 10:15 AM Jeff Cooper
ITEM �`\' DESCRIPTION QTY RATE AMOUNT
P074.0103 Straw Mat Double Sided 8'x112.5' 2 30.00 60.00T
000005 Seed-Landscaper Elite Blend 1 49.00 49.00T
0644259315003 Staples-6" 1000ct. 1 33.00 33.00T
RETURNED PALLETS: Qty . Driver Initial Sales Tax(0.0%) $0.00
RECEIVED BY: X Total $142.00
Prairie Creek Sod Farm,Inc.guarantees our sod to be freshly cut and green(excluding winter AMOUNT DUE $142.00
dormancy). Sod requires immediate-installation and THOROUGH watering for several _
weeks to maintain its'quality. Contact us within 12 hrs of delivery if sod is unsuitable. PAY BY 8/9/2014
Claims after this time may be honored at the discretion of Prairie Creek Sod Farm,Inc.
I
VOUCHER # 145126 WARRANT # ALLOWED
367405 IN SUM OF $
PRAIRIE CREEK SOD FARM, INC j
4306 W. 96TH STREET
INDIANAPOLIS, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
a
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
161193 01-7200-02 $142.00
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1
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Voucher Total $142.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367405
PRAIRIE CREEK SOD FARM, INC Purchase Order No.
4306 W. 96TH STREET Terms
INDIANAPOLIS, IN 46268 Due Date 7/17/2014
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/17/2014 161193 $142.00
r
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
Date Officer