241616 1 /27/2015 (9,
CITY OF CARMEL, INDIANA VENDOR: 369068
ONE CIVIC SQUARE JEFF WIDHOLM CHECKAMOUNT: $*****1,859.40*
CARMEL, INDIANA 46032 3295 E 104TH ST CHECK NUMBER: 241616
CARMEL IN 46033 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1,859.40 OTHER EXPENSES
l
January 26, 2015
The attached invoice is to reimburse Jeff Widholm for replacement landscape work that was the result
of our excavation to install a sewer lateral stub to the property at 3295 E 104th Street.
Submitted By,
r
ohn Duffy
Director of Utilities
The Noll Landscape Group,Inc.
Estimate
10290 E_131st Streat
Fishers,IN 43038 DATE ESTIMATE Na,
(31 Tj841-7559
(317)593-9027 Fax 111t31 V14 1 8513
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Nor-JeffWidholm The NrIlLandccap:Gra-ipisno:aerpm.ihk!fur bofnn,
3295 E. 104th St, dxnage crmpolr of any undefground u Wyss irrbrCrfr,
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DESCRIPTION aTY COST SUBTOTAL
1) Front Landacapc Esiimsto-Nov Srnaoning Plants:
Project: Install rs1N plant materials for added screening In the open area of the
n+axled Wider,der, New nattue small trees and Large shrubs will provide eventual
scrmoning ar:4 scascnal color,
New Plants:
Chicago Lustre Viburnum W 6 361134 22a.ADT
Henry's Cvarrtel Saee;spire 313 6 41,130 246,1)OT
Rrilliani Reid Cfrckel"r 613 3 35,Oo 106.DDT
Hummingbird Summer€Neet 313 3 38,C0 114_03T
Servicabeny Yti' 3 1go'co 57o.DjT
Planting Cost O.CO 0_DD
SuedGLm%wFrn;*h grading (par sit) Sao 0.19 95=
Spade Edge Landscape Beds(par lin fl) 20 0.82 10-40
tdldt-mu;eh(per yard) 5 38.00 195.03T
Labor to Install Mulch (per ru yd) 5 MCC] 195-DD
Equipment and Fuel charge 05.00 95.DO
Subtotal; 1,&;9.40
P
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1
11 r
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1 � � 4r � 1
W.
_
op
Sales Tax(7.0%)
TOTAL $1,961A6
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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. k/ Z
Mo. Day Yr. 01 er Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA NO.
I Favor Of
N mv 'N V60 3
Total Amount of Voucher $
Deductions
5 f S51 `d
01 3 .2-
Amount of Warrant $ 5
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325