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HomeMy WebLinkAbout242421 02/17/15 CAA. CITY OF CARMEL, INDIANA VENDOR: 365817 ONE CIVIC SQUARE VALLONIA STATE NURSERY CHECK AMOUNT: $**.....189.35* r CARMEL, INDIANA 46032 2782 w CO.RD.540 S. CHECK NUMBER: 242421 VALLONIA IN 42281 CHECK DATE: 02/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4462400 1399 80.00 TREES 1192 4462400 1400 109.35 TREES INVOICE FOR TREE SEEDLINGS Payment Method: MAKE CHECKS PAYABLE TO DIVISION OF FORESTRY VALLONIA STATE NURSERY ❑ CHECK ENCLOSED AMOUNT CIRCLE ONE VISA 2782 W. CO. RD. 540 S. ❑ CREDIT CARD- EXP. DATE MC P.O.Box 218 VALLONIA,INDIANA 47281 Approved by State Board of Accounts 1998 PRINT NAME AS IT APPEARS ON CREDIT CARD AMOUNT CARD NUMBER SIGNATURE ORDER NO: 1400 COUNTY: HAMILTON SOLD TO: SHIP TO: CITY OF CARMEL NICOLE SPETH CITY OF CARMEL NICOLE SPETH ONE CIVIC SQUARE BLDG PERMIT CODE ONE CIVIC SQUARE BLDG PERMIT CODE CARMEL IN 46032 CARMEL IN 46032 (317)571-2479 PLEASE DETACH TOP OF FORM AND RETURN WITH PAYMENT YOUR.:ORD- ER-!JAIL-L-BE-CANCEIL-LED-IF PAYMENT-IS-NOT RECEIVED-BY-DUE-DATE- -- QTY DESCRIPTION UNIT TOTAL COST COST 100 SHAGBARK HICKORY 2-0 0.375500 37.55 100 TULIPTREE 1-0 0.318000 31.80 need ON april 27 Handling Cost 0.000000 0.00 Miscellaneous Cost 0.000000 0.00 I IF YOU WERE NOT BILLED FOR A SPECIES THAT SUBTOTAL 69.35 YOU REQUESTED ON THE ORDER FORM,WE WERE SOLD OUT WHEN YOUR ORDER WAS RECEIVED. WE ARE SORRY TAX 0.00 UPS CHARGE 40.00 AMOUNT DUE 109.35 Payment Due Date: 02/24/2015 For Office Use Only STANDARD SHIPPING METHOD: UPS Shipping 02/04/2015 SHIPPING LOCATION: Jasper-Pulaski 0031201550 Order Number: 1400 Pre-Lottery Number: 1400 THANK YOU S V r VOUCHER NO. WARRANT NO. ALLOWED 20 Vallonia State Nursery IN SUM OF $ 2782 W. Co. Rd. 540 S. Vallonia, IN 47281 $189.35 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members f I hereby certify that the attached invoice(s), or 1192 1400 44-624.00 $109.35 bill(s) is (are) true and correct and that the 1192 1399 44-624.00 $80.00 materials or services itemized thereon for which charge is made were ordered and received except onday, I- ua y 1 015 Director 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)) 02/13/15 1400 $109.35 02/13/15 1399 $80.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Vallonia State Nursery IN SUM OF $ 2782 W. Co. Rd. 540 S. Vallonia, IN 47281 $189.35 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 1400 44-624.00 $109.35 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1192 1399 44-624.00 $80.00 materials or services itemized thereon for which charge is made were ordered and received except onday, Februaly 1H015 el Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund