245800 06/03/15 voided CITY OF CARMEL, INDIANA VENDOR: 00352422
® CHECK AMOUNT: $*******688.50*
ONE CIVIC SQUARE DIVISION OF FORESTRY
CARMEL, INDIANA 46032 COMMUNITY&URBAN FORESTRY CHECK NUMBER: 245800
6515 E.82ND STREET,SUITE 204 CHECK DATE: 06/03/15
INDIANAPOLIS IN 46250
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 38336 2854 688.50 TREE SEEDLINGS
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
P.O.Box 218 MC
VALLONIA,INDIANA 47281
Approved by State Board of Accounts 1998. PRINT NAME AS IT APPEARS ON CREDIT CARD AMOUNT
CARD NUMBER SIGNATURE
ORDER NO: 2854 COUNTY: HAMILTON
SOLD TO: SHIP TO:
CARMEL PARKS AND RECREATION , �. T
1411 E 116TH ST �
CARMEL IN 46032 FAPR 15 2015
(317)750-4626
PLEASE DETACH TOP OF FORM AND RETURN WITH PAYMENT -1�-Irj
-
YOUR ORDER-JVILL-BE-CANCELLEC-IFF-P-A-Y-M N-T IS-NQ-T-RE-GEIVBD-BV DUE QAUNIT -7E-
QTY DESCRIPTION COST TOTAL COST 9�UveRy/
.00
400 ELDERBERRY 0.295000 118PICK V p
300 HAZELNUT-PARTIAL FULFILLMENT 0.295000 88.50
400 WASHINGTON HAWTHORNE 0.295000 118.00
400 PAWPAW 2-0 0.295000 118.00
400 GRAY DOGWOOD 0.295000 118.00
400 NINEBARK 1-0 0.295000 118.00
PO#???. 333(0
Pick up May 1
Handling Cost 10.000000 10.00
Miscellaneous Cost 0.000000 0.00
IF YOU WERE NOT BILLED FOR A SPECIES THAT SUBTOTAL 688.50
YOU REQUESTED ON THE ORDER FORM,WE WERE SOLD
OUT WHEN YOUR ORDER WAS RECEIVED. WE ARE SORRY TAX 0.00
UPS CHARGE 0.00
AMOUNT DUE 688.50
For Office Use Only
Payment Due Date: 06/01/2015
,.
MISCELLANEOUS SHIPPING METHOD: Buyer Pick Up
04/10/2015 SHIPPING LOCATION: Vallonia
0119683083
Order Number: 2854
Pre-Lottery Number: 2854 THANK YOU
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00352422 Division of Forestry Terms
P.O. Box 218 Date Due
Vallonia, IN 47281
Invoice Invoice Description
Date Number (or note.attached invoice(s) or bill(s)) PO# Amount
4/10/15 2854 Tree Seedlings for Volunteer plant Founders Park 38336 $. 688.50
Total Is 688.50
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
i
Voucher No. Warrant No.
00352422 Division of Forestry Allowed 20
P.O. Box 218
Vallonia, IN 47281
In Sum of$
$ 688.50
ON ACCOUNT OF APPROPRIATION FOR
i
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
38336 F 2854 4350400 $ 688.50 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
I
May 28,2015
'Pj
Signature
$ 688.50 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i