246276 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 00352422
CHECK AMOUNT: 8•""""688.50•
.;; '�• ONE CIVIC SQUARE DIVISION OF FORESTRY
9� ?� CARMEL, INDIANA 46032 VA LO I21S�TATE UNIVERSITY CHECK NUMBER: 246276
VALLONIA IN 47281 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 2854 688.50 GROUNDS MAINTENANCE
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 IRI
1411 E 116TH ST -.D
CARMEL IN 46032 2015
(317)750-4626 �
PLEASE DETACH TOP OF FORM AND RETURN WITH PAYMENT �-15-
- YOUR ORDER-WILL=BE-CANCEL-LED-IF-P-A-Y- ' ENTIS-NO-T-RE-OBIVED-BY-DDE-DAT-EPk
QTY DESCRIPTION UNIT TOTAL COST kF�
COST 9�LJdc12y/
400 ELDERBERRY 0.295000 118.00 PICK tl F
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#?n• 3833(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
Payment Due Date: 06101/2015
For Office Use Only ;.
MISCELLANEOUS SHIPPING METHOD: Buyer Pick Up
04/10/2015 SHIPPING LOCATION: Vallonia
0119683083
Order Number. 2864
Pre-Lottery Number:, 2854 THANKYOU
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bili 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
i
Total $ 688.50
1 hereby certify that the attached Involce(s),or blll(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
4
101 General Fund
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PO#or INVOICE NO. ACCT#/TInE AMOUNT Board Members
Dept#
38336 F 2854 4350400 $ 688.50 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
May 28, 2015
I `
C
Signature
$ 688.50 I Business Services Manager
Cost distribution ledger classification If Title -
claim paid motor vehicle highway fund
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