247848 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 369677
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ONE CIVIC SQUARE GENESIS FARMS CHECK AMOUNT: $**.....195.00*
CARMEL, INDIANA 46032 3501 E CONNER STREET CHECK NUMBER: 247848
NOBLESVILLE IN 46060 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 1705 195.00 LANDSCAPING SUPPLIES
Genesis Farms, LLC Invoice
3501 E Conner Street
Date Invoice#
Noblesville, IN 46060
7/16/2015 1705
Bill To Ship To
City of Cannel Street Department
340 W 131 sst Street
Carmel,Indiana 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
071715 7/16/2015
Quantity Item Code Description Price Each Amount
750 SOD Bluegrass Sod price per sq. ft 0.24 180.00
1 S Skid Deposit Bluegrass 15.00 15.00
Sales Tax 7.00"/ 0.00
Total $195.00
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))
07/16/15 1705 $195.00
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
VOUCHER NO. WARRANT NO.
Genesis Farms, LLC ALLOWED 20
IN SUM OF $
3501 E. Conner Street
Noblesville, IN 46060
$195.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1705 I 42-390.341 $195.00 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
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Cost distribution ledger classification if
claim paid motor vehicle highway fund