251003 1 1 /04/1 5 CSN
a;
CITY OF CARMEL, INDIANA VENDOR: 00351585
® it ONE CIVIC SQUARE BLUE GRASS FARMS, INC. CHECK AMOUNT: $*****4,761.50*
x =Q CARMEL, INDIANA 46032 1915 W.53RD STREET CHECK NUMBER: 251003
rON_:o; ANDERSON IN 46013 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4462400 31705 095328 4,761.50 TREES
INVOICE Page
tp �rr� 1915 W 53rd St
Transaction # 095328
Anderson, IN 46013
(800)346-0272 Order Date 09/11/15
Ship Date 10/20/15
(765)649-1012
Invoice Date 10/21/15
Terms/Payment Net 30
PO Number 31705
Record# 2VF0
Sold To: Ship To:
City of Carmel/Dept of Community Devel. 8188 East 196th Street
One Civic Square Noblesville IN 46060
Carmel IN 46032
Comment Darren Mindham
Item Size Ordered Shipped Back Order Unit Price Amount
BALD CYPRESS 2.5" 1.00 1.00 0.00 145.0000 145.00
Taxodium distichum
COLORADO BLUE SPRUCE 06' 14.00 14.00 0.00 113.2500 1,585.50
Picea pungens glauca
BRIOTI HORSECHESTNUT 2" 1.00 1.00 0.00 149.0000 149.00
Aesculus carnea'Brioti'
NORWAY SPRUCE 06' 24.00 24.00 0.00 105.7500 2,538.00
Picea abies
HERITAGE RIVER BIRCH 2" 1.00 1.00 0.00 119.0000 119.00
Betula nigra'Heritage'
FREIGHT CHARGE 1.00 1.00 0.00 225.0000 225.00
42.00 42.00 0.0000
*' A$30 fee will be charged for any NSF check**
Item Total 4,761.50
Check# Discount 0.00
Sales Tax 0.00
THANK YO U FOR YO UR B USINESS
Total Amount : 4,761.50
Signature : Payments 0.00
Balance Due 4,761.50
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))
10/21/15 095328 $4,761.50
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
Blue Grass Farms of Indiana
IN SUM OF $
1915 W 53rd Street
Anderson, IN 46013
$4,761.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31705 I 095328 I 44-624.00 $4,761.50
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
Friday Octo er , 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund