251782 11/18/15 +�,,thy*
\° CITY OF CARMEL, INDIANA VENDOR: 369877
`/ \. CHECKAMOUNT: $*******788.00*
.�; ONE CIVIC SQUARE WILDFLOWER MEADOWS, LLC
s ,_�: CARMEL, INDIANA 46032 14113 NE AIRPORT DR CHECK NUMBER: 251782
,;�roN�. VANCOUVER WA 98684 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
110 4238900 18905 197.00 OTHER MAINT SUPPLIES
1125 4238900 18905 591.00 OTHER MAINT SUPPLIES
DECEIVED
Wildflower Meadows, LLC OCT 26 2015 Invoice
14113 NE Airport Dr By;
Vancouver, WA 98684 Date Invoice#
Phone 360.989.0960 10/23/2015 18905
Bill To Ship To
Dawn Koepper Carmel Clay Parks And Recreation
1411 E. 116th Street Courtney Weintraut 317.573.4026
Carmel,IN 46032 Ref PO#39183/XX-2882
1427 E. 116th Street
Carmel,IN 46032
P.O.Number Terms Rep S.O. No. Via Tracking Ship Date-
39183/XX-2882,... Net 30 KD S024184 UPS Ground 1Z867W720341173513 10/22/2015
y
Quantity. Item!_Code,- .; r Description' Price Each Ordered Prey Invd Backordered; Amount .
4 DOGIPOTB... Dogipot Dog Waste Bags 1402-30,Qty 174.00 4 0 0 696.00
6000
_._
_�
i 1 SHIPPING Sfupprng:,USS 1Z867W720�411Z3,51� j 92 00 , 1 0 92"00
eta 10 28" t j
1 PONUMBER 39183/XX-2882 0.00 1 0 0.00
TIN 27-1022442
Subtotal $788.00
Sales Tax $0.00
Payments/Credits $0.00
Balance Due $788.00
Phone# E-mail Web Site
360.989.0960 sales@rvparksupplies.com www.rvparksupplies.com
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.
369877 Wildflower Meadows, LLC Terms
14113 NE Airport Dr
Vancouver, WA 98684
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/23/15 18905 Dog pot station bags for bark park xa2882 $ 197.00
10/23/15 18905 Dog pot station bags for parks 39183 $ 591.00
Total $ 788.00
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.
369877 Wildflower Meadows, LLC 11i Allowed 20
14113 NE Airport Dr
Vancouver, WA 98684
In Sum of$
$ 788.00 ,
ON ACCOUNT OF APPROPRIATION FOR S
110 -Park Facilities/101 General
i
l
Po#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT i.
'110 18905 4238900 $ 197.00 1 hereby certify that the attached invoice(s), or
1125 18905 4238900 $ 591.00 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
1±
November 3 2015
1
Signature
$ 788.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1
l
1