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HomeMy WebLinkAbout260256 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 362734 ONE CIVIC SQUARE MILLER BROTHERS FARMS INC CHECK AMOUNT: $*****1,646.50* ?� CARMEL, INDIANA 46032 6485 S 550 WEST CHECK NUMBER: 260256 Mi1roN�� ROSSVILLE M 46065 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239034 6015 1,293.50 LANDSCAPING SUPPLIES 2201 4239034 6028 353.00 LANDSCAPING SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) MILLER BROTHERS FARMS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 6485 S 550 WEST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ROSSVI LLE, IN 46065 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $353.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 42-390.34 ($120.00) 1 hereby certify that the attached invoice(s),or 6/21/16 6028 $473.00 2201 201 2201 201 6028 42-390.34 $473.00 bill(s)is(are)true and correct and that the 6/21/16 0 ($120.00) 2201 1 1 201 1 materials or services itemized thereon for 2201 1 201 which charge is made were ordered and received except Wednesday,June 22,2016 6 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Miller Bros Farms, Inc. Invoice 6485 S 550 W Rossville, IN 46065 Date Invoice# Phone#: 765-379-2091 6/21/2016 6028 Fax#:765-379-3245 Bill To Ship To Carmel Street Department 3400 W. 131st Street Carmel,IN 46074 P.O. Number Due Date Delivery Via 6/21/2016 6/21/2016 Quantity Item Code Description Price Each Amount 800 Fescue Sod LC p/u Fescue Sod 0.23 184.00 1 Delivery Charge(... Delivery Charge 265.00 265.00 2 Skids Skids(return for deposit) 12.00 24.00 Sales Tax $0.00 Total $473.00 Miller Bros Farms, Inc. Credit Memo 6485 S 550 W Rossville, IN 46065 Date Credit No. Phone#: 765-379-2091 6/21/2016 Fax#: 765-379-3245 Customer Carmel Street Department 3400 W. 131st Street Carmel, IN 46074 Delivery Date 6/21/2016 Description Qty Rate Amount Credit for skids returned -10 12.00 -120.00 r Total 4120.00 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MILLER BROTHERS FARMS INC 6485 S 550 WEST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ROSSVI LLE, IN 46065 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,293.50 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 6015 42-390.34 $1,293.50 1 hereby certify that the attached invoice(s),or 6/14/16 6015 $1,293.50 2201 201 2201 201 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 Tuesday,June 21, 2016 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Miller Bros Farms, Inc. Invoice 6485 S 550 W Rossville, IN 46065 Date Invoice# Phone#: 765-379-2091 6/14/2016 6015 Fax#:765-379-3245 Bill To Ship To Carmel Street Department 10303 Lakeshore Dr 3400 W. 131st Street Cannel,IN 46074 P.O. Number Due Date Delivery Via 6/14/2016 6/14/2016 Quantity Item Code Description Price Each Amount 3,950 Fescue Sod LC p/u Fescue Sod 0.23 908.50 10 Skids Skids(return for deposit) 12.00 120.00 1 Delivery Charge(... Delivery Charge 265.00 265.00 Sales Taz $0.00 Total $1,293.50