300250 07/12/16 C,q
v`% '\� CITY OF CARMEL, INDIANA VENDOR: 00350883
;' it ONE CIVIC SQUARE TIFFANY LAWN&GARDEN CHECK AMOUNT: $*******312.50*
s. =4 CARMEL, INDIANA 46032 49311 ROBISON ROAD CHECK NUMBER: 300250
bMiTeN�` INDIANAPOLIS IN 46268 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350400 593546 I 312.50 GROUNDS MAINTENANCE
i
I
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
TIFFANY LAWN & GARDEN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4931 ROBISON ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46268 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$312.50 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
593646 43-504.00 $312.50 1 hereby certify that the attached invoice(s),or 4/20/16 593646 $312.50
1206 101 1206 101
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,July 01, 2016
Dave Huffman
Director
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
4931 AOBINDI NA 1801 S.LLE,IN4STREET Net 30 da s from Date of Invoice
I FFA INDIANAPOLIS,INDIANA 8-491 NOBL317-77- IN 4fi060 y
317-228 41-0•FAX 317-228 4910 317-7747100
1-800-365-5678
LAWN& 5202 S.HARDING STREET n
GARDEN SUPPLY,INC. INDIANAPOLIS,INDIANA 46217
3�.,0.,' •FAX 317.225.5782 �.4..-,37:3S 04/.G0/.
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o INDIANAPOLIS, IN 46260 to.
ATTN ACCOUNTS PAYABLE
TAX JURISDICTION NO./,DESCRIPTION
TAX EXEMPT
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0001 INDIANA TAX �O31ct�15.�i►Z�
OC. DATE ORDERED-DATE"SHIPPED SHIP VIA JOB'NO. PURCHASE ORDER NO. SALESPERSON CLK TERMS COPY PAGE
now-ILi,1 ti./``_ /1SQi�t•./'cQ�/lEi POOL- I -ti11
BACK ORDERcD • ® 6 • •
INVOICE INVOICE INVOICE INVOICE I'
BY.-BROWN TOPSOIL 10. 00 10. 00 PULVERIZED R SCREENED 31. 25 312. 50
CUYD BROWN TOPSOIL
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SM
SALES AMOUNT SAS' TAX SHIPPING CHG.
CODE DEPOSIT CASH ODE
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25%RESTOCK FEE RECD IN GOOD CONDITIOPI/
50%RE-STOCK FEE ON SPECIAL ORDERS BY X �
OFFICE COPY
NUMBER
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