319253 11/30/17 ♦y u.WgMf.
T: CITY OF CARMEL, INDIANA VENDOR: 00350883
® t'. ONE CIVIC SQUARE TIFFANY LAWN & GARDEN CHECK AMOUNT: $********78.75*
CARMEL, INDIANA 46032 4931 ROBISON ROAD CHECK NUMBER: 319253
'.y,.....: INDIANAPOLIS IN 46268 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 126321 78.75 LANDSCAPING SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350883 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
TIFFANY LAWN & GARDEN IN SUM OF$ CITY OF CARMEL
4931 ROBISON ROAD 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.
INDIANAPOLIS, IN 46268
Payee
$78.75
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
12632/1 42-390.34 $78.75 1 hereby certify that the attached invoice(s),or 11/16/17 12632/1 $78.75
2201 2201 2201 2201
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
Wednesday, November 29,2017
Huffman, Dave
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Tiffany Lawn & Garden Supply PAGE NO 1
4931 Robison Rd.
IF Indianapolis, IN 46268
LAWN &
GARDEN SUPPLY, INC. PHONE: (317) 228-4900
CUST NO: JOB NO: PURCHASE ORDER: REFERENCE:" TERMS: CLERK: DATE/TIME: `
788920 000- CHRISTMAS VILLAGE PO#CHRISTMAS VILLAGE NET,30 CHALL 11/16/17 1:02
DUE DATE:12/16/17 TERMINAL:556
SOLD:TO: SHIP TO:
CARMEL STREET DEPART
3400 VV 131 ST STREET
CARMEL IN . 46074 TAx:_999 NONTAXABLE SALES
317-733-2001
INVOICE: 12632 /1
LINE .SHIPPED ORDERED UM SKU DESCRIPTION SUGG UNITS PRICE/ ._PER EXTENSION.
1 3 3 CY BK-NUTRA BLACK BLACK DYED NUTRA 26.75 3 26.25 /CY 78.75 N
2 MULCH
TAXABLE 0.00 SUBTOTAL 78.75
NON-TAXABLE 78.75
(BRAD) SUBTOTAL 78.75
**AMOUNT CHARGED TO STORE ACCOUNT** 78.75
TAX AMOUNT 0.00
III VIII IIIIIIIIIIIIIIII
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII TOTAL 78.75
TOT WT:0.00 X/� ✓ -
Received By