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320252 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 369677 ONE CIVIC SQUARE GENESIS FARMS CHECK AMOUNT: $*'***1,1 15.00* CARMEL, INDIANA 46032 3501 E CONNER STREET CHECK NUMBER: 320252 v NOBLESVILLE IN 46060 CHECK DATE: 01/04/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239034 3134 50.00 LANDSCAPING SUPPLIES 2201 4239034 3150 1,065.00 LANDSCAPING SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 369677 GENESIS FARMS IN SUM OF$ CITY OF CARMEL 3501 E CON N ER STREET 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. NOBLESVILLE, IN 46060 Payee $1,115.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 3134 42-390.34 $50.00 I hereby certify that the attached invoice(s),or 11/9/17 3134 $50.00 2201 2201 Prior Year 2201 2201 3150 42-390.34 $1,065.00 bill(s)is(are)true and correct and that the 11/15/17 3150 $1,065.00 2201 1 2201 1 Prior Year materials or services itemized thereon for 2201 1 2201 which charge is made were ordered and received except Tuesday,January 02,2018 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 Page 1 of 1 Genesis Farms,LLC Invoice 3501 E Conner Street Noblesville,IN 46060 US genesisfarmsllc@gmail:com BILL TO _ S IH P TO- �_ �� r City of Carmel Street Department J City of Carmel Street Department 340 W.131sst Street 340 W 131sst Street Indiana Indiana Carmel,IN 46074 Carmel,IN 46074 INVOICE'f, �_� DATE _ TOTAL DUE DUE DATETERMS '' . ENCLOSED 3150 111/15/2017 1$1,065.00 `12/15/2017 _ ; Net 30 SHIP DATE SHIP VIA P.O.NUMBER SALES REP 11/15/2017 Pick.Up LA ACTIVITY TQTY' — RATE AMOUNTI F 3,000 0.33 i 990.00 Fescue Sod price per sq.ft. !g 5 15.00 75.00 Skid Deposit Fescue BALANCE DUE $1;065.00 https:Hconnect.intuit.com/portaVmodule/pdfDoc/template/printframe.html 12/20/2017 Page l ,of 1 Genesis Farms,LLC Invoice 3501 E Conner Street Noblesville,IN 46060 US genesisfarmsllc@gmail.com j City of Carmel Street Department _ ( City of Carmel Street Department 340 W.131sst Street 340 W 131sst:Street. Indiana Indiana Carmel,IN 46074 Carmel,IN 46074 INVOICE#- DATE . . TOTAL.DUE 'DUE DATETERMS ENCLOSED 1.3134_ 11/09/2017 $50:00 12/09/2017 Net 30 -- ----- -- -----.__�T------ - - - SHIP DATE SHIP VIA P.O.NUMBER SALES REP 11/09/2017 Pick UP AM Pick Up[ LA CTIVITY QTY��_--------RATE. �----------- -- .AMOUNT _ -� -- IF _ 100 0.50:: 50.00 Fescue Sod pace i . .. BALANCE DUE $50.00 https://connect.intuit.com/portal/module/pdfDoc/template/printframe.html 12/20/2017