HomeMy WebLinkAbout186276 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00352422 Page 1 of 1
0 ONE CIVIC SQUARE DIVISION OF FORESTRY CHECK AMOUNT: $105.40
CARMEL, INDIANA 46032 VALLONIA STATE UNIVERSITY
PO BOX 218 CHECK NUMBER: 186276
VALLONIA IN 47281
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4462400 1707 105.40 TREES
06/01/2010 TUE 12:58 FAX 8123589033 VALLONIA NURSERY wjuu 1 /uul
1- s
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INVOICE FOR TREE SEEDLINGS Payment Method: MAKE CHECKS PAYABLE TO DIVISION OF FORESTRY
CHECK ENCLOSED AMOUNT CIRCLE ONE VISA
1/.ALLONIA STATE NURSERY MC
2782 W. CO. RD. 540 S. CREDIT CARD EXP. DATE
P.O. Box 218
VALLONIA, INDIANA 47281
Approver! by State Board of Accounts 1998 PRINT NAME AS IT APPEARS ON CREDIT CARD AMOUNT
kl)�NUMBER� SIGNATURE
ORDER NO: 1707 COUNTY: HAMILTON
SOLD TO: 'SHIP TO:
t CITY OF CARMEL DAREN MINDHAM
ONE CIVIC SQUARE f }i
CARMEL IN 46032
(317)571 -2283
PLEASE DI~TACH TOP OF FORM AND RETURN WITH PAYMENT
YOUR ORDER WILL BE CANCELLED IF PAYMENT IS NOT RECEIVED BY DUE DATE
QTY DESCRIPTION UNIT TOTAL COST
COST
100 RED OAK 1 -0 0.3 80D0 31.80
100 TULIPTREE 1 -0 0.318000 31.80
100 BALD CYPRESS 0.318000 31.80
po 20671
Handling Cost 10.000000 10.00
Miscellaneous Cost 0.000000 0.00
IF YOU WERE N T BILLED FOR A SPECIES THAT SUBTOTAL 105.40
YOU REQUESTED ON THE ORDER FORM, WE WERE SOLD
OUT WHEN YOUR ORDER WAS RECEIVED. WE ARE SORRY TAX 0.00
UPS CHARGE 0.00
AMOUNT DUE 105.40
Payment Due Date: 06/0112010
For Offlce Use Only
MISCELLANEOUS SHIPPING METHOD: Buyer Pick Up
05/17/2010 SHIPPING LOCATION: Vallonia
0031201550
Order Number. 1707
Pre Lottery Number, 1707 THANK YOU
VOUCHER NO. WARRANT NO.
ALLOWED 20
Vallonia State�Nurs
2782 W. Co. Rd. 540 S.
Vallonia, IN 47281
$105.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO #/Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 1707 44- 624.00 $105.40. 1 hereby certify that the attached invoice(s), or
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
riday, une 04, 2010
ector, DOS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by state Board of Accounts (I City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER 0.
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/01110 1707 Trees $105.40
I hereby certify that the attached invoice(s), or bitl(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer