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187273 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364294 Page 1 of 1 ONE CIVIC SQUARE DEVROOMEN PORTLAND, LLC CHECK AMOUNT: $211.30 �i. CARMEL, INDIANA 46032 35590 S.E. TRACY ROAD ESTACADA OR 97023 CHECK NUMBER: 187273 CHECK DATE: 7/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4462400 30389 211.30 TREES x t DeVroomen Portland, LLC l nv®i c 35590 SE Tracy Rd Date Invoice.# Estacada, OR 97023 4/15/201.0 303s9. Phone (503)630 -3888 Fax: (503)630 -3890 Bill To Ship To CARMEL STREET DEPT CARMEL STEET DEPT 3400 W 131st St 3400 W 131 st St Westfield, IN 46074 Westfield, IN 46074 For your convenience we accept Visa Mastercard Order P.O. No. Terms Rep Ship Date Tags Backorder 20477 Fax NET 301 4/15/2010 Item Description Orde... Invoi... Rate Price /Plant Pack Size Amount 252425 Phlox'Emerald Blue' (s) 4 4 28.75 1.15 25 25 Cell 115.00 226050. Dianthus 'Fircwitch', (g) 2 2 2 8.2 5 L 13 25 25 Cell 56.50 Freight 1 1 39.80' 3E 39.80 All shipments are FOB Estacada or distribution point unless otherwise specified. Tota All invoices are,net.30 day, .,,A finance charge of, 1 per month will be added to' USD 2 11 .30 overdue accounts (12 Atuivally). If the account has to be turned over for collection, all collection and related charges will be added to the open balance. Payments/Credits USD 0.00 Thank you very much for your business! ti Balance Due usn 211.30 1� VOUCHER NO. "WAR'RANT NO. t ALLOWED 20 DeVroomen PoWand, LLC IN SUM OF E SE Tracy Road da, OR 97023 $211.30 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1192 30389 44- 624.00 $211.30, 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 Thu r day, Iy 01, 2010 i Dir c r, 6 OCS Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 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)) .04115110 30389 plants 141 st Towne Rd $211.30 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 Clerk- Treasurer