192389 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350993 Page 1 of 1
t. ONE CIVIC SQUARE BREHOB NURSERY, INC CHECK AMOUNT: $98.75
CARMEL, INDIANA 46032 4867 SHERIDAN ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 192389
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
853 5023990 227397 98.75 OTHER EXPENSES
r Brehob Nursery, Inc. Lnvoice
4867 Sheridan Rd.
b e h o b Westfield, IN 46062
Ph:)317) 877 -0186 VISA
Fax: {317) 877 -2238 I nvoice Date 'P 11 age,
www,brehobnursery.com 227 397 10/8/20 I 1
Nursery, Inc. T
SOLD TO:. SHlP T O:
Carmel Clay Parks Recreation Carmel Clay Park Recreation
1411 E 116Th St 1411 E 116Th St
Carmel IN 46032 Carmel IN 46032
(317) 571 -2695 (317) 571 -2695
Date Ordered Ship Date P.O# I Job. Name, Sale Rep. Terms Tax Jurisdiction
10/8/2010 10/8/201 Brenda Net 30 Tax Exempt i
Item Ordered Shipped Description Size Price Disc% Extended
1 1 Picea pungens glauca 5 -6' 98.75 0 11 /0 98.75
Subtotal• $98.75
Discount L $0.00
nvoices not paid within 30 days of the invoice date shall be considered past due and Subtotal: 598.751
subject to a 1 -112% per month service charge.
Tax: $0.00
Zeceived by Total: $98.75
Amountpaid: $0.00
Balance 17iu [77 $98.7
U.S. Department ofAgricAwe Payment Type
Animal and Plant Health Inspe0cn
Service Invoice Note:
Plant Piotecuon and Ouaranpne
Riverdale, Maryland 20737
CERTIFIED UNDER ALL APPLICABLE
FEDERAL OR STATE COOPERATIVE Deliv Note:
DOMESTIC PLANT QUARANTINES rY
IN -DD1
4o returns without written authorization. All claims for shortages and damaged material must be made within 5 days
ii delivery Although we stock and maintain only hardy and healthy stock, no guarantee is offered as to the productivity of
notarial.
crnwt I CP_'P_ ot
M.a.0 Cow w txe
Purchase
L000 3�
P.O.0 Pore
G.L d 55'2 50 592D
�p� Line f
tll Purchaser Dade
OCT 1 3 2010 Approval
BY:
Page I of 9
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00350993 Brehob Nursery, Inc. Terms
4867 Sheridan Rd
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s}) PO Amount
1018110 227397 May Comm. Tree 98.75
Total 98 -75
1 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
Voucher No. Warrant No.
00350993 Brehob Nursery, Inc. Allowed 20
4867 Sheridan Rd
Noblesville, IN 46062
In Sum of
98.75
ON ACCOUNT OF APPROPRIATION FOR
853 Parks Gift Fund
PO# or INVOICE NO ACCT rJTLE AMOUNT Board Members
Dept
853 227397 5023990 98.75 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
21 -Oct 2010
Signature
5 98.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund