165426 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00352697 Page 1 of 1
ONE CIVIC SQUARE SHADE TREES UNLIMITED INC
b CHECK AMOUNT: $14,964.00
CARMEL, INDIANA 46032 PO BOX 152
COLUMBIA CITY IN 45725 CHECK NUMBER: 165426
CHECK DATE: 10/2912008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4462400 19703 3661 14,964.00 TREES
.a,
Shade Trees Unlimited, Inc.® In voice
P O Box 152
Columbia City IN 46725 Date Invoice
Phone (260) 248 -2733 Fax (260) 248 -27
10n6 /200$ 3661
Bill To Ship To
City of Carmel T M T NURSERY
Department of Community Services 1719 W 161 ST STREET
One Civic Square CARMEL, IN 46032 �;ity of Carmel
Camel, IN 46032 ORIGINAL J N VO I C j
Dept. Of Community Services
P.O. No. Terms Rep Ship Date Ship Via
19703 Net 30 DS 10/16 /2008 Common Carrrier
Description Qty Rate Amount
Thuja occidentalis Emerald Green Arborvitae 6' 5 66.00 330.00
Picea pungens glauca Colorado Blue Spruce 6' 10 75.00 750.00
Gleditsia l i. inermis Halka Locust 2" 9 126:00.._._ _...._...._......1'=134.00..
Gleditsia tn. inermis Halka Locust 2.5" 6 s =:,1'::- +'s, :1;58 O.' ;:w 948.00
Ginkgo biloba Autumn Gold Ginkgo 2" 7, ._..._..._._.148.0,0_ ,.__..._I,036.00_..
Ginkgo biloba Autumn Gold Ginkgo 2 -2NDS 9 70.00 630.00
Ginkgo biloba Princeton Sentry Ginkgo 2" 7 "r 148.00 1,036.00
Ginkgo biloba Princeton Sentry Ginkgo 1.75" 10_._....._..._..__ _.130.00 .1,300.0€1._
Syringa reticulate Japanese Tree Lilac 2.5" 3 158.00 474.00
Syringa reticulate Ivory Silk Lilac 2" 3 12600 378.00
Ginkgo biloba Princeton'SentifGinkgo 1._5 1 111 111.00
Hamamelis vernalis Vernal Witchazel M -S 5-6' 9 65.00 585.00
Cornus alternifolia Pagoda .Dogwood M -S 6' 10 90.00 900.00
Amelanchier grandiflora'Autumn Brilliance' M -S 6 -8' 10 1 19.00 1
Gleditsia tri. inermis Skyline Locust 2" 14 126.00 1,764.00
Gleditsia tri. inermis Skyline Locust 2.5" 6 158.00 948.00
Physocarpus opulifolia Diablo Ninebark 10 65.00 650.00
Freight F.O.B. 1 800.00 800.00
Subtotal $14,964.00
Sales Tax (OA O M $0.00
Total
i 4 $14,964.00
.Y� Payments /Credi #s
Balance Due 14,964.00
ci INDIANA RETAIL TAX EXEMPT PAGE
v ,o Carmel CERTIFICATE NO. 003120155 002 0
�1' .u. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT f
I 9
35-60000972 70-D ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A(P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPRING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
?c� l rCC 6. 11r�ia'i`i t�;c, c� car Gc {�`Yf 1X'-)
VENDOR,' f SHIP
TO
GONF3RM BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PF310E EXTENSION
Oa
Al
Send Invoice To: _t(fi
C.avn d /A/ q12032_
1
'PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BAL4NCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABODE ORDER.
SHIP REPAID. '1
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 1 J y,r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE if {qtr. ms 's✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
t� CLERK TREASURER
DOCUMENT CONTROL NO A. COPY SIGN AND RETURN_TO CLERK'S OFFICE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995
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))
I D f lv D 8 3106/
Total L(, 0 0
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