HomeMy WebLinkAbout204045 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 365817 Page 1 of 1
Q� ONE CIVIC SQUARE VALLONIA STATE NURSERY CHECK AMOUNT: $162.40
CARMEL, INDIANA 46032 2782wGO. RD, 540 S.
VALLONIA IN 47281 CHECK NUMBER: 204045
CHECK DATE: 11121/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1192 4462400 0031201550 162.40 TREES
INVOICE FOR TREE SEEDLINGS Payment Method: MAKE CHECKS PAYABLE TO DIVISION OF FORESTRY
VALLONIA STATE NURSERY CHECK ENCLOSED AMOUNT CIRCLE ONE VISA
2782 W. CO. RD. 540 S. CREDIT CARD EXP. DATE MC
P.O. Box 218
VALLONIA, INDIANA 47281
Approved by State Board of Accounts 1998 PRINT NAME AS IT APPEARS ON CREDIT CARD AMOUNT
CARD NUMBER SIGNATURE
ORDER NO: 1449 COUNTY: HAMILTON
SOLD TO: SHIP TO:
CITY OF CARMEL DAREN MINDHAM CITY OF CARMEL DAREN MINDHAM
ONE CIVIC SQUARE DOC 3RD FLOOR ONE CIVIC SQUARE DOC 3RD FLOOR
CARMEL IN 46032 CARMEL IN 46032
(317)571 -2283
PLEASE DETACH 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 0.318000 31.80
100 BALD CYPRESS 0.318000 31.80
100 TULIPTREE 1 -0 0.318000 31.80
dmindham @carmel.in.gov
please deliver 4/16
Handling Cost 10.000000 10.00
Miscellaneous Cost 0.000000 0.00
IF YOU WERE NOT BILLED FOR A SPECIES THAT SUBTOTAL 105.40
YOU REQUESTED ON THE ORDER FORM, WE WERE SOLD TAX 0.00
OUT WHEN YOUR ORDER WAS RECEIVED. WE ARE SORRY
UPS CHARGE 57.00
AMOUNT DUE 162.40
For Office Use Only Payment Due Date: 12/06/2011
STANDARD SHIPPING METHOD: UPS Shiooina
11/16/2011 SHIPPING LOCATION: Jasper- Pulaski
0031201550
Order Number: 1449
Pre Lottery Number: 1452 THANK YOU
VOUCHER NO. WARRANT NO.
ALLOWED 20
Vallonia State Nursery
IN SUM OF
2782 W. Co. Rd. 540 S.
Vallonia, IN 47281
$162.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT
Board Members
1192 I 0031201550 I 44- 624.00 I $162.40 I 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
I Tmber 17, 2011
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
11/16/11 0031201550 Trees, red oak, bald cyprus, tuliptree $162.40
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