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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