204384 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00352697 Page 1 of 1
1, ONE CIVIC SQUARE SHADE TREES UNLIMITED INC
CARMEL, INDIANA 46032 PO Box 152
CHECK AMOUNT: $700.00
COLUMBIA CITY IN 46725 CHECK NUMBER: 204384
CHECK DATE: 1216/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4462400 21621 4409 700.00 SALES ORDER
Shade Trees Unlimited, Inc.
Invoice
k�
13800 Zubrick Road
Roanoke IN 46783 Date invoice
SHAD�4"DES (260) 672 -2119 ext 321
UNLIMITED. 11/21/2011 4409
FAX (260) 672 -2316
Bill To Ship To
City of Carmel T M T NURSERY
Department of Community Services 1719 W 161ST STREET
One Civic Square CARMEL. IN 46032
Carmel, IN 46032
P.O. No. Terms Rep Ship Date Ship Via
Due on Receipt 11/21/2011 Common Carrrier
Description Qty Rate Amount
Carpinus betulus fastig. Pyr. European Hornbeam 2.5" 20 0.00 0.00
Gleditsia tri. inermis Skyline Locust 2" 15 0.00 0.00
Ulmus Patriot Elm 2" 10 0.00 0.00
Freight F.O.B. 1 700.00 700.00
All 45 trees are replacements
Subtotal $700.00
Sales Tax (0.0 $0.00
Total $700.00
Payments /Credits $0.00
Balance Due $700.00
VOUCHER NO, WARRANT NO.
ALLOWED 20
Shade Trees Unlimited
IN SUM OF
P.O. Box 152
Columbia City, IN 46725
$700.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# /Dept] INVOICE NO. ACCT /TITLE AMOUNT Board Members
Encrunbered I hereby certify that the attached invoice(s), or
21621 4409 I 44- 624.00 I $700.00
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
Mon cVber 05)29#
Directo
Title
Cost distribution ledger classification if
clalm 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))
11/21/11 4409 Trees $700.00
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