180019 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 353916 Page 1 of 1
ONE CIVIC SQUARE CARMEL FLORIST LLC
a CARMEL, INDIANA 46032 620 N RANGELINE ROAD CHECK AMOUNT: $110.50
CARMEL IN 46032 CHECK NUMBER: 180019
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 24 110.50 OTHER EXPENSES
Carmel Florist, LLC Invoice
620 North Rangeline Road Date Invoice
Carmel, IN 46032
11/23/2009 24
Bill TO
Carmel Police Department
Attn: Accounts Payable/Vicki Bailey
3 Civic Square
Carmel, IN 46032
P.O. Number Terms Project
Due On Receipt
Quantity Description Rate Amount
1 Large plant arrangement in metal container with fresh florals added Jennings fimeral 100.00 100.00T
1 Noblesville rate 10.50 10.50T
Indiana Sales Tax 7.00 7.
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Thank you so much for your business! Please call 846 -2578 with any questions/comments
T .24
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
Carmel Florist LLC Purchase Order No.
620 N. Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/23/09 24 payment for flowers for V16ki 110.50
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
C armel Florist- LLC
IN SUM OF
620 N Rangeline Road
Carmel, IN 46032
110.50
ON ACCOUNT OF APPROPRIATION FOR
police gift fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I here certify that the attached invoice
DEPT. hereby Y s or
852 24 852 110.50 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
December 3 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund