205150 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 358786 Page 1 of 1
ONE CIVIC SQUARE BOTTAMILLER LLC
CHECK AMOUNT: $144.00
CARMEL, INDIANA 46032 9800 N GRAY ROAD
INDIANAPOLIS IN 46280 CHECK NUMBER: 205150
CHECK DATE: 1/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 4850 144.00 LANDSCAPING SUPPLIES
'Bottamiller LLC INVOICE
9800 N. Gray Road
Indianapolis, IN 46280 DATE INVOICE
317- 844 -8800 12/6/2011 4850
317 844 -8834 Fax
BILL TO DELIVERED
CITY OF CARMEL STREET DEPARTMENT PICKED UP AT SR 32
3400 WEST 131 ST STREET
CARMEL, IN 46074
P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA ORDERED BY
NET 30 DAYS 1/5/2012 10/27/2011
QTY ITEM DESCRIPTION RATE AMOUNT
1 PTS -12YDS PULVERIZED TOPSOIL AT $12.00 YD 144.00 144.00
PRICES SUBJECT TO CHANGE WITHOUT NOTICE Total
$144.00
*Unpaid balance subject to a late charge of 1 1/2% per month
on the outstanding balance.
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))
12/06/11 4850 $144.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bottamiller LLC
IN SUM OF
9800 N. Gray Road
Indianapolis, IN 46380
$144.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 4850 42- 390.34 $144.00 1 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
fi Tuesday, J, "anuary 03, 2012
Street Commissioner
Street Cont.i- tiessioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund