205424 01/17/2012 *f CITY OF CARMEL, INDIANA VENDOR: 364849 Page 1 of 1
`q ONE CIVIC SQUARE CHATEAU DUBOIS LLC CHECK AMOUNT: $7,917.50
CARMEL, INDIANA 46032 PO BOX 262
WESTFIELD IN 46074 CHECK NUMBER: 205424
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1192 R4350400 27213 0316 7,917.50 ADDL SVS #1
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9'.(9. J3ox 262
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January 12, 2012 Invoice #0316
To: Daren Mindham Chateau DuBois, LLC
Urban Forester P.O. Box 262
City of Carmel Westfield, IN 46074
Concerning: Tree Planting Other Reference Purchase Order 27213
Qty Size Name/ Variet Unit Cost Total
3 3" Armstrong Maple $75.00 $225
1 1.5" Autumn Brilliance Serviceberry $65.00 $65
10 3G Rosy Glow Barberry $12.00 $120
4 2" Chinese Fringetree $75.00 $300
2 5G Oakleaf Hydrangea $17.50 $35
82 3G Blue Rug Juniper $12.00 $984
5 8' Norway Spruce $75.00 $375
2 7. Serbian Spruce $75.00 $150
1 10' Colorado Blue Spruce $85.00 $85
50 3G Pink Parasols Spirea $12.00 $600
80 3G Stephanandra $12.00 $960
13 5G Miss Kim Lilac $17.50 $227.50
18" 18 Wardii Yew $12.00 $216
40 5G Arrowwood Viburnum $17.50 $700
50 3G Fine Wine Weigela $12.00 $600
36 5G Boxwoods $17.50 $630
18 7' Arborvitae $45.00 $810
9 sq. yd Black Dyed Mulch $65.00 $585
1 Delivery $250.00 250
Combined Total LZ
Thank you for the opportunity. Please let me know if you have any questions or comments.
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))
01/12/12 0316 Tree planting $7,917.50
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.
Chateau DuBois, LLC ALLOWED 20
IN SUM OF
PO Box 262
Westfield, IN 46074
$7,917.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
27213 0316 I 43- 504.00 I $7,917.50
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
Thursday, January 12, 2012
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund