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179137 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00350993 Page 1 of 1 ONE CIVIC SQUARE BREHOB NURSERY, INC CARMEL, INDIANA 46032 4867 SHERIDAN ROAD CHECK AMOUNT: $72.50 NOBLESVILLE IN 46060 CHECK NUMBER: 179137 CHECK BATE: 1111112009 D EPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION 353 5023990 115004 T Y 72.50 OTHER EXPENSES yr Brehob ND460 In voice a t�trr 4867 Sh Noblesvill�� DISC�'VER brehob x Fax: (317) 877 -2238 l Date Page „,,,�;e's,��'�” www.brehobnursery.com 10/27/2009 1 Nursery, Inc. SOLD TO: SHIP TO: Carmel Clay Parks Recreation Carmel Clay Park Recreation 1411 E 116Th St 1411 E 116Th St Carmel IN 46032 Carmel IN 46032 (317) 571 -2695 (317) 571 -2695 Date Ordered Ship Date PO# !Job Name Sale Rep. Terms Tax Jurisdiction 10/21/2009 10/27/2009 1 22804 Craig Net 30 Tax Exempt Item Ordered I Shipped F 1310 Description I Size I PriceF Extended CRATWIK150C 1 1 0 Crataegus virdis'Winter King' 1.5" C 72.50 72.50 Invoices not paid within 30 days of the invoice date shall be considered past due and Subtotal: $72.50 subject to a 1 -1I2% per month service charge. Tax-IF $0.00 Received by Total: $72.50 Amount Paid: Balance Due: 72.50 U.S. Department of Agriculture Animal and Plant Health Inspection Service Invoice Note: PO# 22804 Sara (317) 573 -4026 Plant Protecton and Quarantine Riverdale, Maryland 20737 CERTIFIED UNDER ALL APPLICABLE FEDERAL OR STATE COOPERATIVE Deliv Note: DOMESTIC PLANT QUARANTINES ry IN -041 No returns without written authorization. All claims for shortages and damaged material must be made within 5 days of delivery. Although we stock and maintain only hardy and healthy stock, no guarantee is offered as to the productivity of material. Purchase Descr ,_..,P arF OC 2 8 2009 ;9� 0 :a.L- udget 'urchaser approval Page 1 of 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00350993 Brehob Nursery, Inc. Terms 4867 Sheridan Rd Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10/27/09 115004 Commemorative tree 22804 F 72.50 Total 72.50 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. 00350993 Brehob Nursery, Inc. Allowed 20 4867 Sheridan Rd Noblesville, IN 46062 In Sum of 72.50 ON ACCOUNT OF APPROPRIATION FOR 853 Parks Gift Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 853 115004 5023990 72.50 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 5 -Nov 2009 o, Signature 72.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund