206016 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN GARDEN
s, 1, CARMEL, INDIANA 46032 4931 ROBISON ROADD CHECK AMOUNT: $550.00
INDIANAPOLIS IN 46268
CHECK NUMBER: 206016
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4235000 30279 755166 550.00 BLOCK FILL INSULATION
days i
I +i f I INDIANAPOLIS, INDIANA 46268 F q} 9 q- f r i i x„4
�t f fd17 228 490Q FAX 317 228 -4910 9 j r 1 n f �g �t�
l F i fir. r T'r 800 365 5676 G' t I T� rL fs d S4 d 4>• +Fv r r�lt }r z
�;;Jrl�.i ..t r ,xs. :+�w h a� nt: 2:r?�_, tit x� :.n.'.....,:,i rsa.., a ..t.u1..�.. I�•t.a.. c., .r.n,r.....! 4w t: .,.Y '.,�.•.Je «..a r .`t
LAWN 5202 S. HARDING STREET
GARDE SUPP LY, INC. INDIANAPOLIS, INDIANA 46217 n
317- 782 -8600 FAX 317.225 -5782 a .i C S
S CAR150 s IhtVOICE
CARMEL CLAY PARKS RECREATION H
D 141. E• 116TH STREET P
T T
CARMtL IN 46032
ATTN MAINTENANCE DIVISION
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
(317) 571 -4'141 0001 INDIANA TAX 00312-01550-02
LOC. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER NO. SALESPERSON''!CLK TERMS COPY PAGE
1 DO
BACK ORDERED
INVOICE INVOICE, INVOICE INVOICE
SO— PERLITE 40.00 40.00 PERLITE 4 CL1 FT 13.75 550.00
HAG
s p 11,151�
Purchase /t 1 0
u.�ia-- F�ouYYie�s p'k�R►, 1012
Descriptio
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P.O. �a 1 9 Dr F C
G.L.
Ilan '�_pg_ 425000 ��e
Budget I LS
Line Descr 6
Purchaser Date
Date
Approval iL A N
ANC.
550.00 550.
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT p CASH L VE
0
25% RESTOCK FEE RECD IN GOOD CONDITION ✓1��0 TL4
50% RESTOCK FEE ON SPECIAL ORDERS BY X
ry CUSTOMER INVOICE
ALL PRICES STATED ARE CURRENT, SUBJECT TO CHANGE WITHOUT NOTICE.
NO MERCHANDISE MAY BE RETURNED WITHOUT THE CONSENT OF SELLER,
AND MUST BE AN ITEM IN OUR CURRENT INVENTORY AND SUBJECT TO OUR
INSPECTION AND A MINIMUM 10% HANDLING CHARGE.
SHIPPER WILL NOT BE RESPONSIBLE FOR LOSS OR DAMAGE OF ANY SHIP-
MENT AFTER RECEIPTED FOR BY TRANSPORTATION COMPANY. CONSIGNEE
"r i @3F� MUST MAKE CLAIM FOR SUCH LOSS OR DAMAGE TO THE TRANSPORTATION
a 1c COMPANY.
kt NO ALLOWANCE CONSIDERED UNLESS CLAIMED ON RECEIPT OF GOODS. THIS
MERCHANDISE IS SOLD F.O.B. WAREHOUSE, UNLESS OTHERWISE SPECIFIED
ON ORIGINAL ORDER. WE HEREBY CERTIFY THAT THE MERCHANDISE COV-
ERED BY THIS INVOICE WAS PRODUCED AND IS DISTRIBUTED IN ACCORDANCE
WITH THE FAIR LABOR STANDARDS ACT OF 1938 OF THE UNITED STATES SO
FAR AS WE HAVE ANY KNOWLEDGE. IF COLLECTION BECOMES NECESSARY
ON THIS ACCOUNT, THE CUSTOMER IS RESPONSIBLE FOR ALL COLLECTION
FEES.
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.
00350883 Tiffany Lawn Garden Supply Terms
4931 Robison Road Date Due
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/20/11 755166 Insulation Founders Park RR 30279 550.00
Total 550.00
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
i
Voucher No. Warrant No.
00350883 Tiffany Lawn Garden Supply Allowed 20
4931 Robison Road
Indianapolis, IN 46268
In Sum of
550.00 4
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
Dept
30279 F 755166 4235000 550.00 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
26 -Jan 2012
P
Signature
550.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund