173059 05/27/2009 *f CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN GARDEN
4 CARMEL, INDIANA 46032 4931 ROBISON ROADD CHECK AMOUNT: $455.00
INDIANAPOLIS IN 46268
G CHECK NUMBER: 173059
CHECK DATE: 5/2712009
DEPA RTMENT ACCOU PO N INV NUMBER AMOUNT DESCRIP
651 5023990 550265 455.00 OTHER EXPENSES
Net 30 days from Date of invoice
4931 ROBISpN RD,
INDIANAPOLIS, INDIANA 46268
317. 228 -4900 FAX 317- 226 -4910
LAWN 1 -809- 365 -5678
GARDEN SUPPLY, INC. 09 31 B 2 1 550265
s CIT700 S INVOICE
CITY OF C:ARMEL WATER UTILITIES, H
D .sjF`,0 W 1 31 T al" P
T T
p WESTF I EI....D, IN 46074 p
ATTN KERRI
I TAX JURISDICTION NO. (DESCRIPTION TAX EXEMPT.
(317)733-285t X001 INDIAN
LOC, DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER NO. SALESPERSON CLK TERMS COPY PAGE
L c W 1f 7
gum .BACK ORDERED @M p p u
INVOICE INVOICE INVOICE INVOICE
PK--A 20. OCA. 20. 00 STANDARD HARDWOOD NARK 2 75 455.00
CUYD MULCH
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455. c\
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH ODE
r 1 ;f ✓F- J 1 't r: y k;`u e rr' 5.4 -:?14 lq r f .4
t' 25 t'RESTOCE PEE t i REC D IN GOODY O TION a s
M1w $Y: o
T�3(j}C FEE�?rPF�CiAII C�RDEFIS e
CUSTOMER INVOICE
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ALL PRICES STATED ARE CURRENT, SUBJECT TO CHANGE WITHOUT NOTICE.
NO MERCHANDISE MAY RE 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
MUST MAKE CLAIM FOR SUCH LOSS OR DAMAGE TO THE TRANSPORTATION
COMPANY.
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 1936 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.
1
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350883
TIFFANY LAWN GARDEN Purchase Order No.
940 E MICHIGAN ROAD Terms
INDIANAPOLIS, IN 46202 -3699 Due Date 5/19/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/2009 550265 $455.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
095682 WARRANT ALLOWED
?60883 IN SUM OF
TIFFANY LAWN GARDEN
940 E MICHIGAN ROAD
INDIANAPOLIS, IN 46202 -3699
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
550265 01- 7202 -05 $455.00
V 1
f Voucher Total $455.00
i
C,lost distribution ledger classification if
claim paid under vehicle highway fund