175922 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN GARDEN
CARMEL, INDIANA 46032 4931 ROBISON ROADD CHECK AMOUNT: $823.90
INDIANAPOLIS IN 46268
CHECK NUMBER: 175322
CHECK DATE: 8/6/2009
DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 W 4350400 564777 374.50 GROUNDS MAINTENANCE
1205 4350400 565067 449.40 GROUNDS MAINTENANCE
4
4931 ROBISON RD. Net 30 days from Date of Invoice
INDIANAPOLIS, INDIANA 46268 DS
317- 228 -4900 FAX 317 228 -4910 I p
4 LAWN 1- 800 365 -5678
uAPDEN SUPPLY, INC.
08:59 :53
o CAR300 H INVOICE
D CARMEL STREET" DEPARTMENT P
T 3400 W 131ST STREET T
0 o
WEST1= I ELD, IN 48074
TAX JURISD I -RI TAX EXEMPT
A ATE SHIPPED SHIP VIA OMt Nd ND I ANAffitME ORDER NO. SALESPERSON CLK TERMS
PAGE
BUS BACKORDERED o �0�9
INVOICE INVOICE INVOICE INVOICE
HK— PLANTER 10.00 10.00 PLANTERS MIX 35.00 350.00
CUYD
350.00 24.50 374.50
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH C� "CODE mm
iFw V �um 0
a r i.
I
25°f' RESTOCK FEE RECD IN GOOD COND j z
5p/ FTCK €E SQF�CIAL ORDERS 1+K TM BY X
A' CUSTOMER: INVOICE
c.
C
e
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
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.6. 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.
V
Net 30 days from Date of,lnvolce�
IN 4931 0 AOBISON RD
DIANAPOLIS INDIANA 46268 I A'•
228 -4900 FAX 1 317 228 9910
LArlJN 8
1-800- 365.5678
GARDEN SUPPLY; ING
,Aw:� INVIJICE
0 CARMEL STREET DEPARTMENT H
D 3400 W 131ST STREET P
T
lAES�TF I ELD 9 IN 45074 0
ATTN DAVE HUFFMAN
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
(317)733-2001. 0001 INDIANA TAX
LOC. .DATE ORDERED ,DATE -S IPP_ SHIP JQB_N.O,__.._ PURQHASE•ORDER�NO.�. "_.,SALESPERSON +CLK N TSRMS aCOPY,•PAGE-
BACKORDERED
INYOIC INVOICE INVOICE INVOICE
BK- PLANTER 12.00 12.00 'PLANTERS MIX 35. 00 420.00
CUYD 4 41
g
t i r
i r t s' y r q y
J,A
e
i
S
L a
h U u
SALES AMOUNT SALES.TAX SHIPPING CHG. CODE AEPOSIT CASH:: CODE
0
ti f -1
25 /p'RESTOCK FEE AEC D IN GOOD CQNDITIO
STOCK FEE ON SPECIAL ORDERS BY
1.. CUSTOMER •Ii1N6PCE%
ALL PRICES STATED ARE- CURRENT, SUBJECT TO.GHANGE 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
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 1938 OF THE UNITED STATES SO
FAR AS WE HAVE Ai KNOWLEDGE. IF COLLECTION BECOMES NECESSARY
ON THIS ACCOUNT, THE CUSTOMER IS RESPONSIBLE FOR ALL )COLLECTION
FEES.
y
VOUCHER rW/ 03/09 WARRANT NO.
nc ALLOWED 20
F oa IN SUM OF
Indianapolis, IN 46268
$823.90
ON ACCOUI ,ggPR N FOR
1205 Administration
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT I hereby certi that the attached invoice (s), or
DEPT. Y Y
1205 565067 504 $449.40 bill(s) is (are) true and correct and that the
1205 664777 materials or services itemized thereon for
which charge is made were ordered and
received except
20
A
Cigna re
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Tiffany Lawn Garden Supply, Inc Purchase Order No.
r
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
449.40
07/14/09 564777 P lanters
Total
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