180285 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN GARDEN CHECK AMOUNT: $125.98
CARMEL, INDIANA 46032 4931 ROBISON ROADD
y,. La INDIANAPOLIS IN 46268 CHECK NUMBER: 180285
CHECK DATE: 12/8/2009
i
DEPARTMENT AC COUNT PO NUMBER I NVO I CE NUMBER AM DESCRIPTION
2201 4238900 575415 70.00 OTHER MAINT SUPPLIES
2201 4238900 575449 55.98 OTHER MAINT SUPPLIES
ce
GARDE
L CARMEL STREET DEPARTMENT
D 3400 W 131ST STREET
T r
o o
WESTFIELD,_ IN 46074
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
KRA
INVOICE INVOICE INVOICE INVOICE
MULCH 2.00 2. DYED BROWN MULCH 27.99 55.98
55.98 3.92 90
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH
30 day Srfrorn .Da of Ih'.v
te r
Ll �[t` A• F39'37 RO,BISON RD .L."P
IIA4 5...�; a
g 5 Y2 t m 3-. vl� .2. 1,'. x e 'F.
P6 N/ ND
1POUS IfANA68 "J t.a'
3 .CO vtifn; 5
Y 228 }900 .FAY 319 228 4910 w s k a•s u
LAWN 1800365 ^5678
r ,GARDEN SUPPI Y, INC 08'a 7 e•c'8 11 /`3 /W 5741g:; t
S CAR300 S INVOICE
O CARMEL STREET DEPARTMENT H
L
3400 W 131ST STREET P
T T
o WESTF I ELD, IN 460 O
ATTN DAVE HUFFMAN
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
�i
s
LOC. DATE ORDERED DATE SHIPPED'" SHIP VIA JOB NO. PURCHASE ORDER NO. SALE SPERS CLK. TERMS COPY` PAGE
ON
0111/23/0911/23 /09 0 12UPON RE EI
VU yI'll BACKORDERED 0
INVOICE INVOICE INVOICE INVOICE
BK— PLANTER 2. 00 2. 00 PLANTERS MIX 35.00 70.00
CUYD
�t '�t�d 'k�L4 z,.. i .st �L t L rr t
t,.s 1 i F a�. o i 't i �'t 3''i�"'� `i �Ft i Y C il. r 4 -r' i C r w i} .A d
t 4� y a. �t y f s'SI a�.� 1 r 1 i -r '�7 t a 'S c`• w h
h v, c. .ii v_. v.,t 3, w .:.f,• ,w,u; +..z a �a 3 1 ,.t z n I
i
70e 00 74.90
SALES AMOUNT SALES SHIPPING CHG. CODE DEPOSIT CASH E
maz� Paw WP
XCK SPACIA
25% RESTOCK FEE REC D IN'G BOD CONDITION 7�y CFy�y Zuh a
50% T RES FEE ON -SPECIAL ORDERS
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.',y
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))
11/23/09 575449 $55.98
11/23/09 575415 $70.00
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
V NO. WARRANT NO.
ALLOWED 20
Tiffany Lawn Garden Supply Inc
IN SUM OF
4931 Robison Road
,)ndianapolis, IN 46268
$125.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
'PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Membe
2201 575449 42- 389.00 $55.98 1 hereby certify that the attached invoice(s), or
2201 575415 42- 389.00 $70.00 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
Friday,/December 04; 200
N 4�ah/
Jt��
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund