179435 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN GARDEN CHECK AMOUNT: $166.00
CARMEL, INDIANA 46032 4931 ROBISON ROADD
INDIANAPOLIS IN 46268 CHECK NUMBER: 179435
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CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 573862 166.00 OTHER MAINT SUPPLIES
days from [3EF #e of Invoke
t o `M t2 t o 49 ROBISON <RD s
g
_.w, t o.. •°1N�`'IHi�kPO'LIS;'�NC11ANi4'= 46268 .•...r'.G'xis..,..
317- 228 -4900 FAX 317 228 -4910 p Qr, a
LAWN 1- 800 365 -5678
GARDEN SUPPLY, INC. 13:21.8 33 1 /02/09 5738G2
CAR300 INVOICE
o CARREL STREET DEPARTMENT S
H
D .:3400 lam! 131. Sl STREET P
o WErSTF I ELD 4 IN 46074 0
ATTN DAVE HUE=FMAN
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
J ..54 2
LOC. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER NO. `SALESPERSON''GLK TERMS COPY PAGE'
0111/02/0911/02 /09 0 80UPON REC ::EI 0101
HK —FIELD 8.00 8.00 BROWN F= I E LD SOIL 20.75 168. CAO
CUPID
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SALES AMOUNT ZIF SHIPPING CHG. CODE DEPOSIT CASH
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25% RESTOCK FEE RECD IN GOOD CONDITION
50% RESTOCK FEE ON SPECIAL ORDERS BY X
a CUSTOMER NVOIPE
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/02/09 573862 $166.00
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
VOUCH NO. WARR NO.
Tiffany Lawn Garden Supply Inc ALLOWED 20
IN SUM OF
4931 Robison Road
Indianapolis, IN 46268
$166.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 573862 42- 389.00 $166.00 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
Thursda y Nove 1 ber 05, 2009
J
to
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Street Commissioner
1 V
6tree cfgi-;issioner
TIYIe"
Cost distribution ledger classification if
claim paid motor vehicle highway fund