177318 09/15/2009 A� CITY OF CARMEL INDIANA VENDOR: 362734 Page 1 of 1
ONE CIVIC SQUARE MILLER BROTHERS FARMS INC
1 CARMEL, INDIANA 46032 6485 S 550 WEST CHECK AMOUNT: $138.50
ROSSVILLE IN 46065
CHECK NUMBER: 177318
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4462401 2094 138.50 LANDSCAPING
MILLER BROTH�RZ RMS INC.
sgUAU TURF GRAS SALES
54 5 S: 550"W'
iROSSVILls, i 4 65
F
CUSTOMER'S ORDER NO. PHONE DATE
lo Y J 4
[Y
NAME C 1
ADDRESS
L
r
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. .PAID OUT
4'-
QTY DESCRIPTION AMO
'lima Promised Time Delkwed
Harvested Date The
Square Feet Blue Grass Sod DaGtiered I
Square Feet Blue Grass Sad Picked. UP I
S,Zuare Feet Fescue Dallvred
Square Feet Fescue PIckad UP
Skids (Rdirm For Depas*
Skids Rerirmed CREDIT I
DeIwry C6a.%a I
Sutter Fertifim I
Seed
I
TAX
RECEIVED BY
TOTA
All claims and returned goods MUST be accompanied by this bill.
209'` THANK YOU
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))
08/04/09 2094 $138.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Miller Brothers Farms, Inc
IN SUM OF
6485'S. 550 W.
Rossville, IN 46065
$138.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO4 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 2094 2201 624.01 $138.50 I 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
Thursday, Septembe 10, 2009
i
'Street ommissio r i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund