176354 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 362734 Page 1 of 1
ONE CIVIC SQUARE MILLER BROTHERS FARMS INC CHECK AMOUNT: $295.75
CARMEL, INDIANA 46032 6485 S 550 WEST
ROSSVILLE IN 46065 CHECK NUMBER: 176354
CHECK DATE: 8/19/2009
DEPARTMEN ACCOUNT PO NUMBE IN VOICE NUMBER AMOUNT DESCRIPTION
2201 4462401 2089 139.75 LANDSCAPING
X200 R4462000 19797 2094 156.00 STRUCTURAL IMPROVEMEN
V A
UAL -W "U SAS
65)
4
CUSTOMER'S ORDER NO. PHONE DATE
7r 30
NAME
ADDRESS
SOLD BY °CASH C.O.D. CHARGE ON ACCT.. MDSE. RET'D. PAID OUT
f
DESCRIPTI AMO UNT
_rr
Tune Proms Time weed
f Hanoe w €late -'Time
Square Feet ERue Grass Sad Delivered
Square Feet E31tte Grass Sod Picked Up o`
Square Feet Fescue Delivered
75o Square Feet Fescue Pk4md Up f o
Sick (Retlim For Deposit)
SlIdds Returned CREDIT
Detivety. Cttar
Starter Fertilizer
Seed
RECEIVED BY TOTAL
ad a All claims and reFurned gaotls MUST be accompan ed by this bill
THANK YO
i
Miller Bros Farms, Inc. Invoice
6485 S 550 W
Rossville, IN 46065 Date Invoice
_t Phone 765- 379 -2091 7/30/2009 2089
Fax 765 -379 -3245
Bill To Ship To
Carmel Street Department
3400 W. 131 st Street
Westfeild, 1N 46074
P.O. Number Due Date Delivery_ Via
7/30/2009 7/30/2009
Quantity Item Code Description Price Each Amount
750 Fescue Sod LC 0.165 123.75
2 Skids Skids (return for deposit) 8.00 16.00
L 5 13 'r, Sales Tax (7.0 $0.00
Total $139.75
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))
07/30/09 2089 $139.75
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
VOUCHER NO. W ARRAN T N
ALLOWED 20
Miller Brothers Farms, Inc
IN SUM OF
6485 S. 550 W.
Rossville, IN 46065
$139.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member:
2201 2089 2201- 624.01 $139.75 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
�f rhursday /Aug &s 13, 2009
Street Commissioner :r
a #roat
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
r MILLER BROTHERS FARMS, INC.
QUALITY TURF "GRASS SALES
6485 S. W:
ROSSVILLE, IN 46065
(765) 379 -2091 (705) '430-6036,
CUSTOMER'S ORDER NO. PHONE DATE
t
NAME
ADDRESS
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. PAID OUT
0 N PRICE Amo
Time Promised Time Delivered
Harvested Date Time
Square Feet Blue Grass Sod Delivered I
Square Feet Blue Grass Sod Picked Up I
Square Feet Fescue Delivered I
O Square Feet Fescue Picked Up
Skids (Return For Deposit) 1� I
Skids Retumed CREDIT 1
Delivery Charge
Starter Fertilizer I
Seed 11 2 73 Ig I
9
s\
1<2 pwall)
a, N
O
ti
TAX I
RECEIVED BY
TOTAL
IGO
ll.
All claims and returned goods MUST be accompanied by this bill.
20,94' THANK YOU
,described 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
Miller Brothers Farms
Purchase Order No.
6485 S. 550 W.
Terms
Rossville, IN 46065
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/04/09 2094 Thornhurst and Main $156.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Miller Brothers Farms IN SUM OF
6485 S. 550 W.
Rossville, IN 46065
$156.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
lutut 2094 00-R4462000 156.00
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
C,;ii n n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund