208489 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN GARDEN CHECK AMOUNT: $194.25
CARMEL, INDIANA 46032 4931 ROBISON ROADD
oN+ INDIANAPOLIS IN 46268 CHECK NUMBER: 208489
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 770735 194.25 OTHER EXPENSES
r n 4931 ROBISON RD. Net 30 days from Date of Invoice
t INDIANAPOLIS, INDIANA 8-491
t 317 228 4900• "FAX 317- 228 -4910
1- 800 365 -5678
e.
LAWN 5202 S. HARDING STREET
G ARDEN SU PPLY, INC. INDIANAPOLIS, INDIANA 46217 1 39 e 4E 04lIZ+5/ 1 7 t'075
317- 782 -8600 FAX 317 225 -5782
S CAR100 S INVOICE
o CARMEL UTILITIES WATER WASTEWATER H
D 760 THIRD AVENUE SW P
T STE 1 10
T'
O INDIANAPOLIS, IN ,4603: O
ATTN LISA KEMPA
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
0001 INDIANA 'TAX 003
LOC.: 'DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER: NO. ,'SALESPERSON i= TERMS COPY PAGE
004/,05/1204/05/12- NA 0 i 9 NET '.-Q D 0.
BACK ARDEAED
INVOICE INVOI,C INVOICE INVOICE
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BK —A 5. 5.50 SHREDDED HARDWOOD 'MULCH 21.00 115'.50
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194.25 194.25
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT:. ,CASH.' DE
I
25% RESTOCK FEE" °RECD,IN GOOD C L
50% RESTOCK FEE.ON•SPECIAL ORDERS BY.X'
ME
GUSTO R INVOICE
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350883
TIFFANY LAWN GARDEN Purchase Order No.
4931 ROBISON RD Terms
INDIANAPOLIS, IN 46268 Due Date 4/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2012 770735 $194.25
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
Date O cer
VOUCHER 114287 WARRANT ALLOWED
350883 IN SUM OF
TIFFANY LAWN GARDEN
4931 ROBISON RD
INDIANAPOLIS, IN 46268
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
770735 01- 6200 -06 $194.25
Voucher Total $194.25
Cost distribution ledger classification if
claim paid under vehicle highway fund