208663 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364294 Page 1 of 1
ONE CIVIC SQUARE DEVROOMEN GARDEN PRODUCTS
CARMEL, INDIANA 46032 665 136TH AVENUE SUITE 120 CHECK AMOUNT: $1,027.15
HOLLAND MI 49424
CHECK NUMBER: 208663
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4462401 VF122696 1,027.15 LANDSCAPING
V ..N
OEM= M
DE VROOMEN BULB CO. INC., P.O. BOX 189, RUSSELL IL, 60075, United States
KvK nr. Reg. no.: B.T.W./ V.A.T. ROT no.: 1045 -0531
Phone: (847) 395 -9911, Fax: (847) 395 -9920, E -mail: sales @devroomen.com
Bank of Kentucky Account, Accountnr 0238376 Route no.:042102115
Order No. V0121940 I N V O I C E Invoice No. VF122696 Page 1
INVOICE ADDRESS (1295) SHIPPING ADDRESS (1295)
Carmel Street Dept Carmel Street Dept
Parks Pifer Parks Pifer
3400 W. 131st St. /Main St. 1 Civic Sq.
Carmel, IN 46074 Carmel, IN 46032
United States United States
Phone 317 733 -2001 Phone 317 733 -2001
Fax 317 733 -2005 Fax 317 733 -2005
YOUR REF. P.O. 27385 INVOICE (Delivery) DAT April 17, 2012
ORDER NO. V0121940 PAYMENT DUE DATE May 17, 2012
CUSTOMER CONTACT Parks Pifer OUR SUPPLIER NO.
SALES REPR. Eric Olson (616- 399 -1919)
YOUR V.A.T./ G.S.T. /R.O.T.
TERMS OF DELIVERY Free on Board Distribution Point
A finance charge of 1.5% (18% per annum) will be added monthly to
a past due invoice.
e price each p price per package
QUANTITY DESCRIPTION SIZE SUG.RET. PRICE AMOUNT
BULK
EREMURUS
450 stenophyllus 1 0.00 1.25e 562.50
GUNNERA
10 manicata 0.00 3.98e "39:80-
KNIPHOFIA
100 Cobra 1 0.00 2.36e 236.00
LIATRIS
525 spicata 10/12 0.00 0.15e 78.75
4,000 spicata 10/12 0.00 0.00e
Total amount items 917.05
Freightcharges USA 110.10
DE E
DE VROOMEN BULB CO. INC., P.O. BOX 189, RUSSELL IL, 60075, United States
KvK nr. Reg. no.: B.T.W./ V.A.T. ROT no.: 1045 -0531
Phone: (847) 395 -9911, Fax: (847) 395 -9920, E -mail: sales @devroomen.com
Bank of Kentucky Account, Accountnr 0238376 Route no.:042102115
Order No. V0121940 I N V 0 1 C E Invoice No. VF122696 Page 2
Total USD 1,027.15
Payment due: net, 30 days after date of invoice.
A finance charge of 1.5% (18% per annum) will be added monthly to a past due invoice.
ALL CLAIMS, DAMAGES, SPOILAGE AND SHORTAGES MUST BE PRESENTED WITHIN 10 DAYS AFTER RECEIPT OF GOODS
EC QUALITY EC PLANT PASSPORT, NL BKD NAKTUINBOUW QUALITY CONTROL NAKTUINBOUW REGISTRATION NR: 1287 BKD -NR: 79264
THE BKD /NAKT /EC INDICATIONS ARE ONLY APPLICABLE TO CROPS INCLUDED IN THE QUALITY CONTROL SYSTEM E 0312 EB0 0570
Varieties marked with are varieties for which an application for grower rights has been filed or for which grower rights have been granted. The following applies to this variety:
This is a variety protected by plant breeders' rights. Propagation without valid licensing agreement is strictly forbidden. Intended only for once -only cultivation or dry sales.
The propagation ban thus described should be stipulated by the purchaser in all successive sales through to final use.
Please return this portion with your payment to
De Vroomen Bulb Co. Inc.
P.O. Box 189, RUSSELL IL, 60075
United States
V0121940 VF122696 Carmel Street Dept (1295) 4 -17 -2012 5 -17 -2012 1,027.15
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))
04/17/12 VF122696 $1,027.15
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
DeVroomen Garden Products
IN SUM OF
665 136th Ave. Ste. 120
Holland, MI 49424
$1,027.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
27385 I VF122696 1 2201 624.011 $1,027.15 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
Wednesday, May 02, 2012
)11 ,fl
Street o X`11 #ner
i
Street Com°- II loner
Cost distribution ledger classification if
claim paid motor vehicle highway fund