209687 06/05/2012 *f CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN GARDEN CHECK AMOUNT: $217.00
s a CARMEL, INDIANA 46032 4931 ROBISON ROADD
INDIANAPOLIS IN 46268 CHECK NUMBER: 209687
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 784879 168.00 MATERIALS SUPPLIES
2201 4239034 785373 49.00 LANDSCAPING SUPPLIES
4931 ROBISON RD. Net. 30 days from Date of Invoice
F� INDIANAPOLIS, INDIANA
317- 228.4900 FAX 317 228.4918.491
0
1- 800 365 -5678
LAWN 5202 S. HARDING STREET
GARDEN SUPPLY, INC. INDIANAPOLIS, INDIANA 46217
317- 782 -6600 a FAX 317- 225 -5782 11 3 12 c
Z
o J 1�
S CAR300 H I
L CARMEL STREET DEPARTMENT I
D 3400 W 131ST STREET P
T T
0 0
WESTI= T. EL:.D, IN 46074
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
LO A 0�1 E SHIPPED SHIP. VIA O: C ORDER NO:. SALESPERSO "F§R COPY PAGE'.
a o
BACKORDERED CARIAYIYLlJ `:as B 0
INVOICE lhiVO.ICF INVOICE INVOICE
DI'. —BLACK MULCH C 2.00 2.00 STANDARD BLACK D YED MULCH :24.50 49.00
CUYD
ft
•r
l
1 V {j
yV
n 3A
!f
I
I
49 49 .00
00
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT f CASH DE
i
25% RESTOCK FEE. REC'Dr1N.GO/01TION 9.
0% RESTOCK,FEE ON SPECIAL ORDERS'
1
CUSTOMER INVOICE
VOUCHER NO. WARRA NO.
ALLOWED 20
Tiffany Lawn Garden Supply Inc
IN SUM OF
4931 Robison Road
Indianapolis, IN 46268
$49.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member.
2201 I 785373 I 42- 390.341 $49.00 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
FridaJune 01, 201
r
Street Commissioner
f v
ax eex L'orni- iiesioner,
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/16/12 785373 $49.00
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
4 IS, INDIAN NA Net 30 days from Date of Invoice
INDIANAPOLIS, INDIANA 8-491
317- 228 -4900• FAX 317 228 -4910
1 -800- 365 -5678
o
LAWN 5202 S. HARDING STREET 7
GARDEN SUPPLY, INC:
INDIANAPOLIS, INDIANA 46217 10 49 34 05/ 1 5l 12
317 782 -8600 FAX 317 225 -5782
CIT7170 INVOICE
St CITY OF CARMEL WATER UTILITIES H.
L 3450 W 131 S T P bF
o WESTFIELD.q IN 46074 T
0
AT "rN KERRI
TAX JURISDICTION NO. DESCRIPTION —TAX EXEMPT
1317) 73 0001 INDIANA '(AX
LOC. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER NO. SALESP,ERSON;ICLK TERMS COPY PAGE
J t) ie b. tV. e ,..0.,, OP NET_ 30 DA
�1 "W BACK D ,>t.:.
FA —STRAW MAT 4. 00+ 4. 00 7, 5' X120 STRAW" MAT 42.00 168, 00
RL SINGLE SIDED
p I I
LAW
b58. 00 lbd. IZAVI
i
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH
25% RESTOCK FEE:_ REC DJN GOOD"CONDITI„
50% RESTOCK FEE ON SPECIAL' ORDERS. BY X''
VOUCHER 121039 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
784879 01- 6200 -06 $168.00
1
0
Voucher Total $168.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 5/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/29/2012 784879 $168.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with I 5- 11- 10 -1.6
Date Officer