209937 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00350993 Page 1 of 1
ONE CIVIC SQUARE BREHOB NURSERY, INC
CARMEL, INDIANA 46032 4867 SHERIDAN ROAD CHECK AMOUNT: $123.55
WESTFIELD IN 46062 CHECK NUMBER: 209937
r6ii io
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 449932 123.55 OTHER MISCELLANOUS
W ft- Brehob Nursery, Inc.
4867 Sheridan Rd. Invo
b ff e No b Westfield, IN 46062 DISCOVER'
VISA
..,O
l
Ph:(317) 877 -0188
W (317) 877 -2238 In voice Date Page
yam F, r, www.brehobnursery.com 449932 6/9/2012 1
Nursery, Inc.
SOLD TO: SHIP TO:
Carmel, City Of Carmel, City Of
1 Civic Square Carmel Redevelopment Commission
Carmel IN 46032 Carmel IN 46032
(317) 571 -2623 (317) 571 -2623
Date Ordered Ship Date PO# Job Name Sale Rep. Terms Tax Jurisdiction
6/9/2012 6/9/2012 Fire Dept Brenda Net 30 Tax Exempt
Item Ordered Shipped Description Size Price Disc% Extended
ITEALIH003 7 7 Itea virginica'Little Henry' #3 17.65 0% 123.55
Subtotal: $123.55
Discount: 1 $0.00
Invoices not paid within 30 days of t e 4eda II b;co;ns past due and Subtotal: $123.55 subject to a 1 1/2% per month a ce
$0.00
Received by Total: $123.55
Amount Paid: $0.00
Balance Due: $123.55
U.S. Department of Agriculture Payment Type
Animal and Plant Health Inspection
Service Invoice Note: ATTENTION DENISE SNYDER CARMEL FIRE
Plant Protection and Quarantine DEPARTMENT
Riverdale. Maryland 20737
CERTIFIED UNDER ALL APPLICABLE
FEDERAL OR STATE COOPERATIVE Deliv Note:
DOMESTIC PLANT QUARANTINES rY
IN -001
No returns without written authorization. All claims for shortages and damaged material must be made within 5 days
of delivery. Although we stock and maintain only hardy and healthy stock, no guarantee is offered as to the productivity of
material.
Page 1 of 1
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))
449932 $123.55
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. WAR NO.
ALLOWED 20
Brehob Nursery
IN SUM OF
4867 Sheridan Road
Westfield, IN 46062
$123.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 449932 I 42- 390.99 I $123.55 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
JUN 18 20
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund