210135 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 296275 Page 1 of 1
4F ONE CIVIC SQUARE SUNDOWN GARDENS INC
CARMEL, INDIANA 46032 13400 OLD MERIDIAN STREET CHECK AMOUNT: $677.88
CARMEL IN 46032
CHECK NUMBER: 210135
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 12672 677.88 OTHER MAINT SUPPLIES
13400 OLD MERIDIAN STREET 12672
CARMEL, INDIANA 46032
r g p GS d Own (317) 846 -0620 FAX (317) 846 -4950
ns www.sundowngardens.com
A 31 Date !o `1/7-
Home Cell Work
Name Li jc L, uZ 3.> lal-I' e e5iuc ez-ug
Address
City G'119W-141z71e State Zip
Sold by Subdivision
Q LIAN' DESCRIPTION PRICE AIVIQQNT
c 677e?,?
Subtotal
Clerk Initials Tax
PAID BY: CASH CHECK Labor
CREDIT CARD Total
H OUSE Down Pmt Recd
House CASH CHECK CREDIT CARD
r_
C�siome�S� 9a\. Due
CUSTOMER VELLOW 'OFF \CE P \NK -LABOR
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))
06/04/12 I 12672 I Flowers I $677.88
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
Sundown Gardens
IN SUM OF
13400 Old Meridian Street
Carmel, IN 46032
$677.88
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 I 12672 I 42- 389.00 I $677.88 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
Monday, June 04, 2012
Director, Brookshi e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund