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210567 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1 ONE CIVIC SQUARE TIFFANY LAWN GARDEN CARMEL, INDIANA 46032 4931 ROBISON ROADD CHECK AMOUNT: $212.00 INDIANAPOLIS IN 46268 CHECK NUMBER: 210567 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239034 794105 106.00 LANDSCAPING SUPPLIES 2201 4239034 795083 106.00 LANDSCAPING SUPPLIES pppp^ pppp^^^^ R 4931 ROBISON RD. Net 30 days from Date of Invoice p—� INDIANAPOLIS, INDIANA 1 l 317- 228 -4900• FAX 317- 228 -4918-491 0 1- 800 365 -5678 LAWN g 5202 S. HARDING STREET GARDE SU PPLY, INC. INDIANAPOLIS 46217 317- 782 -8600 FAX 317 225 -5782 (7 9 a .38 e 1 J "4 6/ 15 /1 2 j ���jQ1�j 1 S C s INVOICE CARMEL STREET DEPARTMENT D 3400 W 131ST STREET P T T WESTF I ELD IN 46074 ATTMI DAVE: HUFFMAN TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT (317)733-2001 0001 INDTANA TAX 0171:u201550 LOC. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER NO. SALESPERSWOLK TERMS COPY PAGE BACKORDERED` INVOICE IN INVOICE' .INVOICE PK —BLACK MULCH .4.00 4.00 P,REM I UM BLACK DYED MULCH CUYD 6. 50 106.00 IN X ula 4 4 #r 4 t- i 106. 106.00 SALES AMOUNT SALES TAX SHIPPING CHG. r, CODE DEPOSIT it CASH C E 25% RESTOCK FEE RECD IN GOOD CONDITIO 50 %RESTOCK FEE ON SPECIAL ORDERS BY X USTOMER INVOICE ALL PRICES STATED ARE CURRENT, SUBJECT TO CHANGE WITHOUT NOTICE. NO MERCHANDISE MAY BE RETURNED WITHOUT THE CONSENT OF SELLER, AND MUST BE AN ITEM IN OUR CURRENT INVENTORY AND SUBJECT TO OUR INSPECTION AND A MINIMUM 10% HANDLING CHARGE. SHIPPER WILL NOT BE RESPONSIBLE FOR LOSS OR DAMAGE OF ANY SHIP MENT AFTER RECEIPTED FOR BY TRANSPORTATION COMPANY. CONSIGNEE f MUST MAKE CLAIM FOR SUCH LOSS OR DAMAGE TO THE TRANSPORTATION COMPANY. NO ALLOWANCE CONSIDERED UNLESS CLAIMED ON RECEIPT OF GOODS. THIS MERCHANDISE IS SOLD F.O.B. WAREHOUSE, UNLESS OTHERWISE SPECIFIED ON ORIGINAL ORDER. WE HEREBY CERTIFY THAT THE MERCHANDISE COV- ERED BY THIS INVOICE WAS PRODUCED AND IS DISTRIBUTED IN ACCORDANCE WITH THE FAIR LABOR STANDARDS ACT OF 1938 OF THE UNITED STATES SO FAR AS WE HAVE ANY KNOWLEDGE. IF COLLECTION BECOMES NECESSARY ON THIS ACCOUNT, THE CUSTOMER IS RESPONSIBLE FOR ALL COLLECTION FEES. :r UF 4931 ROBISON RD. Net 30 days from Date of Invoice INDIANAPOLIS, INDIANA 46268 317 228 -4900 •.FAX 317- 228 -4910 1- 800 365 -5678 WN 8 5202 S. HARDING STREET GARDEN SUPPLY INC. INDIANAPOLIS, INDIANA 46217 317- 782 -8600• FAX 317 225 -5782 14:50:5,7 1 2 7941 GAS S CAR300 S INVOICE L CARMEL STREET DEPARTMENT I D 3400 W 131ST STREET P T T WESTF I ELD, IN. 460'74 TAX JURISDICTION NO. 1 DESCRIPTION -TAX EXEMPT LOC. E WRE SHIPPED SHIP VIA A NDER NO. SALESPERSON R COPY PAGE o M. BACK ORDERED INVOICE INVOICE INVOICE INVOICE BK -BLACK MULCH 4.00 4.00 PREMIUM BLACK DYED MULCH 26.50 106.00 CUY r l f 1 19 i AV C�a 1X15. 1015. 00 SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH ODE 25./ RESTOCK FEE RECD IN GOOD ,COND N f 2 Y l C p 1 cl -r&W r 50% RESTOCK FEE ON SPECIAL ORDERS; DY X CUSTOMER INVOICE VOUCHER NO. WARRANT NO. ALLOWED 20 Tiffany Lawn Garden Supply Inc IN SUM OF 4931 Robison Road Indianapolis, IN 46268 $212.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 794105 42- 390.34 $106.00 1 hereby certify that the attached invoice(s), or 2201 795083 42- 390.34 $106.00 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 A Th f sday June 28, 2012 Street Commissioner 1 Title 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)) 06/11/12 794105 $106.00 06/15/12 795083 $106.00 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