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213862 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00350993 Page 1 of 1 ONE CIVIC SQUARE BREHOB NURSERY, INC CHECK AMOUNT: $330.30 ;' to CARMEL, INDIANA 46032 4867 SHERIDAN ROAD •, oN�; WESTFIELD IN 46062 CHECK NUMBER: 213862 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239034 475518 330 . 30 LANDSCAPING SUPPLIES Brehob Nursery, Inc. Invoice t- t 4867 Sheridan Rd. Westfield, IN 46062 psi DISCOVER'VISA r, brehbb ' Ph:(317)877-0188 ,;.:. . } Fax: (317) 877-2238 Invoice Date- Page # .t `! 'tl www.brehobnursery.com 475518 1 9/14/2012 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 Pop/Job Name Sale Rep. Terms Tax Jurisdiction 9/14/2012 9/14/2012 Street Dept Brenda-- Net 30 Tax Exempt Item#- Ordered. Shipped Description Size Price .Disc% Extended BUXUGRV015C 18 18 Buxus x koreana'Green Velvet' 15"C 18.35 0% 330.30 Subtotal: 1 $330.30 Discount: $0.00 Invoices not paid within 30 days of the invoice date shall be considered past due and F Subtotal: $330.30 subject to a 1-1/2%per month service charge. Tax: Received by $330.30 / CCC Amount Paid: $0.00 Balance Due: $330.30 U.S.Department Payment Type Animal and Plant Health Inspection Service Invoice Note: Plant Protection and Quarantine Riverdale.Maryland 20737 CERTIFIED UNDER ALL APPLICABLE FEDERAL OR STATE COOPERATIVE DOMESTIC PLANT QUARANTINES Delivery Note: 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Brehob Nursery IN SUM OF $ 4867 Sheridan Road Noblesville, IN 46062 $330.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 475518 I 42-390.341 $330.30 1 hereby certify that the attached invoice(s), or 1 ! 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 Thursday�Oct6ber 18, 2012 Street Commissio e Street f,-te�miss ion er 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)) 09/14/12 475518 $330.30 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