214245 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00351585 Page 1 of 1
ONE CIVIC SQUARE BLUE GRASS FARMS,INC.
O 1 1915 W.53RD STREET CHECK AMOUNT: $6,430.00
CARMEL, INDIANA 46032
ANDERSON IN 46013 CHECK NUMBER: 214245
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4462400 27841 076225 6, 430 . 00 PURCHASE TREES
INVOICE Page
T1uC'l rr wss 1915 W 53rd St Transaction #: 076225
Anderson, IN 46013
(800)346-0272 Order Date : 07/17/12
(765)
649- 1012 Ship Date : 10/22/12
Invoice Date 10/23/12
Terms Net 30
PO Number
Record# 271 Q
Sold To: Ship To:
City of Carmel/Dept of Community Devel. TMT Nursery
One Civic Square 1719 West 161st
Carmel IN 46032 Westfield IN 46074
Comment
Item Size Ordered Shipped Back Order Unit Price Amount
DAWN REDWOOD *2.5" 5.00 5.00 0.00 120.0000 600.00
Metasequoia glyptostroboides REVISED TO 5
VALLEY FORGE ELM *2.5" 5.00 5.00 0.00 130.0000 650.00
Ulmus americana'Valley Forge'
ACCOLADE ELM *2.5" 15.00 15.00 0.00 130.0000 1,950.00
Ulmus japonica X wilsoniana'Morton'
SKYLINE LOCUST *2.5" 4.00 4.00 0.00 115.0000 460.00
Gleditsia t.i.'Skyline'
IVORY SILK TREE LILAC *2" 2.00 2.00 0.00 100.0000 200.00
Syringa reticulata'Ivory Silk'
TULIP TREE *2.5" 7.00 7.00 0.00 130.0000 910.00
Liriodendron tulipifera
GREEN VASE ZELKOVA *2.5" 11.00 11.00 0.00 125.0000 1,375.00
Zelkova serratta'Green Vase'
FREIGHT CHARGE 1.00 1.00 0.00 285.0000 285.00
50.00 50.00 0.0000
'*A$30 fee will be charged for any NSF check**
Item Total 6,430.00
Check# Discount 0.00
Sales Tax 0.00
THANK YO U FOR YO UR B USINESS
Total Amount : 6,430.00
Signature : Payments 0.00
Balance Due 6,430.00
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))
10/23/12 076225 Trees $6,430.00
I 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
Blue Grass Farms of Indiana
IN SUM OF $
1915 W 53rd Street
Anderson, IN 46013
$6,430.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
27841 I 076225 I 44-624.00 I $6,430.00 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
Fri , No m er 2012
Dire o
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund