214263 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 364849 Page 1 of 1
0 ` ONE CIVIC SQUARE CHATEAU DUBOIS LLC
CARMEL, INDIANA 46032 PO BOX 262 CHECK AMOUNT: $133.00
WESTFIELD IN 46074
CHECK NUMBER: 214263
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4350400 27213 1004 133 . 00 ADDL SVS #1
1719 Welt 16P Sum
We,jt ftdd, 3.N 46U74
October 23, 2012 Invoice#1004
To: Daren Mindham Chateau DuBois, LLC
Urban Forester 1719 West 161"Street
City of Carmel Westfield, IN 46074
Concerning: Miscellaneous Services Reference Purchase Order#27213
C Removal of 36 Stakes from 18 Trees
Total Cost $133.00
Thank you for the opportunity. Please let me know if you have any questions or comments.
IN
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Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service render
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. ed' by
Payee
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) Amount
10/23/12 1004 Stake removal
'�O f
k
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited
with IC 5-11-10-1.6 ted same in accord
dame
20
Clerk-Treasurer
WARRANT NO. ALLOWED 20
�plg LLC IN SUM OF $
61 St Street
V_g 46074
$133.00
O
Ur1T OF APPROPRIATION FOR
PGG Carmel DOGS
O�
AMOUNT
Board Members
IN\/OICE NO. ACCT#/TITLE
I hereby certify that the attached invoice(s), or
43-
# � Oept �jicumbered 504.00 $133.00
PO 1004 bill(s) is (are) true and correct and that the
2-['Z materials or services itemized thereon for
which charge is made were ordered and
received except
5.
Friday, November 02, 2012
�x
Director
Title
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Maim Papa motor vehicle highway fund
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