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214952 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366229 Page 1 of 1 ONE CIVIC SQUARE B H LANDSCAPING LLC CHECK AMOUNT: $58.50 CARMEL, INDIANA 46032 PO BOX 421526 INDIANAPOLIS IN 46241 CHECK NUMBER: 214952 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350400 5484 58 . 50 GROUNDS MAINTENANCE ----------- - 131-1 Landscape,LLC d6a Par S Lawn Care • Invoke P.O. Bo.Y(421526 Date Invoice# Indianapolis, 15V46242 11/20/2012 5484 317-293-8800 Bill To Ship To Carmel Firestation#44 2 Civic Square Carmel Firestation#44 Carmel,IN 46032 5020 E. Main St Fire Department Headquaters Fred Carmel, IN ,z Balance Due $58.50 3�� Am6unt�Pai $ '4 kd��# Utsai,) MC�(,� °h �� � � � r` P.O. No. Terms Due Date sEx Dade M, Rep Security Code , ,,.1 Signature s , t n Dame _ Net 30 12/20/2012 Description Quantity Rate Amount 5th round lawn application done on 11/20/2012 Fuel Surcharge 1 57.00 57.00 1 1.50 1.50 I i I Subtotal $s8.so Sales Tax 7.0% $0.00 Payments/Credits $0.00 Total $ss.so Balance Due $58.50 � I Visit us at bergerhargis.com We accept Mastercard & Visa 'erms are due upon receipt. All unpaid bills carry a 1-1/2 % per month interest charge after due date. All legal fees, attorney fees and collection fees generated in order to collect past due a"111"tc am to hp naid by the vnctnmPr_ Irescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Nn 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)) 5484 44 $58.50 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 BH Landscaping LLC. d.b.a. Par 5 Lawn Care IN SUM OF $ PO Box 421526 Indianapolis, IN 46241 $58.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 5484 I 43-504.00 I $58.50 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 Ci C 3 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund