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215429 12/11/2012
CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1 ONE CIVIC SQUARE TIFFANY LAWN&GARDEN CHECK AMOUNT: $208.00 CARMEL, INDIANA 46032 4931 ROBISON ROADD 4 oM i� INDIANAPOLIS IN 46268 CHECK NUMBER: 215429 CHECK DATE: 12/1112012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 813839 208 . 00 OTHER EXPENSES 4931 ROBISON RD. Net 30 days from Date of-Invoice : F INDIANAPOLIS,INDIANA 46268 !• LFF 317-228-4900-FAX.317-228-4910 •.�, t-800-365=5678e%- ., ;'LAWN`&~ w^5202 S.aHARD�NG STREET`%`." ; <'rn; GAR EN PPLY NC"' INDIANAPOLIS INDIANA'4621.7 DE SL I :c i s , 317c 782-8600`.FAX 317-225-5782 an 'n -4 Y -.; .;�..� ;;S ,.,1,•7s�:��::�..�. :�k�� •�t: r ;s.: *� `I'NV©ICE;`�� L ;7... CARMEL UTILITIES WATER t?.'WAS'TEWA'TER' " ° 780 THIRD AVENUE SW P T STE 110 T - ` INDIANAPOLIS, , IN 46032 ATTW LISA f1 1<P, TAX JURISDICTION NO./DESCRIPTION TAX.EXEMPT L A R SHIPPED SHIP VIA H RDER NO. SALESPERSON COPY PAGE °'' • e • s —'BACK ORDERED--""' _ INVOICE INVOICE INVOICE INVOICE BK—TOPSOIL PLUS 8. 00 8. 00 TOPSOIL+, MIX.. OF BROWN 26. 00 208. 00 CUYD _ TOPSOIL K COMPOST f f t+ P 0 t4\S 208. 00 cY08*,,iV t SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT `CASH OE 25%RESTOCK FEE _REC'D IN GOOD CONDITION n 50%RESTOCK FEE ON SPECIAL ORDERS BY X �(/l3�i� CUSTOMER INVOICE _.._ _ _ _ _ _ -_._,_ _ h•• r ,�+, t :JET _ _ _ _- _.._ .. -. _ __ _ . _..._.� - .. ,. `t .t ;z' •v- r.-r;!7.., �e :�. - + _ .N .. rf.-' Y�' :i:{.'.;?'}.,Y ar,• =e^.._, A L PR'iCES STATED ARE CURRENT,"SUBJECT 70 CHANGE WITHOUT-N0710E. —� NO MERCHANDISE MAY BE RETURNED WITHOUT THE CONSENT OF SELLER,. ,.t AND MUST BEAN ITEM IN-OUR CURRENT NVENTORY AND SUBJECT TO OUR INSPECTION AND A`VItUIMUM 110%HANDLING CHARGE.`` <. SHIPPER WILL NOT BE RESPONSIBLE FOR LOSS OR DAMAGE OF ANY SHIP- MENT AFTER RECEIPTED FOR BY TRANSPORTATION COMPANY. CONSIGNEE 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.S.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. a , VOUCHER # 122937 WARRANT # ALLOWED 350883 IN SUM OF $ TIFFANY LAWN & GARDEN 4931 ROBISON RD INDIANAPOLIS, IN 46268 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 813839 01-6200-06 $208.00 Voucher Total $208.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 350883 TIFFANY LAWN & GARDEN Purchase Order No. 4931 ROBISON RD Terms INDIANAPOLIS, IN 46268 Due Date 12/4/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/4/2012 813839 $208.00 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 Date Officer