216215 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
` ONE CIVIC SQUARE TIFFANY LAWN&GARDEN
CARMEL, INDIANA 46032
4931 ROBISON ROADD CHECK AMOUNT: $156.00
v o� INDIANAPOLIS IN 46268 CHECK NUMBER: 216215
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 815732 156 . 00 MATERIALS & SUPPLIES
p"• F 49 'ROBiSONRD ; Net-30 da sfrom .Date of_Invoice
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s CIT700 s INVOICE
° CITY OF CARMEL WATER-UTILITIES H
D 3450 W 131ST ST P
T T
O WESTFIELD, IN 46074 O
ATTN KERRI
TAX JURISDICTION NO.!DESCRIPTION TAX EXEMPT
( 01211711 1 1 Fiso—opo
-LOC. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER NO. SALESPERSON CLK TERMS COPY PAGE
11
I :z BACK ORDERED
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INVOICE INVOICE= INVOICE: INVOICE
BN.—TORSO I L PLUS 6. 00 6. 00 TOPSOIL+4' -MIX OF BROWN 26�e oo 156. 00
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.156. 00
SALES AMOUNT SALES TAX SHIPPING CHG. CODE'. DEPOSIT CASH DE
l
25%RESTOCK FEE RECD IN GOOD CONDITION
50%RESTOCK FEE ON SPECIAL ORDERS BY X " C
CUSTOMER INVOICE
. e
_ a
i
> ALI-PRICES ST0ED ARE CURRENT,'SIJBJECTTOtHANGE WITHOUT'NOTICE.
_ . .. t NO MERCHANDISE MAY BE RETURNED WITHOUT THE CONSENT OF SELLER;
AND,MUST BE AN ITEM IN OUR CURRENT INVENTORY AND SUBJECTrTO OUR
INSPECTION AND A AND 10%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.B.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 138 OF THE UNITED STATES SO
FAR AS WE HAVE ANY KNOWLEDGE. IF COLLECTION BECOMES NECESSARY
ON.THS ACCOUNT,THE CUSTOMER IS RESPONSIBLE FOR ALL COLLECTION
FEES,
VOUCHER # 123108 WARRANT # ALLOWED
350883 IN SUM OF $
TIFFANY LAWN & GARDEN
4931 ROBISON RD i
INDIANAPOLIS, IN 46268
Carmel Water Utility
ON AC UNT OF APPROPRIATION FOR
I-P, Board members
PO# INV# ACCT# AMOUNT , Audit Trail Code
815732 01-6200-06 $156.00
4
Voucher Total $156.00
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 12/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201: 815732 $156.00
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
Date Officer