219511 04/24/2013 +f CITY OF CARMEL, INDIANA VENDOR: 00350883 Page 1 of 1
ONE CIVIC SQUARE TIFFANY LAWN&GARDEN
CARMEL, INDIANA 46032 4931 ROBISON ROADD CHECK AMOUNT: $497.00
INDIANAPOLIS IN 46268 CHECK NUMBER: 219511
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 156135 222 . 00 OTHER MAINT SUPPLIES
1207 4238900 159320 275 . 00 OTHER MAINT SUPPLIES
dsa,,:ROSisoN RD..
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L BROB50 � I INVOICE ##
D BROOKSHIRE GOLF CLUB OF CARME.L, PBROOKSHIRE GOLF CLUB OF CARMEL.
0 1210 BROOKSHIRE PKWY 012120 BROOKSHIRE PKWY
3
TAX JURISDI l R P TAX EXEMPT
16A��IHS 846 4706
LOC..- DATE,ORDERED DATE SHIPPED SHIP VIA JOB NO. PURCHASE ORDER NO. SALESPERSON CLK TERMS COPY PAGE
1)84 -47LA15 0 x3 5 J — 4
BACKORDERED CllIIA J -_ D 0 1�A�11U - ,
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INVOICE INVOICE INVOICE INVOICE
'I Delivery Daya 07 THURSDAY MORNING
I BK-BROWN TOPSOIL 6. 00 6. 00 PULVERIZED & SCREENED 26. 50 159. 00
CUYD BROWN TOPSOIL
4•-4-2013 THURS AM MED
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SALES T `r^ SALES TAX S P GIA CODE DEPOSIT CASH (VE
25/.RESTOCK FEE ' - `'' ''' 'REC'D IN GOOD''CONDITION ;
50%-RESTOCK'FEE ON SPECIAL ORDERS.'' BY,X :.
CUSTOMER.INVOICE
ALL PRICES STATED ARE CURRENT,SUBJECT TO CHANGE WITHOUT NOTICE-
NO MERCHANDISE MAY BE RETURNED WITHOUT THE CONSENT OF SELLER,
AND MUST BE AN ITEM IN OUR CURRENT INVENTORY AND SUBJECT TO OUR
INSPECTION AND A MINIMUM 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 F6R.SUCH LOSS OR.OAMAGE 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.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,
I
II
i
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))
04/03/13 156135 Top Soil $222.00
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
20
Clerk-Treasurer
i
VOUCHER NO. WARRANT NO.
Tiffany Lawn & Garden Supply, Inc. ALLOWED 20
IN SUM OF $
4931 Robison Rd
Indianapolis, IN 46217
$222.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 156135 I 42-389.00 I $222.00 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
Thursday, April 11, 2013
0
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
4931 ROBISON RD. , 2.-.� Net 30 days from Date of Invoice
IF 31INDIANAPOLIS,INDIANA
- 7.228-4900•FAX 317-228-4918-491
0
1-800-365-5678
LAWN&' 5202 S.HARDING STREET
GARDEN SUPPLY,INC. INDIANAPOLIS,INDIANA 46217
317.782-8600 FAX 317-225-5782 n 09:2 era
/ 1 7'
o
9ROB50 H ** ' INVOICE
L BROOKSHIRE GOLF CLUB OF CARMEL IBROOKSHIRE GOLF CLUB OF CARMEL
x D 12120 BROOKSHIRE PKWY P 1212 BROOKSHIRE PKWY
r! T T
O O
CARMEL, IN' 46033 CARMEL, IN 46033
TAX JURISDIC 1 NO.I'D CR PTiON - TAX EXEMPT
L E'- qOffit9tFRTE SHIPPED SHIP VIA - O. C ORDER NO. SALESPERS T ''= COPY PAGE
c - -• _ ° BACK ORDERED - - _ 0 '—.7 — 111111 1`
INVOICE INVOICE INVOICE INVOICE
Delivery Day% 09 FRIDAY. MORNING:
PO%BROOKSHIRE
B1/%—BROWN TOPSOIL 8. 00 ,? 8. 00 PULVERIZED & SCREENED ;6. 50 212. 00
CUYD BROWN TOPSOIL
4--1E'---13 FRI AM 1 MED
501 2148
)3'ROOKSH I RE
1� �*TH AND` GRAY R6, f'
DUMP, :AT IvIA,I NT NtE ',BW I LD I NIG �
NO. OBSTRUCT.X ONS,
'AID STORE` COUNT',;
PLEASE CAL'L._ AHEAD ##PEARL
' NOBLES I LLE,-NEjiROWN TOPSOIL '
4,,i:
G- • �__ ><-, it y <
i
M1, •J: v: � ., �,:Iw O,(,i , ' 275- 00
SALES-AMOUNT, ;'SALES'TAX•:.' ,• SHIPPING CHG. ''" `':- ;.,CODE DEPOSIT CASH• - CODE l'
' .fit`- - yi+ - - xl.. ,• ...
p ,
.1'
�i
•ii .
: F :." .
25/•RESTOCK EE REC.' 'I GOOD'CbN lTlO w
50%RESTOCK FEE ON SPECIAL ORDERS BY'X'' y
CUSTOMER INVOICE '=�'
ALL PRICES STATED ARE'CURRENT,"SUBJECT TO CHANGE WITHOUT NOTICE.
NO MERCHANDISE MAY BE RETURNED WITHOUT THE CONSENT OF SELLER,
AND MUST BE AN ITEM IN OUR CURRENT INVENTORY AND SUBJECTJQ OUR
! INSPECTION AND A MINIMUM 10%HANDLING CHARGE.
.r
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 INVOICEWAS'P,ODUCED 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.
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))
04/10/13 I 159320 I Top Soil I $275.00
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tiffany Lawn & Garden Supply, Inc.
IN SUM OF $
4931 Robison Rd
Indianapolis, IN 46217
$275.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#1 Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 159320 I 42-389.00 I $275.00 I 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
Th rsday, April 18, 2013
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund