220081 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00351585 Page 1 of 1
ONE CIVIC SQUARE BLUE GRASS FARMS,INC. CHECK AMOUNT: $10,790.50
CARMEL, INDIANA 46032 1915 W.53RD STREET
ANDERSON IN 46013 CHECK NUMBER: 220081
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4462400 26602 078980 5, 278 . 00 TREE PURCHASES
1192 4462400 26602 079204 5, 512 . 50 TREE PURCHASES
A
s-
INVOICE Page
.Ujue raws 1915 W 53rd St Transaction #: 079204
*_ Anderson, IN 46013 Order Date : 04/11/13
(800)346-0272 Ship Date : 05/15/13
:'
(765)649- 1012 Invoice Date 05/16/13
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Terms Net 30
PO Number
Record# 29YQ
Sold To: Ship To:
City of Carmel/Dept of Community Devel. TMT Nursery
One Civic Square 1719 West 161 st
Carmel IN 46032 Westfield IN 46074
Comment
Item Size Ordered Shipped Back Order Unit Price Amount
ROYAL FROST BIRCH 1.5" 12.00 12.00 0.00 67.5000 810.00
Betula X'Royal Frost'
ROYAL RAINDROPS CRAB '2.5" 6.00 6.00 0.00 118.7500 712.50
Malus cv.'Royal Rainsdrops'
RED BARON CRAB +2.5" 12.00 12.00 0.00 109.0000 1,308.00
Malus cv.'Red Baron'
AKEBONO CHERRY 25G 6.00 6.00 0.00 91.0000 546.00
Prunus x yedoensis'Akebono'
YELLOWOOD '2.5" 8.00 8.00 0.00 179.0000 1,432.00
Cladrastis kentukea
PROSPECTOR ELM -3" 3.00 3.00 0.00 179.0000 537.00
Ulmus'Prospector'
FREIGHT CHARGE 1.00 1.00 0.00 167.0000 167.00
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48.00 48.00 0.0000
**A $30 fee will be charged for any NSF check**
Check# Item Total 5,512.50
Discount 0.00
Sales Tax 0.00
THANK YOU FOR YOUR BUSINESS
Total Amount : 5,512.50
Signature : Payments 0.00
Balance Due 5,512.50
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r INVOICE Page1
V1u-e 1rG�ti,1 1 nd s 53rd 4 Transaction #: 078980
- Anderson, IN 46013
(800)346-0272 Order Date : 03/27/13
YRMS (765)649- 1012 Ship Date : 05/15/13
Invoice Date : 05/16/13
• Terms Net 30
PO Number
Record# 29QH
Sold To: Ship To:
City of Carmel/Dept of Community Devel. TMT Nursery
One Civic Square 1719 West 161 st
Carmel IN 46032 Westfield IN 46074
Comment Parks Pifer to provide P.O.#
Item Size Ordered Shipped Back Order Unit Price Amount
ENGLISH OAK-COLUMNAR 2.5" 38.00 38.00 0.00 134.5000 5,111.00
Quercus robur'Fastigiata'
FREIGHT CHARGE 1.00 1.00 0.00 167.0000 167.00
39.00 39.00 0.0000
**A$30 fee will be charged for any NSF check** 5,278.00
Item Total
Check# Discount 0.00
Sales Tax 0.00
THANK YOUFOR YOUR BUSINESS Total Amount : 5,278.00
Payments 0.00
Signature : Balance Due 5,278.00
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))
05/16/13 078980 $5,278.00
05/16/13 079204 $5,512.50
I 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.
Blue Grass Farms of Indiana ALLOWED 20
IN SUM OF $
1915 W 53rd Street
Anderson, IN 46013
$10,790.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26602 078980 44-624.00 $5,278.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
26602 079204 44-624.00 $5,512.50
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 2q, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund