223120 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 364862 Page 1 of 1
ONE CIVIC SQUARE OBERER'S FLOWERS CHECK AMOUNT: $84.95
s` �o CARMEL, INDIANA 46032 1448 TROY STREET
a� DAYTON OH 45404 CHECK NUMBER: 223120
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 02086441 84 . 95 PROMOTIONAL FUNDS
OBERERS FLOWERS ° CARMEL
onvoice: 02086441 Customer CO y ( 2*Requested: 07/10/2013 Wed
0208641
curr 6me:0810912013 15:46 12761 OLD MERIDIAN ST CARMEL IN 46032 (317)575-1197
Sold To: 10138358 Send To:
CITY OF CARMEL CONNIE TINGLEY
1 CIVIC SQUARE 14580 ADIOS PASS
46032 CARMEL IN 46032
317 846 229017 571 2483 Fax:
Type: SO-Invoice Del .Type: DE-Delivery
Order Placed: 07/09/2013 16:02 Shipp Via: Delivered
Ord Ref: Instl: CALL CANDI 571-2402 WITH QUEST
Sales Rep: 6116-BRITTNEY DAUGHE Inst2: IONS
Terms: Reference:
Item Product Description Units Price Extended
FC75 11 MIXED VASE BRIGHT AND HAPPY 1 75.00 75.00
Mdse Amount: $75.00
LESS: Discount: $.00-
Subtotal : $75.00
Delv/Shippng: $9.95
Invoice Total : $84.95
Net Invoice Total : $84.95
Signed By:
DATE INVOICE RECIPIENT QUAN. MERCHANDISE AMOUNT DELIVERY WIRE SERVICE TAX TOTAL
06/30/2013 RE REBILLING FEE $.0 $.00 $.00 $.00 5]x0
07/10/2013 02086441 CONNIE TINGLEY ILLNESS-11 MIXED VASE $75.0 $9.95 $.00 $.00 $84.95
Thank You For Your Business
W Appreciate Your Patronag !
Vis1 Our lVebsite! ! ! Www.ober rs.com
ACCOUNT NO. CURRENT PAST 30 PAST 60 1 PAST 90 1 PAST 120 1 PLEASE PAY
10138358 84.9 1 .50 . 0 . 0 0
THIS AMOUNT cis
ACCOUNTS PAST DUE OVER 30 DAYS
WILL BE CONSIDERED IN DEFAULT
Mpfil- AND WILL BE CHARGED A REBILLING
CHARGE FOR EACH MONTH PAST DUE
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))
07/09/13 02086441 $84.95
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
Oberer's Flowers IN SUM OF $
1448 Troy Street
Dayton, OH 45404
$84.95
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 02086441 43-551.00 $84.95 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
Friday, August 09, 2013
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund