225918 11/05/2013 ^c. CITY OF CARMEL, INDIANA VENDOR: 364862 Page 1 of 1
ONE CIVIC SQUARE OBERER'S FLOWERS
,\e• CARMEL, INDIANA 46032 1448 TROY STREET CHECK AMOUNT: $162.89
, DAYTON OH 45404
CHECK NUMBER: 225918
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 02140945 162 . 89 PROMOTIONAL FUNDS
DATE INVOICE RECIPIENT QUAN. MERCHANDISE AMOUNT DELIVERY WIRE SERVICE TAX TOTAL
101271201 02140945 JACK BRAINARD SYMPATHY-FRESH CUT ARRANG $146.99 $9.95 $5.95 $.00 $162.89
I jr
Thank You or Your Business
lire Appreciate Your Pa t ronag
Visit ur Webslte:!_i 1 Www. ober rs. com
ACCOUNT NO. CURRENT PAST 30 PAST 60 PAST 90 PAST 120 PLEASE PAY
10174945 1 2. $162.89
THIS AMOUNT
ACCOUNTS PAST DUE OVER 30 DAYS
WILL BE CONSIDERED IN DEFAULT
��OGli AND WILL BE CHARGED A REBILLING
CHARGE FOR EACH MONTH PAST DUE
OBERERS FLOWERS - CARMEL
Invoice: 02140945 Requested: 10/27/2013 Sun
1 111111 IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
curr time:10/29/2013 13:41 12761 OLD MERIDIAN ST CARMEL IN 46032 (317)575-1197
Sold To: 10174945 Send To:
CITY OF CARMEL JACK BRAINARD
1 CIVIC SQUARE 1531 COBBLESTONE BLVD
CARMEL IN 46032 ELKHART IN 46514
574 293 641117 571 2483 Fax: Y
ype: __SW-Invoice e . Type: ire u
Order Placed: lT/25%2'(113 T6:07-. Ship Via: Delivered-
Ord Ref: 390020AA Instl: V2-4
Sales Rep: 6118-JULIA CARR Inst2:
Terms: Due Upon Rec t Reference:
em Product Units Price Extended
FC FRESH CUT ARRANGEMENT WHITE ROSES, 1 146.99 146.99
WHITE LILLIES, WHITE CARNS, AND
OTHERS WHITE FLOWERS AND
EUCALYPTUS. GOOGLE MORNING STAR
ARRANGEMENT.
2ND CHOICE AS:. SIMILAR AS-,,POSSIBLE
ro;m 1. D� CG(rrY12A
Mdse Amount: $146.99
cArA 1. 1 cz)lanL ` LESS: Discount: $.00-
-- - - - - - - - - --- -- - ---- - - - - -
Subtotal : $146.99
Delv/Shippng: $9.95
Misc.l: $5.95
Invoice Total : $162.89
Net Invoice Total : $162.89
Signed By:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Oberer's Flowers
IN SUM OF $
1448 Troy Street
Dayton, OH 45404
$162.89
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 02140945 43-551.00 $162.89 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
/Frriday, November 01, 2013
Mayor
Title
Cost distribution ledger classification if
claim paid motor 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 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))
10/27/13 02140945 $162.89
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