231827 04/23/14 Im
"F. CITY OF CARMEL, INDIANA VENDOR: 366289
.;; � `•. ONE CIVIC SQUARE P K S CONSTRUCTIONS INC CHECK AMOUNT: $**"16,849.00'
CARMEL, INDIANA 46032 450 S RITTER AVE SUITE A CHECK NUMBER: 231827
INDIANAPOLIS IN 46219 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 P1376-1 16,849.00 BUILDING REPAIRS-LMA
Invoice
PKS Construction, Inc. Invoice Number
450 S. Ritter Avenue, Suite 1A D 1ID P1376-1
Indianapolis, IN 46219 / Invoice Date
Voice: (317) 354-1070 3/27/2014
Fax: (317) 354-1237
Bili To: Carmel City-Hall Re: Carmel 1st Floor Restrooms
One Civic Square
Carmel IN 46032
Job No .Customer�Job No Customer;PO.:
Payment Terms :.` Due Date.
P1376 31568_1 Net 30 days 4/26/2014
Description: Price: :
Carmel City Hall First Floor Restroom Updates 16,849.00
Building Maintenance
Account # f03/5&f �.�.8.
Department
Submitted To
APR 212014
Clerk Treasurer
Subtotal: 16,849.00
Sales Tax: 0.00
Total Amount Due: 16,849.00
�� }� ty of (( `� rme CERTIFICATE N0. 003120155 002 0 I
lJ 11 \S�'1� �./CL-+�11 L_ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT j
35-60000972 31563
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDEfICE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO DESCRIPTION
2/12/2014 1st F=-Restroom-Repairs
PKS Construction, Inc.
450 South Ritter Ave. Suite A SHIP
VENDOR Indianapolis, IN 46219
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.) Remove existing, and install (5) new HDPE Solid Plastic Partition s,floor-mounted overhead
braced and (1) 24" X 42" wall-mounted urinal screen. (Color to Be Mocha 9212)
2.) Replacement of toilet accessories including: (4) 42" grab bars, (3)
feminine napkin disposals, (2) 48" X 48" Stainless Steel framed Mirrors, and
(5) coat hooks.
3.) Replace (2) dual-bowl vanities with backsplashes, sinks, drains, and faucets with
Corian Solid Surface Countertops and sinks. (Color to be Cottage Lane) price group c.
4.) Accessories to be reinstalled: toilet paper dispensers, and infant changing stations.
Total: $ 16,849.00
Send Invoice To: City of Carmel
c/o Jeff Barnes
One Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE $16,849.00
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
1205 4350100 PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE RO
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY C TIF'T HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS AP�r1l, SUFFICIENTTO PA'rIFORJHE ABOVE ORDER.
SHIP REPAID. t�
•C,O D SHIPMENTS CANNOT BE ACCEPTED ORDERED BY / _ /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL J
SHIPPING LABELS
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _Dir_ector-ofAdminis_tmtio.n
AND ACTS AMENDATORY THEREOF AND SUPPLEMFNI THERETO
CLERK-TREASURER _
nnr�i 11%=K T i-nKITDnI Kln 31568
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))
03/27/14 P1376-1 $16,849.00
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
PKS Construction, Inc
IN SUM OF $
450 South Ritter Ave., Suite A 0
Indianapolis, IN 46219
$16,849.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
—,315e5+ P1376-1 43-501.00 $16,849.00
I hereby certify that the attached invoice(s), or
I I
0
05 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
Monday, April 21, 2014
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund