HomeMy WebLinkAbout235193 07/22/14 CITY OF CARMEL, INDIANA VENDOR: 00351163
ONE CIVIC SQUARE ROBY'S INC CHECK AMOUNT: $*******760.00*
CARMEL, INDIANA 46032 9249 CASTLEGATE DRIVE CHECK NUMBER: 235193
INDIANAPOLIS IN 46256-1004 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 37129 80776 760.00 REPAIRS TO INLOW PARK
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CONTROL# 10 5 4 3® DISPATCH # ( INVOICE # 0 -776
NAME //� NAME DATE Since 19 5
(CHARGE TO)(:a,-M C�/ ! /-�rlt S Y� QC (�L(71�0 1(WORK AT) l Z l J RQ Gf 59
ADDRESS / f/- , c / ADDRESS ,/ COMPLETE PLUMBING SERVICE
l�/ 7 //(J1 ��' �J f' IYL'S�hL�-vfenC e 1'/O` �er�� www.robysplumbing.com f
CIT C�� E/ STATE W ZIP,/ CI�1G A'G:^ S TE ,,/ ZIP Phone:(317)849-9884 Phone:(765)643-3366
C `Y ,� /v[ Sf /-lie /� 9249 Castlegate Drive 5508 Scatterfield Road
HOME PHONE WORK PHONE HOME PHONE WORK PHONE Indianapolis, IN 46256 Anderson, IN 46018
NATURE OF CALL !�� e� ESTIMATE GIVEN ❑ YES ❑ NO
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ACCEPTANCE OF ESTIMATE
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❑ WARRANTY
DESCRIPTION SAM Fw'M.
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I hereby acknowledge the labor charge and material used as listed herein and agree to pay this
invoice upon receipt Deferred payment shall bear an interest rate of 1.75%per month.If collection
PAYMENT: Warranty Information is made through an attorney,then the purchaser shall pay a reasonable attorneys fee and all costs
❑Cash Amount$ incident toN ch Vlection.All Sales Final.
Acceptance bf&mpleted work
❑Check# SIGNED
❑Credit Card Visa MC Disc AmerEx
Serv} Tech !/ (/
Auth.# l !� /y �( r/e/ TOTAL
SALES TAX CHARGED ON MATERIAL WHEN APPLICABLE.
PAYMENT DUE UPON RECEIPT
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00351163 Roby's, Inc. Terms
9249 Castlegate Drive
Indianapolis, IN 46256
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Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)). PO# Amount
6/25/14 80776 Repairs to Inlow plumbing 37129 $ 760.00
Total $ 760.00
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. ?
00351163 Roby's, Inc. I, Allowed 20
9249 Castlegate Drive
Indianapolis, IN 46256
In Sum of$
$ 760.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
Dept#r INVOICE NO. CCT#lTITL Board Members
AMOUNT i
37129 80776 4350100 $ 760.00 ! 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
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16-Jul 2014
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Signature
$ 760.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund