HomeMy WebLinkAbout236114 08/19/14 4y�,.a4A � CITY OF CARMEL, INDIANA VENDOR: 366531
s 31
ONE CIVIC SQUARE ADAM'S FLOORING, I.I.C. CHECK AMOUNT: $****12,667.53*
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CARMEL, INDIANA 46032 1063 S.RANGELINE CHECK NUMBER: 236114
M,�roN. CARMEL IN 46032 CHECK DATE: 08/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 24604 2125 12,667.53 STA. 41
per:
- Adam's Flooring,LLC Invoice
1063 South Rangeline Rd.
Carmel, IN 46032 Date Invoice#
adam@adamsflooring.info
www.adamsflooring.biz 8/6/2014 212s
NEU
Bill To
Carmel Fire Dept.41
Attn:James Spellbring
P.O. No. Terms Project
Description Qty U/M Rate Amount
303.81 yards ofPatcraft carpettile @$26.91sgyd 303.81 26.91 8,175.53
180pcs of cove base brown @$3.50each 180 3.50 630.00
Five 4gal pails of releasable adhesive @$95each 5 95.00 475.00
Transition allowance @$150. 1 150.00 150.00
Removal of existing glue down carpet @$.50sgft 2,697 0.50 1,348.50
Install new carpet tile @$.50sgft 2,697 0.50 1,348.50
Installation of 180pcs of cove base @$3each 180 3.00 540.00
Total $12,667.53
Payments/Credits $0.00 i
Balance Due $12,667.53
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Adam's Flooring
IN SUM OF$
1063 S. Ran9 eline Road
Carmel, IN 46032
$12,667.53 i
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24604 2125 43-501.00 $12,667.53 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
AUG 1 2®14
Fire Chief
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))
2125 $12,667.53
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