HomeMy WebLinkAbout237963 10/08/2014 <.�u!.F�gyfi
u; �, CITY OF CARMEL, INDIANA VENDOR: 276561
i ;r ONE CIVIC SQUARE S & M PAINTING & DRY WALL CO CHECK AMOUNT: $*******450.00*
,�; CARMEL, INDIANA 46032 520 INDUSTRIAL DR CHECK NUMBER: 237963
9M,�TON.�o. CARMEL IN 46032 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32097 0914027-IN 450.00 REPAIR WATER DAMAGE D
Invoice Page: 1
PAINTING&DRYWALL CO.
Invoice Number: 0914027-IN
S& M Painting& Drywall Company Invoice Date: 9/30/2014
520 Industrial Drive
Carmel, Indiana 46032 Customer P.O.:
3178485090 Customer Number: 00-CARMELP
Location: 1st Floor Hallway
Carmel Police Department
ATT: Blaine
Three Civic Square
Carmel, IN 46032
Terms: Net 10th-FM
ee-
Description -
106 Interior Painting(per est.) 1 450.00 450.00
Upon nonpayment of invoice,customer agrees to pay all costs of collection,including court costs,
expenses,and reasonable attorney fees. Net Invoice: 450.00
Freight: 0.00
Sales Tax: 0.00
• - 450.00
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32097
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
j FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i6I2014
8 &M Painting and DSII Co. Carmel Police Department
VENDOR SHIP 3 Ciylc Square,
520 IndustrialDriveTO Carmel,
IN Ap t
Carmel, IN 4GM2 (36Af)5t1-25'9i9
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.501.00
3 Each repair/wallpaper wafer damaged drwiail $450.00 V'P50.00
Sub Total: WO.00
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Send Invoice To: ✓� ___ j �,l �`
Carmel Police Department - --
Attn: Pat Young
3 Civic Square
Carmel, IN 46432- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmel Police Dept. 414WAA)
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVITATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI I/7N�FtiTTHERE I�•UNOBLIGATED BALANCE IN
THIS APPROPRIATION/Sl1FFJCIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. / ��I
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. lef of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ✓
AND ACTS AMENDATORY THEREOF AND SUPP,LEMENT'TNERETO. V
S 1 1
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 Q 37 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT NO.
ALLOWED 20
IN THE SUM OF$
i
I
4
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
Signature
Title _..
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
S & M Painting and Drywall Co.
IN SUM OF$
520 Industrial Drive
Carmel„ IN 46032 -
$450.00
r
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32097 0914027-IN 43-501.00 $450.00, 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, ctober 03, 2014
4/Z Chief of Police
Title
r
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
i
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
I
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices)or bill(s))
09/30/14 0914027-IN Repair water damage $450.00
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