241489 01/27/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352602
ONE CIVIC SQUARE DIAL ONE ALLIED BLDG SVS OF IND INCHECK AMOUNT: S'"*.11,425.55"
CARMEL, INDIANA 46032 PO BOX 336 CHECK NUMBER: 241489
INDIANAPOLIS IN 46206 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4350100 32235 5927 11,425.55 BLDG MAINTENANCE
Dial Dial One Allied Building Services Invoice
1361 Madison Avenue
PO Box 336
� Indianapolis, IN 46206 Invoice#: 5927
Invoice Date: 1/7/2015
Due Date: 1/7/2015
Project:
P.O. Number: 32235
Bill To: Project Address
Carmel Police Dept. Terms
Attn: Pat Young
3 Civic Square
Carmel Indiana 46032
Date Description Amount
1/9/2015 Saniglaze work performed in various areas per our accepted proposal and 11,425.55
purchase order 32235, dated 12/9/14. All work completed.
; i
f
It's been a pleasure working with you! Total $11,425.55
If you have any questions please contact Shayla Denney @ (317) 636-9316,
ext. 30 or mashay96@ymail.com
Thank You!!
Phone# Fax: Balance Due $11,425.55
1 636-9316 317 636-7404
(3 7) ( )
INDIANA RETAIL TAX EXEMPT PAGE
Cityv
®f Carmel `i CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3M5
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
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
12021014
DIM One Allied Building Services Carmel Police Deparkment
I� VENDOR
SHIP 3 Civic Square
1^561 Madison Avenue TO Cannel, IN 43032
Indianapolis, IN (317)571-21550
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-601.00
1 Each Men's public first floor shall $268.75 $268.75
1 Each Adrnin men's $943.55 $943.55
1 Each Chief Restroom $1,140.00 $1,140.00
1 Each Front Lobby t $4,959.00 $4,959.00
1 Each l'ron4 lobbyrestroolll $298.20 $298.20
1 Each Women's public first floor ���l�,,i ^ ``;� ,,�� $1,301.59 $1,301.50
1 Each Men's Public First F®or ' $931.40 $931.06
1 Eacl3 Women's public first f oorlsr'all $268.35 $268.75
1 Each iirnin women's Pt )!! $1,314.0 $1,314.84
t � r Sub Total. $11,425.55
1 _ 3
y
Send Invoice To:
Cannel Police Ditipartment
Attn: Pat Young
3 Clvic Sguam
Cartmel, IN 4W32. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $11,423.55
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TJJAT T ERE IS AN UNOBLIGA ED BALANCE IN
•SHIP REPAID. THIS APPROPRIATIONS UFFICIENTTO PAY FO ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL f
SHI (Chief'
PPING LABELS. �3�Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER -
DOCUMENT CONTROL NO. 3 2 3 5 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
I
i•
,I
4r
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/fITLE 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.
Dial One Allied Building Services 'ALLOWED 20
IN SUM OF$
1361 Madison Avenue
$11,425.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
32235 5927 43-501.00 $11,425.55
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, Janu'pry 23, 2015
Chief of Police
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))
01/07/15 5927 refinish tile flooring $11,425.55
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