241589 01/27/15 J�%'�q�'f• CITY OF CARMEL, INDIANA VENDOR: 360381
ONE CIVIC SQUARE SANTAROSSA MOSAIC&TILE CO INC CHECK AMOUNT: $*****4,000.00*
CARMEL, INDIANA 46032 PO BOX 18181 CHECK NUMBER: 241589
INDIANAPOLIS IN 46218 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 1501006 450.00 BUILDING REPAIRS & MA
1094 4350100 1501006 3,550.00 BUILDING REPAIRS & MA
SANTAROSSA°Mosaic & Tile Co., Inc. INVOICE
2707 Roosevelt Avenue INVOICE DATE CUSTOMER NO. INVOICE
P.O. Box 18190 1/12/2015 CAR-007 1501006
Indianapolis, Indiana 46218
Phone#317-632-9494 Fax#317-624-9363 • • JOB SALESPERSON
37924 14-285 JS
CARMEL CLAY PARKS&RECREATION • =
ATTN: MIKE KILPATRICK
1411 EAST 116TH STREET
CARMEL, INDIANA 46032
RE: MONON COMMUNITY CENTER PO#37924
POOL DECK TILE REPAIR COMPLETE FOR THE SUM OF: $3,550.00
FITNESS LOCKER ROOMS CERAMIC TILE COMPLETE FOR THE SUM OF: $450.00
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JAN 14 2015
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PLEASE PAY THIS AMOUNT: $4,000.00
Late payments will be subject to late charges of 1-1/2%interest per month and reasonable attorney fees for Santarossa should this
matter be placed with an attorney for collection.
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.
360381 Santarossa Mosaic & Tile Co., Inc. Terms
P.O. Box 18190
Indianapolis, IN 46218
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/12/15 1501006 Pool deck tile repair 37924 $ 3,550.00
1/12/15 1501006 Fitness locker rooms tile repair 37924 $ 450.00
Total $ 4,000.00
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.
360381 Santarossa Mosaic&Tile Co., Inc. Allowed 20
P.O. Box 18190
Indianapolis, IN 46218 I
In Sum of$
i
$ 4,000.00
ON ACCOUNT OF APPROPRIATION FOR
i
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 1501006 4350100 $ 3,550.00 i 1 hereby certify that the attached invoice(s), or
1093 1501006 4350100 $ 450.00 bill(s) is(are)true and correct and that the
materials or services itemized thereon for
i
I which charge is made were ordered and
received except
I
I
January 22, 2015
Signature
$ 4,000.00 l Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund