241957 02/10/15 �i"��Ab
t�� zF, CITY OF CARMEL, INDIANA VENDOR: 00352602
ONE CIVIC SQUARE DIAL ONE ALLIED BLDG SVS OF IND INCHECK AMOUNT: $.....**385.00*
CARMEL, INDIANA 46032 PO Box 336 CHECK NUMBER: 241957
M�(1pN�L'�� INDIANAPOLIS IN 46206 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32294 5936 385.00 CAULK JOINTS
J
Dial Dial One Allied Buildine Services Invoice
1361 Madison Avenue
JW PO Box 336
Indianapolis, IN 46206 Invoice#: 5936
Invoice Date: 1/22/2015
Due Date: 2/1/2015
Project:
P.O. Number:
Bill To: Project Address
Carmel Police Dept. Terms
Attn: Pat Young
3 Civic Square NET 10
Carmel Indiana 46032
Date Description Amount
1/22/2015 Caulk Joints from floor to wall transition of all Saniglazed areas per our accepted 385.00
bid proposal dated 1-10-15. All work completed
@)
It's been a pleasure working with you! Total $385.00
If you have any questions please contact Shayla Denney @ (317) 636-9316,
ext. 30 or mashay96@ymail.com
Thank You!!
Phone# Fax: Balance Due $385.00
(317)636-9316 (317)636-7404
INDIANA RETAIL TAX EXEMPT PAGE
Cityo Carmel CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 004
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Dial Ori@ Allied Building S@Fvic@s Cam @I Police Department
Civic Square
SHIP
VENDORI:361 Madison Avenue TO Carmel, IN 460T21
indianapolis, IN (317)571-2559
CONFIRMATION B=UNIT
PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION T UNIT PRICE EXTENSION
Account 43-601,00
1 Each caulk joints and sanigiaze floor tile $385.00 $335.40
Sub Total: $385.00
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Send Invoice To:
Carmel Police Dopairtment
Attn: Pat Young
3 Civic Square
Carel, IN 4 ®
PLEASE INVOICE IN DUPLICATE
.._
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT !txAMOUNT
rar�eea�e r—vri � a.,4�rc. +^^^••�'m
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUSFI•IENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. f {
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ��ar1.�' �,�{/�. Police
LABELS. +�90I�I,� �C �►ilE'�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1(41J/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
/�
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dial One Allied Building Services
IN SUM OF$
1361 Madison Avenue
Lv
$385.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
32294 5936 43-501.00 $385.00 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
Tuesday, February 03, 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))
01/22/15 5936 caulk joints and saniglaze floor tile $385.00
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