242368 02/17/15i
r CITY OF CARMEL, INDIANA VENDOR: 366289
s® I ONE CIVIC SQUARE P K S CONSTRUCTION INC CHECK AMOUNT: $***"24,246.00'
CARMEL, INDIANA 46032 450 S RITTER AVE SUITE to CHECK NUMBER: 242368
+.;)_r�N cQ,`? INDIANAPOLIS IN 46219 CHECK DATE: 02(17115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 32005 1551 15,196.00 RENOVATE 3RD FLOOR RE
1120 4350100 24683 1554-01 9,050.00 PAINTING STATION 41
PKS Construction, Inc. Invoice
Invoice Number
450 S. Ritter Avenue, Suite 1A 1551
Indianapolis, IN 46219 Invoice Date
Voice: (317) 354-1070 2/9/2015
C0KSTF11xTXM'INC. Fax: (317) 354-1237
Bill To: Carmel City Hall Re: Carmel City Hall 3rd Flr RR
One Civic Square
Carmel IN 46032
Job No Customer Job No Customer PO Payment Terms Due Date
P1551 32005 Due Upon Receipt 2/9/2015
Description Price
Carmel City Hall 3rd Floor Restroom Renovations 15,196.00
Building Maintenance
Account # PO 3.Zoo 5
Department # 2
Submitted To
FEB 16 2015
Clerk Treasurer
Subtotal: 15,196.00
Sales Tax: 0.00
Total Amount Due: 15,196.00
INDIANA RETAIL TAX EXEMPT PAGE y
ry ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
JJJIIII
FEDERAL EXCISE TAX EXEMPT
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. ,n DESCRIPTION
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VENDOR '64'A SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
12 C7 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 RTIFY THAT THERE IS AN UNOBLIIGATED BALANCE IN
SHIP REPAID. THIS APP I UFFICIENT TO P FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 0 Q C C VENDOR COPY
ff++ Certified Minority and Women
Owned Business Enterprise
PKS Construction Inc.
450 South Ritter Ave, Suite A
Indianapolis, IN 46219
(p) 317-354-1070
(f) 317-354-1237
CONSTRUCTION,INC. (cell) 317-294-8909
January 6, 2015
City of Carmel
ATTN: Jeff Barnes
Carmel, IN 46032
Re: Carmel City Hall—3rd Floor Restroom Renovation
We are pleased to provide the following quote for work in the Third Floor Public
Restrooms per the below scope of work at Carmel City Hall:
Scope of work:
1. Remove existing, and install (5) new floor-mounted overhead-braced toilet
partitions and (l) 24"x 42" wall-mounted urinal screens.
2. Replacement of toilet accessories including: (4) 42" grab bars, (3) feminine
napkin disposals, (2) stainless steel framed mirrors, and (5) coat hooks.
3. (2)New solid surface vanities with backsplashes including integral sinks, drains,
and faucets.
4. Existing drain covers to be re-installed.
5. Existing toilet paper dispensers to be re-installed.
6. Solid surface to be "Cottage Lane" from color group "C"to match First Floor
Restrooms.
7. Toilet partition color to be "Mocha" 9212 to match First Floor Restrooms
8. Work to be completed during normal business hours, and is based on completing
one Floor at a time.
Exclusions: Allowances,permits, bonds, paper towel dispensers, soap dispensers, hand
sanitizer dispensers,painting, floor covering replacement, or wall covering replacement.
3rd Floor: Fifteen Thousand One Hundred Ninety Six Dollars $15,196
Please feel free to contact me should you have any questions.
Sincerely,
Da.wia(. Koj e�u�.
David Kojetin
Project Manager
Page 1 of 1
1
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))
02/09/15 1551 $15,196.00
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.
ALLOWED 20
PKS Construction, Inc IN SUM OF $
i
450 South Ritter Ave., Suite ir1,A
Indianapolis, IN 46219
$15,196.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32005 I 1551 I 43-501.00 I $15,196.00 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
Monday, February 16, 2015
Director, Administrate n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice
Arif
_ PKS Construction, Inc Invoice Number
450 S. Ritter Avenue, Suite 1A 1554-01
Indianapolis, IN 46219 Invoice Date
Voice: (317) 354-1070 2/11/2015
CowsrRucnon,I�,c. Fax: (317) 354-1237
Bill To: Carmel City Hall Re: Carmel Fire HQ Bay Painting
One Civic Square
Carmel IN 46032
Job No Customer Job No �T Customer PO Payment Terms Due Date
' P1554 ;; +-P1554 _ ? 24683 ' Due Upon Receipt 2/11/2015 _
Description Price
CFD Station#41 Interior Tactical Bay Painting with Red Wainscoting 9,050.00
Subtotal: 9,050.00
Sales Tax: 0.00
Total Amount Due: 9,050.00
i
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))
1554-01 Sta.41 Bay Painting $9,050.00
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.
ALLOWED 20
PKS Construction, Inc.
IN SUM OF $
450 South Ritter Avenue, Suite&1R'
Indianapolis, IN 46219
$9,050.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24683 1554-01 43-501.00 $9,050.00 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
i
which charge is made were ordered and
received except
FEB 1 6 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund