244054 04/08/15 CITY OF CARMEL, INDIANA VENDOR: 369157
ONE CIVIC SQUARE RELIABLE SEAMLESS GUTTERING CHECK AMOUNT: $" .....350.00*
CARMEL, INDIANA 46032 6430 N KAREN DRIVE CHECK NUMBER: 244054
`M`0N SUITEA VILLE IN 46158 CHECK DATE: 04/08/15
MOODEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32802 8255 350.00 GUTTER REPLACEMENT
Invoice
Reliable Seamless Guttering, LLC Date Invoice#
9430 N. Karen Dr., Suite A 3/25/2015 8255
Mooresville, IN 46158
PH#317-834-3042/812-333-3199
317-885-0819
Bill To Job Location
CARMEL POLICE DEPARTMENT GUN RANGE
ATTN:PAT YOUNG 9609 HAZEL DELL PKWY.
3 CIVIC SQUARE INDIANAPOLIS,IN 46280
CARMEL,IN 46032
Job Date Terms Due Date Rep
03/24/2015 Upon Receipt 4/6/2015 DF
Item Description Amount
6"Guttering WHITE ALUMINUM SEAMLESS GUTTERING WITH EXISTING 350.00
DOWNSPOUTS ON DAMAGED EAST SIDE ONLY
PURCHASE ORDER#32802
THANK YOU for your business!
Total $350.00
Payments/Credits $0.00
Fax#
317-831-2321 Balance Due $350.00
City ®fCarmel INDIANA RETAIL TAX EXEMPT PAGE
,Jjr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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. DESCRIPTION
X95
Rollabl)Sommloss Gut4Gring, LLC Carmol Pollco DepaKmant
OM N Kmn Dr SHIP 3 CIVIC squaro
VENDOR
Sulto A TO c2moi, IN 4
NO&GOVIIIG, IN 46159 (W)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 439.00
9 Each replace damaged quKeeang $350.00 $350.00
Sub Total: $350.00
on �l ° ~
9 a�
V 'bJ
Send Invoice To:
Carmol Pollco DGP2KmGn4 �.
Attn: Pat Young
C@Mol, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. 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
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. __ i` -+�� {�/}` A`
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY' - C�,�.p.... !7 i J_ J�.
SHIPPING LABELS. � ChiGY 81 l�®Il�0
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
CLERK-TREASURER
DOCUMENT CONTROL NO- 32802 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
• c,
Cf i
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--
-
xcept--
20
Signature
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))
03/25/15 8255 replaced damaged guttering at Range $350.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reliable Seamless Guttering, LLC
6430 N Karen Dr IN SUM OF$
Suite A
Mooresville, IN 46158
$350.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32802 I 8255 I 43-501.00 I $350.00 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
Thursday, April 02, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund