HomeMy WebLinkAbout245968 06/03/15 +n�,c�AM
® ,� CITY OF CARMEL, INDIANA VENDOR: 00351163
ONE CIVIC SQUARE ROBY'S INC CHECK AMOUNT: $******%270.00t
,�; CARMEL, INDIANA 46032 9249 CASTLEGATE DRIVE CHECK NUMBER: 245968
,y��roN�, INDIANAPOLIS IN 46256-1004 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 108491 270.00 GROUNDS MAINTENANCE
CONTR L# 10 +4 91 , DISPATCH # F 90 YI Iv0IC.E#-
NAME h NAME p DATE ��' Since 1955
(CHARGE TO) ('4bA. L` .r j p� (WORK AT) as •� I'�r ' s� 7 �r INPC8600759
ADDRESS ✓� ADDRESS S-� 7u3 Ctj wrww.robyspiumbing.com E
CITY STATE I f�1 ZIP CITY STATE ZIP P 849-9884 Phone:(765)643-3366 '
9249 Castlegate Drive 5508 Scatterfield Road
HOME PHONE WORK PHONE NOME PHONE WORK PHONE Indianapolis,IN 46256 Anderson,IN 46018
NATURE OF CALL r (
vvti � P �^A � �. �� 1 Yom ` �,U � �. P.� r �aJv^. I�rv., F GIVEN ❑ YES ❑ NO
!! ( ACCEPTANCE OF ESTIMATE
r , 0 t JJ "f 1_---�' ( S 1 �1 ( �+� i� °=rc.''l '1y �n —y, V SIGNED
Jti� 1. G 4 J ( y .t o✓.�-,, r r >� r -." „v rti t r ti�`�. `1, c I ” ,^, I. oV.l,f r .r
y =! s b .r ❑ WARRANTY
DESCRIPTION-- PRICE DESCRIPTION FROM
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MAY 1 2=015
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I hereby acknowledge the labor charge and material used as listed herein and agree to pay this
invoice upon receipt.Deferred payment shall bear an interest rate of 1.75%per month.If collection
PAYMENT: Warranty Information is made through an attorney,then the purchaser shall pay a reasonable attorneys fee and all costs
❑Cash Amount$ incident to such collection.All Sales Final
E]Check# Acceptance of completed worts
SIGNED)
❑Credit Card Visa MC Disc AmerEx Service Tech
Auth.# O C C O TO L i._, ✓
SALES TAX CHARGED ON MATERIAL WHEN APPLICABLE.
PAYMENT DUE UPON RECEIPT
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.
00351163 Roby's, Inc. Terms
9249 Castlegate Drive
Indianapolis, IN 46256
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/7/15 108491 Drainage unclog/repair West Park water feature 38558 $ 270.00
Total $ 270.00
correct e and l have audited same in accordance
I hereby certify that the attached invoice(s),or bill(s)is(ire)true and c n
with IC 5-11-10-1.6
120
Clerk-Treasurer
Voucher No. Warrant No.
I
00351163 Roby's, Inc. Allowed 20
9240 Castlegate Drive
Indianapolis, IN 46256
In.Sum of$
$ 270.00
ON ACCOUNT.OF APPROPRIATION FOR
161 -General-Fund
PO#or + Board Members
Dept# INVOICE NO. CCT#%TITL AMOUNT
1125 108491 4350400 $ 270.00 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
a I materials or services itemized thereon for
i which charge is made were ordered and
received except
I ,
I
May 28i 2015
Signature
$ 270.00 Accounts Payable_Coordinator
Cost distribation ledger classification if I Title
claim paid motor vehicle highway fund