246714 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 361543
ONE CIVIC SQUARE BONE DRY ROOFING CHECK AMOUNT: $*******300.00*
=Q; CARMEL, INDIANA 46032 4825 W 79TH ST CHECK NUMBER: 246714
INDPLS IN 46268 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 66355 300.00 BUILDING REPAIRS & MA
C6/10/2015
voice
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Bone D Roofing Commercial� 9- l Printed 6/19/2015
4825 West 79th Street
Indianapolis,IN 46268
Phone:317 873-6005
Fax:317 471-8308
Bill To: Work Location:
City of Carmel Communications City of Carmel Communications
Attn:Todd Luckoski Attn:Todd Luckoski
31 1st ave northwest 31 1st ave northwest
Carmel,IN 46032 Carmel,IN 46032
Terms Sales Rep:
Due Upon Receipt
Start Date: 6/11/2015 46032 C Commercial Repair Sob:242859
Date Product/Service Description Amount
6/11/2015 Commercial Work $300.00
Patch holes in roof around leak area
Reseal screw heads around coping metal
Patch gap in A/C unit
Subtotal: $300.00
Tax: $0.00
Paid: $0.00
Total: $300.00
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Thank You
VOUCHER NO. WARRANT NO.
ALLOWED 20
BONE DRY ROOFING
4825 W 79TH ST IN SUM OF $
INDPLS IN 46268
$300.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
66355 I 43-501.00 I $300.00 1 hereby certify that the attached invoice(s), or
1115 101
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, June 25, 2015
Te Crocke Director
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
06/19/15 66355 $300.00
1115 101
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