247354 07/15/15 1y u...SQgyF
CITY OF CARMEL, INDIANA VENDOR: 356465
ONE CIVIC SQUARE JIM RUSSELL PLUMBING &HEATING
CHECK AMOUNT: S*j`*"`*916.00`
CARMEL, INDIANA 46032 70 E HAWTHORN ST CHECK NUMBER: 247354
ZIONSVILLE IN 46077 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32966 219326 728.00 INSTALL REPLACE DRINK
1120 4350100 219375 188.00 BUILDING REPAIRS & MA
I
6 3 i a47d" ice Invoice
7�tYE __�rt_.►tlle St ,
Zionsville, IN 46077 Date Invoice#
7/8/2015 219375
Bill To:
Carmel Fire Dept.
2 Civic Sq.
Terms
Carmel, IN 46032
Due on receipt
Recommedation Original Complaint Job Number
070815PCFD
Description Qty Amount
Re-sealed drain in mop sink in the upstairs laundry room 188.00
License#CP1020006 Total $188.00
Payments/Credits $0.00
Balance Due $188.00
Phone#
317.873.5773
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Russell Plumbing, Heating &Air Conditioni
IN SUM OF$
70 East Hawthorne Street
Zionsville, IN 46077
$1-88..00 --
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 219375 43-501.00 $188.00 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
JUL 1
iLL APA
Fire Chief
? Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
219375 Sta.41 $188.00
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
13ti;{<i„•rddassusi@lic:Si,s-alfiersS4"s:'c#� '12;,tt.�u.,asscdtx
�;F�t,�� 22 Invoice
Eu Hawthorne St
Zionsville, IN 46077 Date Invoice#
6/23/2015 219326
Bill To:
Carmel Police Department
Pat Young
3 Civic Square Terms
Carmel, IN 46032 Due on receipt
Recommedation Original Complaint Job Number
062315PCPD
I
Description Qty Amount
Installation of(4) El ay 513000C drinking fountain filters 728.00
I
I
I
License#CP1020006 Total $728.00
Payments/Credits $0.00
Balance Due $728.00
Phone#
317.873.5773
'
City
®�J,J��l""/t° Carmel
INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT2
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Jim Rl.Bs@ll Plulfibing, beating &Air Condltlonin Can nol Palle Department
VENDOR
SHIP 3 CIVIC square
P.O. Bax 846 TO Cardial, IN 4603
Zionsville, IN 45077 (397)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 49-609.00
t Each Install replacement drinking fountain $720.00 $72°.00
filters
Sub`dotal: $720.00
ii moi,% f
` > a
"t sa �
I
1'
Send Invoi e To:
Carmel Police Department J
Attn: Pat Young
3 Civic square
Carmel, IN 4A PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT T PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $(Z". U
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS j HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
i
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED B•Y �w g y -
SHIPPING LABELS. . ,�`��}� Clilof dl Palle
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE TY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 32966 A.P.V. COPY-SIGN AND 9ETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
a
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
i -
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Russell Plumbing, Heating &Air Conditioni
IN SUM OF$
P.O. Box 846
Zionsville, IN 46077
—$728-.00—
ON
728:00 ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32966 I 219326 I 43-501.00 I $728.00 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
Friday, July)0, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/09/15 219326 drinking fountain filter installation $728.00
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