248021 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 00351163
ONE CIVIC SQUARE ROBY'S INC CHECK AMOUNT: $*******610.00*
(9 ,
CARMEL, INDIANA 46032 9249 CASTLEGATE DRIVE CHECK NUMBER: 248021
INDIANAPOLIS IN 46256-1004 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 38776 83998 610.00 REPAIRS TO FLOWING WE
DISPATCH # S J _S�_� INVOIC 3 � 7 `�
NAME f NAME r DATE Ince 1955
(CHAR GETO)' 'V.c� q tY�'c l r f J�, _ C, (WORK AT) tY- (i�—'' 6 c LIUn� � i}-% }'_ � - �0- /S� i IN Co686o0767
ADDRESS +/ y / ADDRESS , PLUMBING&APPLIANCE SERVICE
'ddZ','4�7 fait iil; �s �( �.
www.robysplumbing-com
CITY/1 d STATE;� Z p tCITY �- ) STATE zip-- 9249 Castlegate Drive
HOME PHONE WOE,-PyONE HME PHONEr� WORK PHONE Indianapolis, IN 46256
�j �'�%�'`0 IT t 1., I` 317-849-9884 - 765-643-3 66
NATURE OF CALL r f_ ( - ` 'b 1 �r I {r c > STIMATE GIVEN YE �NO
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SIGNED: j cam!% r ✓'
I Of rl'�C� r'l �S �/ � ,� � Y �} J �""� ��f G U�P �Aa Y"'�^� if c.. i/'�r�� �..J
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QTY DESCRIPTION • . • •
7
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JUL 82 20
hereby acknowledge the labor charge and material used as listed herein and agree to pay this
invoice upon receipt Deferred payment shall bear an interest rate of 1.75%per month.If collection
PAYMENT- Warranty Information is made through an attorney,then the purchaser shall pay.a reasonable attorneys fee and all ocsts
El Cash Amount$ incident to such collection.All Sales Final.
Acceptance of complet6a work
❑Check# SIGNED)
[]Credit Card Visa MC'Disc AmerEx Service Tech'
Auth.# c
SALES TAX CHARGEDONMATERIAL 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
6/29/15 83998 Repair to Flowing Well Spigot 38776 $ 610.00
Total $ 610.00
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
i
Voucher No. Warrant No. !
00351163 Roby's, Inc. Allowed 20
9249 Castlegate Drive
Indianapolis, IN 46256
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In Sum of$
$ 610.00
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ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
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PO#orINVOICE NO. CCT#/TITL AMOUNT I Board Members
Dept#
38776 F 83998 4350100 $ 610.00 1 hereby certify that the attached invoice(s), or
bills)is(are)true and correct and that the
I materials or services itemized thereon for
which charge is made were ordered and
received except
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July 23, 2015
Signature
$ 610.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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