250403 10/07/15 (9)
CITY OF CARMEL, INDIANA VENDOR: 276561
ONE CIVIC SQUARE S & M PAINTING & DRY WALL CO CHECKAMOUNT: S*****7,411.00*
CARMEL, INDIANA 46032 520 INDUSTRIAL DR CHECK NUMBER: 250403
CARMEL IN 46032 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 33053 091SO01IN 7,411.00 PAINTING POLICE STATI
Invoice pogo 1
PAINTING °DRYWALL CO.
Invoice O9�oOo1 |w
-
S& MPainting& Drywall Company Invoice Date: 9/22/2015
52OIndustrial Drive
Customer
Carmel, Indiana 46032 �0'
3178485090
Customer Number: UO'CAnMsLP
'
Location: Offices
Carmel Police Department
ATT: Blaine
Three Civic Square
Canne|. |N 46032
Tnnnu: wet18th FM
106 Interior Painting(per est.) 1 16,911.00 16,911.00
----15 ' 1 N�8000 9,500.00-
Upon nonpayment of invoice,customer agrees to pay all costs of collection, including court costs,
,non00-upnnnonparmemo,mvoico.nvomme,agmesmpaywocostsormdlechnn. mclmuingmmrtcnuts.
expenses,and reasonable attorney fees. Net Invoice: 7,411.00
Freight: 0.00
Sales Tax: 0.00
7,411l@
INDIANA RETAIL TAX EXEMPT PAGE
City ®fCarmel ,£, 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,
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
E
0 A N Painting 2nnd Orfadi Co. Ctnol Polico Dopafuont
VENDOR SHIP 3 Civic Squm
520 Induotilal Dtivo TO Cru ol, IN
Cool„ IN a= (W)679-2
CONFIRMATION BLANKET, CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-609.00
9 Each h altw@y 2nd floor $3,235.00 $3,235.00
9 Each ha[N@y Iso floor $2,700.00 $2,790.00
9 Each graining room 2nd floor $2,055.00 $2,055.00
I Each training room I st floor 7 $2,915.00 $2,015.00
I Each men's &women's west bathrooms- �&�2'� � 7 46 �� $2,900.00 $2,900.00
floor) .
I Each men's &women's east batthrO tam ®°° G� $010.00 $090.00
I Each back haiNay 1 st floor �7 •°
(,�°� $2,940.00 $2,140.00
4� J> Saab Total: $10,911.00
CC)
Labor iond mifiorkls to romodm Old &Insull� Viaf9 io�8 ®w 4 I
Send Invoice To:
Cwmol Pollco Dopa i tmont
Attn: PO Young
3 Civic i qum
C@rmol, IN 4M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT R ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT s1 ' luo
• 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 I`HFHE IS AN UNOBLIGATED�BA7LANCE IN
THIS W�fSIJYF20ENTR THEAB ORDERSHIP REPAID.C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. , Z6,*
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
®�� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
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))
09/22/15 0915001-IN wallpaper installation $7,411.00
1 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
S & M Painting and Drywall Co.
IN SUM OF $
520 Industrial Drive
Carmel„ IN 46032
$7,411.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33053 I 0915001-IN I 43-501.00 I $7,411.00 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
Tuesday, September 29, 2015
C -
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund