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Home My WebLink About250561 10/21/15 Coq.. '`V "';R• . CITY OF CARMEL, INDIANA VENDOR: 366531 ONE CIVIC SQUARE ADAM'S FLOORING, LLC. CHECK AMOUNT: $**.....975.00* �, CARMEL, INDIANA 46032 1063 S RANGELINE ROAD CHECK NUMBER: 250561 *,,�roN 6a CARMEL IN 46032 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 33179 2327 975.00 BASEBOARD Adam's Flooring, LLC Invoice 1063 South Rangeline Rd. Carmel, IN 46032 Date Invoice# adam@adamsflooring.info 10/7/2015 2327 Bill To Cannel Police P.O. No. Terms Project Description Qty U/M Rate Amount 150 4'pcs of standard brown cove base @$3.50each 150 3.50 525.00 Install 150pcs of standard cove base n)$3each 150 3.00 450.00 Customer is responsible for the moving of all smaller and/or fragile items,which include any china,electric,audio,visual and or computer equipment.Customer agrees to move own furniture if Total $975.00 not completed and our installers find it necessary to help,there will be an additional charge for the time and moving of furniture. We are not responsible for any existing appliance we remove and Payments/Credits reset for any installation.Customer acknowledges that shoemold,baseboards,and walls may need $0.00 touched up after the installation.Customer is reponsible for the touch up should any be needed. Customer acknowledges that with any remodeling job some dust and inconvenience is to be Balance Due $975.00 expected.There will be a$50 cancellation tee within two weeks of start date,unless unavailability of product or services. INDIANA RETAIL TAX EXEMPT PAGE City ® Carmd 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, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Admm's Flooring C@mGI Police DopzAmont SHIP 3 CIVIC Squm VENDOR South ftngollnG ltd TO C@mGl, IN 4 C@ mol, IN 4= (W)671-2560 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT OUANTIT49-MAD Y�� UNII,TgOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account W 9-.b7B 1 AD 9 Each Peplacomcnl baseboard 075.00 $075.00 Sub Total: $075.00 t' - l9 Send Invoice To: �, } Cumol Polleo®GpvtmGnt Attn: P@4 Young 3 CIVIC Squm CumGl, IN - PLEASE INVOICE IN DUPLICATE DEPARTMENT pACCOUNT PROJECT PROJECTACCOUNT MOUNT Garm� Police Dopt. �c�. PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPE5 SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TIjAj THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRI "GG SWFFICIENT TO PAY FOR THE ABOVE ORDER. • 1 •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /p SHIPPING LABELS. hlo/}a Pollee •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q y CLERK-TREASURER DOCUMENT CONTROL NO. 3 31 C 9 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHERWARRANT ND`...... ____ ALLOWED 20___ |NTHE SUM OF$ 7�) ONACCOUNT OFAPPROPRIATION FOR ' ~ Board MembersPO#or INVOICE NO. ACCT#/TITLE AMOUNT ' | hereby certify that the attached immice(o), or bill(s) is (ana) true and correct and that the materials orservices itemized thereon for which charge iemade were ordered and received oxoapt_____ --------------- --- ________________ ' . ' ` ' 2O____ _ .................______........ ....................____........_ � Signature ` Title Cost ledger claauhcaonnU � 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 Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 10/07/15 2327 replacement baseboard $975.00 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 Adam's Flooring IN SUM OF $ 1063 South Rangeline Rd Carmel, IN 46032 $975.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33179 I 2327 I 43-501.00 I $975.00 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 Thursday, October 15, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund