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Home My WebLink About252337 12/08/15 �;/ ;`. CITY OF CARMEL, INDIANA VENDOR: 353622 PLAINFIELD IN 46168-9024 ONE CIVIC SQUARE J D H CONTRACTING INC CHECK AMOUNT: $`•*'12,305.27" CARMEL, INDIANA 46032 8109 NETWORK DRIVE CHECK NUMBER: 252337 ;,__..-�? ,To,;�• CHECK DATE: 12/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 911 4350100 54472 12,305.27 BUILDING REPAIRS & MA ■ 8109 Network Dr. INVOICE Plainfield IN 46168--902 Phone:(317) 839-0520 Invoice No:54472 Fax:(317) 838-0925 Invoice Date:11/23/2015 Due Date:12/23/2015 Bill To: City of Carmel Carmel Police Dpt/ Marie Doan PO No:32506 3 Civic Square Job No: 2015-01820 Carmel IN 46032 Job Description:Carmel Police Dept Gradle Dr RE:100 Gradle Dr. Qu -lon - -~ _ Unit Price _Extended Price I Carmel Police Department/HBCDTF Attn: Marie Doan 100 Gradle Dr. Fiber Labor, Equipment, Materials,and Splicing to Complete SOW 1.00 Total Due: 12,305.27 12,305.27 I Thank You For Your Business! Total Invoice Amount : 12,305.27 Terms: Net Due 30 Days INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1 Cioty ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32506 35-60000972 3 OaE 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 09/10/2015 VENDOR JDH Contracting, Inc. TO SHIP City of Carmel, Attn: Todd Luckoski 8109 Network Dr. 3 Civic Square Plainfield, IN 46168 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Labor,' Equipment, Materials and Splicing to P I complete SOW. $12,305.27 $12,305.27 NOTE: CUTOVER DATE .TQ DE--DECRIER 1 15 fly Ifs l{'pp I ,r Send Invoice To: Carmel Police Dep art 71 HBCDTh! � Attn: Marie Doan f ( 3 Chic Square % _ Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT 911 RRVINXxx 2015-911 PAYMENT /�4, - OI $12,305.27 2015-2 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Aaron Die tS SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Major c 1 13' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. \w 2 5 Q 6 A.P.V. COPY-S GN�D RETURN TO CLERKS OFFICE �� J DOCUMENT CONTROL NO. \ VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR . 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 — 20 - - Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund i VOUCHER NO. WARRANT NO. JDH Contracting Inc. ALLOWED 20 IN SUM OF$ 8109 Network Dr 4 Plainfield, IN 46168 I $12,305.27 1 i ON ACCOUNT OF APPROPRIATION FOR Project 2015-911 Task 2015-2 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I 43-501.00 I 1 hereby certify that the attached invoice(s), or 32506 54472 $12 305.27_ 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 p Thursday, December 03, 2015 acL",- -D- 4 Major Title I Cost distribution ledger classification if claim paid motor vehicle highway fund it 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)) 11/23/15 54472 $12,305.27 I 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 1 , 20 Clerk-Treasurer