HomeMy WebLinkAbout301980 08/18/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 360381
ONE CIVIC SQUARE SANTAROSSA MOSAIC &TILE CO INC CHECK AMOUNT: $*****2,988.29*
CARMEL, INDIANA 46032 2707 ROOSEVELT AVE CHECK NUMBER: 301980
INDIANAPOLIS IN 46218 CHECK DATE: 08/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 1607043 2,988.29 BUILDING REPAIRS & MA
Voucher No. Warrant No.
360381 Santarossa Mosaic&Tile Co., Inc. Allowed 20
P.O. Box 18190
Indianapolis, IN 46218
In Sum of$
$ 2,988.29
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 1607043 4350100 $ 2,988.29 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
August 10, 2016
Signature
$ 2,988.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.
360381 :-.., Santarossa Mosaic & Tile Co., Inc. Terms
P.O. Box 18190
Indianapolis, IN 46218
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
7/26/16 1607043 Pool Deck Tile Repair 40403 $ 2,988.29
Total $ 2,988.29
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
120
Clerk-Treasurer
SANl�kSiA'1VI'o5ac 8z T�ile�CYo =Inc. INVOICE
2707 Roosevelt Avenue F fINVOICE#
L o
'P O Box 18190 '
J.-7/2612016;�'�� �MON-003� � I.ndlanapoliss�lndrana 46218ti�,F�' `�` _ �
Phone#3171632-9494 Fax-#317-624-9363 P.O.NUMBER JOB# SALESPERSON
16-251 BS
Monon Community Center Pool • = 10
1235 Central Park Drive E.
Carmel, IN 46032 �—
jTerms: NET 30 DAYS AUG u 1-2016 i
BY:
Time and material completed per the following work order:
Work order#37065 $2,988.29
PLEASE PAY THIS AMOUNT: x.1$2 988:29;
Late payments will be subject to late charges of 1-1/2%interest per month and reasonable attorney fees for Santarossa should this
matter be placed with an attorney for collection.
N9 37065
� �1L» ,s TIME AND MATERIAL WORK ORDER
E UPWL n'F
277 VELTAV8\..IE P.Q Ba(18181
IIVl IA140FCU$INEtM A46218 PHONE DATE OF ORDER
TELE R-0`,F--(317)632-9494(317)631-5 7 ORDER TAKEN BY CUST.ORDER
6 1 /�/J jj� NUMBER �y�
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OB NAME `
JOB fry.'LgC�ONC-� a r.
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JOB NUMBER
DATE LABOR RATE/ HOURS .AMOUNT Description of Work
op
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awe s 4w �t .9A 3,57.3k
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QTY. MATERIALS/EQUIPMENT/DELIVERY PRICEQTY. MATERIALS/EQUIPMENT/DELIVERY PRICE AMOUNT
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71 TOTAL MATERIALS/EQUIPMENT ,3U/,�zy
BY SIGNING THIS FORM YOU ARE AUTHORIZING THE WORK AT THE NUMBER OF HOURS AND THE RATE LISTED ABOVE.
TOTALLABOR
PLEASE REMIT PAYMENT OR TOTAL MAT./EQUIP.
CHANGE ORDER IN 30 DAYS
WORK ORDERED BY-OWNER'S REPRESENTATIVE FOR ALL EXTRA WORK.1.5%
CHARGES ON ALL OVERDUE TAX
BILLS. �
J r � TOTAL
SIGNATURE /Hereby Acknowledge The Completion O/The Requested Work OFFICE-1ST COPY!CUSTOMER 2ND/FORMEN-INSTALLERS 3RD