HomeMy WebLinkAbout305462 11/28/16 ����`"' CITY OF CARMEL, INDIANA VENDOR: 360381
j® ONE CIVIC SQUARE SANTAROSSA MOSAIC &TILE CO INC CHECK AMOUNT: $*****1,134.72'
;� ,?� CARMEL, INDIANA 46032 PO BOX 18190 CHECK NUMBER: 305462
y��oN�, INDIANAPOLIS IN 46218 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 1610028 1,134.72 BUILDING REPAIRS & MA
Voucher No. Warrant No.
360381 Santarossa Mosaic&Tile Co., Inc. Allowed 20
P.O. Box 18190
Indianapolis, IN 46218
In Sum of$
$ 1,134.72
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO: ACCT#/TITL AMOUNT Board Members
Dept#
1093 1610028 4350100 $ 1,134.72 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
November 15, 2016
Signature
$ 1,134.72 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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SN �RQS ►a�LYtosatc& 'xle®C.o:. Inc: INVOICE
{ 2707 Roosevelt Avenue INVOICE DATE CUSTOMER NO. INVOICE#
Y
PCO B05C1$� 0� : 12DI2D1` '6 MON-003
Indianapoiia"4621.8w
Phone#317-632-9494 Fax-#317-624-036-3 - • •= # SALESPERSON
16-251 BS
.1 I T
�Monon Community Center • = a�
1235 Central Park_ Drive E.
Carmel, IN 46032 NOVO 1 2018
BY:
Terms: NET 30 DAYS
Time and material completed per the following work order:
Work order#34975 $1;134.72
LEASE_PAY THIS_AMO&N,1-�=` - $1 A3 7-2
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.
'�-42 34975
SANTAR®SSA EXTRA WORK ORDER
MOSAIC &TILE CO., INC.
Tile • Terrazzo • Marble • Carpet • Vinyl PHONE DATE OF ORDER
2707 Roosevelt Avenue • P.O. Box 18181 Indianapolis, Indiana 46218 ORDER TAKEN BY: CUSTOMER'S ORDER NUMBER
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/t3y17.632.9494�• fx/:317.6„31.5567 ❑ DAYWORK ❑ CONTRACT L7 EXTRA
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JOB NUMBER
DATE LABOR RATE REG. AMOUNT RATE 1.5 AMOUNT RATE 2X/NT AMOUNT
REGULAR HOURS 1.5x HOURS 2X / NT HOURS
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TOTAL LABOR Lj ,2 ,�( TOTAL LABOR TOTAL LABOR
DESCRIPTION MATERIALS/EOUIPMENT/DELIVERY PRICE AMOUMT
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TOTAL MATERIALS/EQUIPMENT rf�
BY SIGNING THIS FORM YOU ARE AUTHORIZING THE WORK AT THE NUMBER OF HOURS AND THE RATE LISTED ABOVE. TOTAL LABOR
PLEASE REMIT ..��,
PAYMENT OR CHANGE ORDER TOTAL MAT./EQUIP.
IN 30 DAYS
WORK ORDERED BY-OWNER'S REPRESENTATIVE
FOR ALL EXTRA WORK.
1.5%CHARGES ON TAX
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ALL OVERDUE BILLS. TOTAL
SIGNATURE I Here Acknowledge The Completion Of The Requested Work I I
OFFICE-1ST/CUSTOMER COPY-2ND/FORMENANSTALLERS-3RD