308455 02/23/17 r Esq
CITY OF CARMEL, INDIANA VENDOR: 361543
ONE CIVIC SQUARE BONE DRY ROOFING CHECK AMOUNT: $*****4,458.27"
CARMEL, INDIANA 46032 5420 W 96TH ST CHECK NUMBER: 308455
ZIONSVILLEIN 46077 CHECK DATE: 02/23/17
t rroN�.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 100114 93002 4,458.27 COMMUNITY CTR ROOF RE
VOUCHER NO. WARRANT NO. Prescribed by5tate Board of Accounts City Form No.201(Rev.19 95)
ALLOWED 20
ACCOUNTS PAYABLE VOUCHER
Vendor#. .361543
IN SUM OF$ Y CARMEL
BONE DRY Cr CIT OF RMROOFIN .E
5420 W:96TH ST. 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.
ZIONSVILLE, IN 46077...
Payee
$4,458.27 .
Purchase Order#
ON ACCOUNT OF APPROP:RIATION:FOR
Communications
Terms
_ ..
Date Due
PO# .. : ACCT# DATE. INVOICE# DESCRIPTION
DEPT#' INVOICE#:. :. Fund#. AMOUNT Board Members DEPT# " FUND'# (or note attached invoice(s)or.bill(s)) AMOUNT
100114 93002 43-501.00 $4,458.27I hereby certify that the attached invoice(s),or 1/30/17 93002 $4,458.27
1115 101 1115 101
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
Monday, February 13,2017
�N
Crockett,Terry
Director
O ) d t dIh
I hereby'certify that the attached invoice(s),or bill(s),,is(are true an correct an ave
audited same in accordance with IC 5-11-10-1.6
:. 20
Cost distribution ledger classification if claim paid motor vehicle,highway fund. Clerk-TreaSUr@r
Invoice
93002
R$4�6 1/30/2017
ro O Bone Dry Roofing -Commercial Printed 1/30/2017
4825 West 79th Street
cxrs«+er�tr.,�oi,m�iw Indianapolis,IN 46268
Phone: 317 873-6005
Fax: 317 471-8308
Bill To: Work Location:
Todd Luckoski Todd Luckoski
31 1st ave northwest 31 1st ave northwest
Carmel,IN 46032 Carmel,IN 46032
Terms Sales Rep: Mike Bova
Due Upon Receipt
Start Date: 1/28/2017 46032 C Flat Roof Job:362127
Date Product/Service Description Amount
1/28/2017 LEAKS:2 HOLES ABOVE SOUTH DOOR,STRIP IN COPEING METAL $4,458.27
ON SOUTH WALL WITH 6"EPDM COVER TAPE, FLASH DRAIN LINE
ALONG SOUTH WALL COMING OUT ONTO LOWER ROOF;FLASH 2
PENETRATIONS NE CORNER FLASH SCUPPER NE CORNER.
MAINTENANCE:STRIP IN ALL LAPS WITH 6"EPDM COVER TAPE;
REFLASH ALL CURBS AND PIPES AS NEEDED.
Subtotal: $4,458.27
Tax: $0.00
Paid: $0.00
Total: $4,458.27
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