HomeMy WebLinkAbout316575 09/26/17 �� ��'"'� CITY OF CARMEL, INDIANA VENDOR: 360381
ONE CIVIC SQUARE SANTAROSSA MOSAIC &TILE CO INC CHECK AMOUNT: $"**"***233.76"
�; ?a CARMEL, INDIANA 46032 PO BOX 18190 CHECK NUMBER: 316575
+ INDIANAPOLIS IN 46218 CHECK DATE: 09/26/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 1708061 233.76 BUILDING REPAIRS & MA
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SANTAROSSA Mosaic & Tile Co., Inc. INVOICE
2707 Roosevelt Avenue INVOICE DATE CUSTOMER NO. INVOICE
P.O. Box 18190 8/31/2017 MON-003 1708061
Indianapolis, Indiana 46218
Phone#317-632-9494 Fax#317-624-9363 - • •= # SALESPERSON
13868 17-029 KH
�Monon Community Center •
1235 Central Park Drive E. R r IT 7T.,
Carmel, IN 46032 SEP 1 2 2011
Terms: NET 30 DAYS BY: ............eewt..............
Time and material completed per the following work order:
Work order#38513 $233.76
PLEASE PAY THIS AMOUNT: $233.76
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.
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SANTAROSSA EXTRA WORK ORDER
MOSAIC &TILE CO., INC.
Tile • Terrazzo • Marble 9 Carpet • Vinyl PHONE DATD✓DE ��
2707 Roosevelt Avenue • P.O. Box 18181 Indianapolis, Indiana 46218 ORDER TAKEN BY CUSTOMER'S ORD BER
ph: 317.632.9494 • fx:317.631.5567 —01
DAY WORK ❑ CONTRACT ❑ EXTRA
CHARGETO O 1/ 1- . C�Aj JOB NAME
JOB LOCATION
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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
TOTAL LABOR TOTAL LABOR TOTAL LABOR
J DESCRIPTION / MATERIALS/EQUIPMENT/DELIVERY PRICE AMOUNT
JX/42- ;,j ,
TOTAL MATERIALS/EQUIPMENT
BY SIGNING THIS FORM YOU ARE AUTHORIZING THE WORK AT THE NO ER OF HOURS AND THE RATE LISTED ABOVE. PLEASE REMIT TOTAL LABOR
Q) PAYMENT OR CHANGE ORDER TOTAL MAT./EQUIP.
W ORDERE BY-OWN S PRESEN TIVE IN 30 DAYS
FOR ALL EXTRA WORK.
1.5%CHARGES ON TAX
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SIGNATURE /Hereby Acknowledge The Completion Of The Requested Work ALL OVERDUE BILLS. TOTAL
OFFICE-1ST/CUSTOMER COPY-2ND/FORMEN/INSTALLERS-3RD