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319641 12/15/17 CITY OF CARMEL, INDIANA VENDOR: 361543 ONE CIVIC SQUARE BONE DRY ROOFING CHECK AMOUNT: $***182,827.16* n CARMEL, INDIANA 46032 4825 W 79TH STREET CHECK NUMBER: 319641 INDIANAPOLIS IN 4626a rori-�o• CHECK DATE: 12/15/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 100874 109374 157,827.16 HAIL DAMAGE TO ADMIN 2201 4350100 100875 109374 25,000.00 HAIL DAMAGE TO ADMIN VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 361543 BONE DRY ROOFING IN SUM OF$ CITY OF CARMEL 4825 W 79TH STREET 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. INDIANAPOLIS, IN 46268 Payee $157,827.16 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 100874 109374 43-501.00 $157,827.16 1 hereby certify that the attached invoice(s),or 11/28/17 109374 $157,827.16 2201 2201 2201 2201 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 Thursday, December 14,2017 Huffman, Dave Director 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 '20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer }ya ° Invoice oRYRo 09374Lh�� t 1y1/28/2017 Bone Dry Roofing,Inc. �_�.. ` Printed 11/28/2017 4825 West 79th Street Indianapolis,IN 46268 Phone: 317 873-6005 Fax: 317 471-8308 2�t� �y B1II To d� t �r 3r f fN sr r Work Location , , ki. s t� 4. � U fi T "' +.3 £ t i"<r r,A cz'.� s.:: Carmel Street Department �ti ¢ ;Car el Street Departments t � �.r� s -�'� r c '_T -r Y�'� s„�tr 5•a k Ai"} a T� � trw '� a".! t t. "��A z Y � t E �^5 713400 W 131st St4 � T ry s} 3400 W 131st SE 3 s E t �u} 3 Y -}. 1 'Y,FT f- -( M1 ''L ry E 3 F Westfield,IN 146074 _ r Westfield,IN 46074 .r'a t '_i S I#} f i i t y,�y :•r `a ti J �' 4; g p. t- .Terms Sales Re . t Ryan F '`z � �:� � a'..Y �r �5�t�} �e 44`�v = iv�1F�7'�:yz@'RyantL�ntler�'.t' F t i yF t1 :`�.J�.y, ��i 7�'�4• x„r���3' s'�:.:.1+<�i� �e 3 fti�.', fy'4 ,��`��. Start Date: 11/25/2017 46032 R 831 SQ OC DURATION-DRIFfW00D Job:434633 Date Product/Service Description Amount 11/25/2017 Install 831 Sq of Owens Corning Duration-Driftwood $194,863.51 Subtotal: $194,863.51 Tax: $0.00 Paid: $0.00 Total: - Find us on; facebook.com/BoneDry Follow us on twitter.com/#BoneDryRoofing Pay online at BoneDry.com Thank You MOP t3:tr\rt`M` iP� W!�r.±,�u�� ��y�t.i�,..v raft „�;,t• .Ft }z `C �'I+?:� 'ir, f''^`c��y�1N'�''�.'''Sta.r� A„st,T cgsj��I,;' ��•d 4+.,;``:.`••;•.oA I���T�'��an",��1��.1/28�"/2017*�{i��3j���7"� O$, .� u.H';�i:.n.•HT„i.K�",�x.�i.�..ed;f.'eF��F:k, t�s:.,+,'}l:[�1ytf.M.th?1i5$du” Bone Dry Roofing,Inc. 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