319798 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 361543.:
ONE CIVIC SQUARE BONE DRY ROOFING CHECK AMOUNT: $****12,036.35*
CARMEL, INDIANA 46032 4825 w 79TH STREET CHECK NUMBER: 319798
INDIANAPOLIS IN 46268 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 109374 12,036.35 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361543 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER -
BONE DRY ROOFING IN SUM OF$ 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
$12,036.35
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
109374 43-501.00 $12,036.35 1 hereby certify that the attached invoice(s),or 11/28/17 109374 $12,036.35
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice'.
9RY Rq 10937.4.,
Bone Dry Roofing,Inc.
4825 West 79th Street Panted 11/28/2017
�� Indianapolis,IN 46268
Phone: 317 873-6005
Fax: 317 471-8308
BiI1 Tor ;WoWLocation:,.
Carn!6I.Street.Department:. Carmei&
el Sf Departrnent;
34l)0'W' '131st St 3400:W IJI-A St'
Westfield;'IN 46074 Westfield;IN.46074.
Teems. Sales Rep:, Ryan_Linder "'
Due UporS`ReceiptRph Ander
Start Date: 11/25/2017 46032 R 831 SQ OC DURATION-DRIFI-WOOD 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:
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