329265 08/27/18 �'�,q+, CITY OF CARMEL, INDIANA VENDOR: 372698
® `� CHECK AMOUNT: $*******141.00*
ONE CIVIC SQUARE GATEKEEPER SERVICES, LLC
�, ,?� CARMEL, INDIANA 46032 5518 S.COUNTY RD.600 E. CHECK NUMBER: 329265
y�roN�. PLAINFIELD IN 46168 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9094 141.00 OTHER EXPENSES
VOUCHER NO. 182455 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372698 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
GATEKEEPER SERVICES CITY OF CARMEL
5518 S COUNTY ROAD 600 E An invoice or bill to be properly itemized must show: kind of service,where performed,
PLAINFIELD, IN 46168 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
141.00 372698 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR GATEKEEPER SERVICES Terms
Carmel Water Utility 5518 S COUNTY ROAD 600 E Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), PLAINFIELD,IN 46168
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
9094 01-6360-04 $141.00 and received except 8/15/2018 9094 $141.00
O
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_
Clerk-Treasurer
Gatekeeper Services,LLC Invoice
5518 S. County Road 600 E. Date Invoice#
Plainfield, IN 46168
317-714-4061 8/7/2018 9094
Bill To Ship To
Carmel Water Carmel Water-Plant 1
3450 W. 131st St. 4915 E. 106th St.
Carmel,IN 46074 Indianapolis,IN 46280
Attn: Kerri Loveall Slide Gate
P.O. Number Terms Rep Ship Via F.O.B. Project
BT080218A Due on receipt 8/3%2018
Quantity - Item Code Description Price Each Amount
1 Labor Labor 95.00 95.00
1 Trip Trip Charge 46.00 46.00
Sales Tax 7.00% 0.00
Thank you for your business. -
E-mail Total $141.00
lany@indygatekeeper.com
Gatekeeper Gatekeeper Services, LLC JOB WORK ORDER
Services, 5518 S. County Rd. 600E 9094
Plainfield, IN 46168
LLC 317-7144061
A veteran-owned business larry@indygatekeeper.com
r l amt Customer PO #_3—r 0?? --_—__—
NAME
Customer Code
ADDRESS I,Ak5 T K-Ai"' rVA
---------
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CITY/STATE/ZIP �t�a2�'\�=i a_�6.•
Reg. Time`'p Overtime El
PHONE CELL DI tl i i(? ~ .i s
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CONTACT e )V 15,,.E\
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JOB LOCATION i;')qs }' �af?F-tb ,
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PROBLEM !i,c;:�' C V *-,r 6 ! t ' c� &i a�
Exp. Date--__ /
jJ _ Sec. Code---
GATE LOCATION z-,a fes? G r < .s``•...
aJ Service Performed
Serviced Gate Opener and Gate Checked Reversing Devices ^`LD Check Warning Signs
ra 'r•Q���'v. `.• g•4:v't
'C fp•//�.t.iF -:j i� �1�9�P_i;, 47,:3 i�5. ��l L`:eS ` 7_0•�-:%1•,'�. �`:�1 L.td y-��� � ft'-?�..`4t� �S•'1Q1 l�F} `.7i•.l^.S^f"�i.�i•.!`_ t1..7 �Y'��''�.`(-i??
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CITY T"4q_ZZ.q" MATERIAL ESCRIPTION EACH EXTENSION
rjv F ; $ $
$ $
Use :
$ $
DATE LEAD HELPER SERVICEMAN LIFT:YES ❑ NO❑ $
TOTAL MATERIALS $
SHIPPING $
TAX $
LABOR $
TRIP $
We/I agree to pay a (1.5%) per month finance charge on any balance outstanding more Coupon Discount $
than 30 days from the date of invoice. I also agree to pay any collection expenses that are
incurred, including reasonable attorney fees, with respect to collection of any amounts due. TOTAL $
Customer Name (print)__ g 4i 86j_1 4, 21.:�lir
Signature_ - ------------------ Date
-------------------
1 herebv acknowledge the satisfactory completion of the above described work.