HomeMy WebLinkAbout330415 09/25/18 �,A CITY OF CARMEL, INDIANA VENDOR: 360381
ONE CIVIC SQUARE SANTAROSSA MOSAIC &TILE CO INC CHECK AMOUNT: $"`*"""681.22'
:i ;��; CARMEL, INDIANA 46032 PO BOX 18190 CHECK NUMBER: 330415
yMcroN``p� INDIANAPOLIS IN 46218 CHECK DATE: 09/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 1808028 681.22 BUILDING REPAIRS & MA
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 360381 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Santarossa Mosaic&Tile Co., Inc. Payee
PO Box 18190
Indianapolis, IN 46218 In Sum of$ Purchase Order#
360381 Santarossa Mosaic&Tile Co., Inc. Terms
$ 681.22 PO Box 18190 Date Due
Indianapolis, IN 46218
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT nvolce Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1093 1808028 4350100 $ 681.22 Board Members 8/31/18 1808028 Pool Deck Tile Repair 51862 $ 681.22
I hereby certify that the attached invoice(s),or
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
$ 681.22 Total $ 681.22
September 20,2018
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 Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
osaic-&-Nile-=Co.,..-1nc, INVOICE
2707 Roosevelt Av9n7b
CUSTOMERINVOICE
P1.0 B-OX
18190 ,� 8/31/ZQ18 MON-003 "1848028
fndl.anapolls ind15na462k18
Phone#317-632-9494 Fax#317-624-9363 - • •: # SALESPERSON
18-251 ES
Monon Community Center • : Monon Center Indoor Pool T&M
1235 Central Park Drive E.
Carmel, IN.46032 C VR
SEN 1 0 2010
Terms: NET 30 DAYS
$I`:
Time and material completed per the following work order:
Work order#44478 $681.22
--PLEASE P_AY THI,SAMOUNTz v a;„ '_ $681.22
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.
/4 /I r i 1
NTA uORK ORDER
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