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331576 10/25/18-VOIDED
����,q,,f. CITY OF CARMEL, INDIANA VENDOR: 372860 ONE CIVIC SQUARE DESRA SIMONS CHECK AMOUNT: $`**3,325.00* i9� je�. CARMEL, INDIANA 46032 452 EMERSON RD CHECK NUMBER: 331576 '�,Prs.,� CARMEL IN 46032 CHECK DATE: 10/25/18 DEPARTMENT ACCOUNT Pb NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4359029 102029 3,325.00 FACADE GRANT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 372860 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DESRA SIMONS IN SUM OF$ CITY OF CARMEL 452 EMERSON RD 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. CARMEL, IN 46032 Payee $3,325.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 102029 Simons 43-590.29 $3,325.00 1 hereby certify that the attached invoice(s),or 10/22/18 Simons Fagade Grant 452 Emerson Road $3,325.00 1192 101 1192 101 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 Monday, October 22,2018 Mike Hollibaugh 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 ng JAMES BRAINARD, MAYOR October 22,2018 Lisa Motz Office Administrator City of Carmel Department of Community Services One Civic Square Carmel,IN 46032 Re: Carmel Historic Preservation Commission fagade grant payout for 452 Emerson Rd. Lisa: Please find attached an invoice for a Carmel Historic Preservation Commission(CHPC)fagade grant in the amount of$3,325.00 to Desra Simons for a project at 452 Emerson Rd. The grant is to be paid from the 2018 budget of the Carmel Historic Preservation Commission. The grant is to be made as a partial reimbursement for a roof replacement"project'that was approvedliy the CHPC in the final quarter of 2018. The work involved the total replacement of worn roofing material that was threatening the longevity of a mid-century ranch house in Johnson Addition—a potential local historic district identified on the Carmel and Clay Township Historic Properties Survey. The CHPC approved the project because of the property's architectural significance; because the roof is visible from a public right-of-way;because the work was substantial;and because the condition of a building's roof has direct bearing upon the condition of its facades. CHPC staff visited the site on October 17,2018 and verified that the project had been completed. Thank you for submitting the claim form for this grant. Sincerely, Sam Burgess Carmel.Historic.Preservation Commission Staff. . ONF CIVIC SQUARE., CARMEL, IN 46032 OFFICE. 317.571.2401, FAx 317.844.3498 EMAIL jbrainard@carmel.in.gov ,Z CITY OF- C_ EL JAMES BRAINARD, MAYOR INVOICE: DATE: October 22, 2018 PROJECT: ROOF REPLACEMENT FOR 452 EMERSON ROAD ADDRESS OF PROJECT: . 452 EMERSON RD. CARMEL, IN 46032 GRANT AMOUNT: $3,325.00 BRIEF OUTLINE OF WORK COMPLETED: ROOF AND ATTIC VENTS REPLACED AND DRIP MOLDS INSTALLED APPROVED BY: CARMEL HISTORIC PRESERVATION COMMISSION AND STAFF REMIT TO: DESRA SIMONS ONE CIVIC SQUARE,, CARMEL, IN 46032 OFFICE 317.571.2401, FAX 317.844.3498 EMAIL jbrainafdQCarmel.in.gOV Y INbIANA 1 `TAL IIVSTA , ,MENT CUI "RAC :` °SHI2RIFF GOF�IN CQMAIVY.=food Roofs Since 1906 _ _ Branch Office ;Customer Phone �. Customer Email Order No. 1'ijrl4orate$ttll „}'aR£lyItl@S,t)ne Ultayl ? Company Representative Max Eave Height D/C Slope No.of applications of asphalt and/or wood shingles over wood deck y is ,:_. ,,:.� „ _.. .. ••-,. *�. Building Permit Requited? O Yes Io Governing Authority 0`City ❑ Twp © County'of - - .1c Customer Name .� + +�' ,� a x^5"l,�i its 4' Customer's•I4lailing Address: Address of Property on which Sherriff-Goslin:(the"Coritpany")wilt.app'ly Ute woriC described.befow:._. Title�Owiter'offPi6Nrty'• �� j}WorkDescrlpttonE`Wptltc) i alb eta S" r'.i':5: ` t'iA 3 r d x ` �►'did ir+3 5—�* - t ' it _ {`ir �. #-� � y i E '�.t'�•e ry c:i�" C`btu_}x� -- dxt.} sr �' r Material Selected: . f ❑See attached Addebdum. 7 SYS THE cUMI?aNX r�li�,NT "} 3. r s a t ART-LQCg Vin¢ Storrrtivlastet phaAgle�por onxta@s�A s�Gu1a1 v�,tlerri f {A t {? NC) SIGN 1T XS CQNii-iCT FORE YOU+-READ IT OR IF IT Gostin I abor and 1VIatertal"GYIARt�NT&E agaritst lelaki€'ancl defecttVe` COIV CA[1Y§'13T;ANK SPACiCS: material and/or workmanship with full J4 vide at no exponsp to-theQslomer a 2. You are entitled to a completed copy of this Contract: for 10 years(5 years on.Pinnacle(0,3-tab and rollflow sltlpe�tpoCng) except for_fire, tornadp, hint/'• act of t4tet rat ob'epts ice back u 4ettatn al ae 3 CANCELLATION. You m cant el This Contract before midnight on.th'®Hurd acts of nature of�o#ht r Gttlntsianeesbpydt cit c uatrbl. ''"p '" `'` ` " y` Iterthe=ditle yotrsa$it tlns Coiitrac t To cancel;you must-give written' d'. & z tt tt$p pt rrpncelratton to:tlte company srflome.Oftice: 10:,Avemte C=Sa4le Creek, Siding is gtiarattteed for 10 :years against deTechye tenal attct/or MI 49037 Wptton.natice mei be provided by mail,telegram,mauuµl delivery,or workmanshippxcepttQrbangetueptgrrary;o�golssegcetlfmpterrat � ¢3 .•othCt pet'son'dl delivery:'V✓ntten dotice of cancollatioh"shall he efieciiGL:upcn the Guarantees..rt1_11-ty icat?sferdblea o u7ecesspr"fl Ie°awnors:d[Ekopen }r., 'r-i_tate.oFpo"stmarlcing: and may notothet wtsQ be assigricd See attached Nonce of Cancellation form for an explanation of this right. These Gµarantees -are,, in;,adilttion to the §tatt¢ard .Mantttature;s q,.-NOTICE:OF CLAIM.. Asa condition precedent to Company's obligatioris'under WARRANTY. Addttionalanfotnaon about theompahy s Gitaraptees-iwd copies ' `of`•'ifia ManufaeturorTs Wairarity "icatt be` fotYnd at ' , - t the Gttarantee, Citston}er aljall;jwriledigtely notify Comilpy,:s Hortte Office in www.sherriffgoslin.com. wrififrg;at the ad&s's listed above tt any service is not satisfactorily perfsirined in aFcot�4anpe with.this Contract icijil ffotd Company the opp6ittinity;-to ti pair or Company makes no other warranty or guarantee, express or;-µttp�id,.and;. ';r,• ,>rpiaee:doggetiye.ivork covered by the Guarantees. expressly disclaims.any warranty ofinerchantability for a particular purpose. 5• NOTICE AND :OPPORTUNITY TO REPAIR.OR RESOLVE, IC 32-27-3 PAYMENT TERMS: CONTAINS 1MPO iTANT 1 QUItj,I?iV NTS YOU,MUST FOLLOW 8'EFORE I. CASH PRICE + $ YOU MAY FILE!"' f AWSUiT'1©R Dlf?C II�!E`CONa'l Rt1CTION A••.[�INST -` A CONTRACTOR OF YOUR HOME. SIXTY(60)DAYS BEFORE YOU PILE ,t� YOUR LAWSUIT, YOU MUST DELIVER TO THE CONTRAC`iOR A 2. LESS: CASH DOWN PAYMENT $_ i s/ + WRIT'ikN.NOTICE OF ANY CONSTRUCTION CONDITIONS YOU iLEGE ARE DEFECTIVE AND PROVIDE_YOUR YOUR CONTRACTOR. THE 3. UNPAID BALAN6EO�CASI3P12[CE{12) $ OPPORTUNITY TO MAKE AN OFFER TO,REPAIR OR PAY FOR THE DEFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY,OFFER;-W4ADF 4. LESS: CASH UPON COMPLETION :.-BY THE'CONTRAC:`TOR.*-;HO WEVER,IF'YOU UNREASONABLY•R''FUi'A 5. AMOUN3 FINANCED�3<1 (Atpunl oC,....:.. REASONABLE WRITTEN OFFER AND COMMENCE AN ACTION AGAINST eretlttpiio ided to yov or on' ahr.bcAalt);>. r 3,ti°r$` s - ItIII (1Cyb7TdGxt?Rt Q 'OUI7 MALI ,gy1�a4JC?i dh1 FO,1tNCY ;F)alS ANIS COS ttS TO TETE CONfiRACTOR THERE ARS Si h RIS DEAD1iVLS AND 6. FINANCE CHARGE(Dollar aniountthe 3�120CEDUi2ES Tit DEIt.SRATB LAW;AND.:PAIL-URE!'TO F<1LLOW THEM credit will costyau) $ .._... MAY AFFECT YOUR ABILITY TO FILE A LAWSUIT. EXCLUSIVE'.ItEMEDY.-Customer's remedy against Company arising out-of this 7. TOTAL OF PAYMENTS' $ . r �`n` .e 4 Contcacf a df0-66arantees are tiiriited, in the sole discretion of Company, to 8. TOTAL`CONTRACPPRICE(1+6)(Total cost Company s.repair or replacement of work determined to be defective and:eovered ofpurchase on credit,including:down payment) $_ .;y,,,s;:. by the Guarantee or the cost of such repair or replacement. In no event shall 9. ANNUAL PER`-+NT._GE.]tATIE Cost oP oliability-Io us omer excee as i rice o t isContract. ( C Company's Customer d the Cash P' i'h' J. YOU credit as a earl-rate o "11V` 7. RELEASE OF LIABILITY. Customer,for himself or herself and his or-tier heirs, Yourpaymentschedule.is: other guests, releases, successors, 'assigns residents, invitees, licensees, and oth - -.indcmuifkes,, and,..farever..dischg.&es.the Company and its agents, :officers, t r Ph '� spar"e(iblders,and employees from any and all hability,claim's,demands,find>causes r 'P of actions whatsoever, arising out or or related"to any,oss, damage;`orr'injury, 1.. G 30 days titer completion , ; including,but not limited to,personal injury as a result of asbestos,development of �. On!be, duy of melds,o.C.pthe;Cenvirpnµte nWl exposutes,arisingout nf.or:;resulling from.Ccttipany's mp1i11,.there8fier. VYok. Customer releases Cotitpany from any claim PoF,indirect,special;Punitive, Installment paymouts slia�t be made by Check to-the Compan s Home an or conseljuenttal.damages. Office: 10 Avenue C,Bliitle Cr6e15MI 49037. "` a'.:. Please mttial'whenrea8. ' There is no penalty for+prepayment. Ydtt may-pay-off iii.advanCo,thefull R,. INSURANCE AND PERMITS. Company shall carry workers' compensation amount due and,undereertain conditions,by doing so'obtat p t rohtnd + mstn•ance on all its workers at all.,imes and shall obtain all necessary'permits. oftlie.futancg charge. �j 4, Cotnpatty is licensed,License N0..2104004965. It'the Pxoporty.Is sgld, the.unpaid.,,balart ot► tbo Ggtt A£ a utiles SCHEDULE A proximate slut datedate i ^ - / i Appioxiniate itnmedfately d6e. c,6ltiplettun nide is .. 9- Theso'date's may clianbe;'due to For an ' s ; + }' cttrtunstanC4s:beyond Company's control,such as weRther;-#ire;licensing(Si permit y payment 1l)days or more past dq�„Customer shale pay a•late ehttrge p p rty,or Ctwtomer`,s dela of 3%of the payment amount or$17 50 whe ever is less Com}tany ttiay requiremc rats availability of materials,destruction of roe y demand payment in full when anypayrnent:ll ofrt ppg mita o 3stG2nQ�i&r��av{�ax or�; Ure t�4 � �xi��,�I� <a4 sc.sa�y' L`a liable to,,G'ompa�tYyYn[pll uctuat eats nn fkntney ees,Ogmpµny tnqu[S 4>l, 1Q MOt7 AT 0 Thus Contract cane nodi`led except by wii iliacig'si n~dna°nod'” enforcing any'.Yernis.of flits Gon tic t TRe<price'afid ecros.a' stare k`aro. .• " dafetl`l y Gustoiiler aiiif auth"cinzetl agent of tfie Coftipariy according` to.C ustoitivr's ttiidet$tttttdtgg and xhete`:are no ,,ptomtses or 11 CONSTICUC:'T'TON: `lfi any provision of this Contract is fnr any reason held to be agreement otherthatiassttstedtnthisGptticact (; 01 . mvaktti°o unenfpiGeable;.sach tovmtonwillnotaffect.an other irovisionorthis You have t{e vghtt tp,ceaeroe L.tlua tame..tp rittetµu2attpn,pG;tlte Amqunt +_. Oontract,Gut Siis Contract will be construed as it:suclt inv4lid and/or unenforceable ;, _ Fhtancad �F I avant an itemization ❑ I do not Want an te�itiiadon d,,,, on h cr been contained in the Contract. �' '4}' .'' � � visa ad n�v ' -` �.b Sales Repfesenmttve.Signatur ptreet Rrobfiemk 0t>Inquirie's To i Telephpne Nwnber Print Name to Date Submitted To Customer: Lasttte By Which Customer May Accept: No. 2012698169 Remitter DESRA SIMONS Date 09/14/2018 PURCHASER'S RECEIPT Pay Five Thousand Dollars & 00/100 $ ** 5,000.00 ** To the Order Of SHERRIFF GOSLIN. COMPANY By NON-NEGOTIABLE Authorized Signer 1 No. . 2012757613 Remitter DESRA SIMONS Date 10/04/2018 PURCHASER'S RECEIPT Pay Eight Thousand Three Hundred Dollars & 00/100 $ * 8,300.00 ** To the Order Of SHERRIFF GOSLIN By NON-NEGOTIABLE Authorized Signer • 1 City INDIANA RETAIL TAX EXEMPT Page 1 of 1 ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102029 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,Alp CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL—1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 10/22/2018 372860 DESRA SIMONS Dept of Community Service VENDOR 452 EMERSON RD SHIP 1 Civic Square TO Carmel, IN 46032- CARMEL,IN 46032- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 30322 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1192 Fund., 101 General Fund Account. 43-590.29 1 Each Fagade Grant $3,325.00 $3,325.00 Sub Total $3,325.00 f lit `4, 1a I - r• Send Invoice To: Dept of Community Service 1 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $3,325.00 SHIPPING INSTRUCTIONS 'Alp VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Mike Hollibaugh TITLE Director CONTROL NO. 102029 CLERK-TREASURER