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182279 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363716 Page 1 of 1 ONE CIVIC SQUARE BROWN CONSTRUCTINO CHECK AMOUNT: $20,000.00 CARMEL, INDIANA 46032 4227 EAST WASHINGTON STREET INDIANAPOLIS IN CHECK NUMBER: 182279 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 R4350100 12721 20,000.00 TRAINING ROOM INVOICE Carmel Fire department 2 Civic Square Carmel, IN 46032 February 4, 2010 Construction and finishes completed to date as per contract Construction of stage Construction of walls Completion of electrical and HVAC rework Installation and finish of drywall Paint and trim AMOUNT DUE, LABOR AND MATERIALS 20,000.00 Payable to Brown Construction Due upon submission Ian Brown President 5921 E Washington 317 -322 -1100 Indianapolis, In 46219 Jerry Burgess Sales /Designer 317- 428 -8465 VOU NO. WARRANT NO. ALLOWED 20 Brown Construction IN SUM OF 4227 E. Washington Street $20,000.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #1TI E AMOUNT Board Members 12721 43- 501.00 $20,000.00 1 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 FEB 15 2010 d Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $20,000.00 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 2a Clerk- Treasurer