182870 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00351720 Page 1 of 1
ONE CIVIC SQUARE HINSHAW ROOFING SHEET METAL C NECK AMOUNT: $911.00
CARMEL, INDIANA 46032 PO BOX 636
FRANKFORT IN 46041 CHECK NUMBER: 182870
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 209 -M 911.00 BUILDING REPAIRS MA
Hinshaw Roofing Sheet Metal Co., Inc, O. 209 -M
PO Box 636 INVOICE 2/12/2010
Frankfort, IN 46041 DATE
Phone (765) 659 -3311
PURCHASE
F CARMEL FIRE DEPARTMENT ORDER NO.
SOLD TWO CARMEL CIVIC SQUARE PROJECT
310 -02 -03
TO CARMEL, IN 46032 NO.
L ATTN: ACCOUNTS PAYABLE PROJECT
DE:SCRIPTION
LABOR SEE ATTACHED WORK ORDER 825.00
MATERIALS SEE ATTACHED WORK ORDER 86.00
7% IN SALES TAX EXEMPT
TOTAL MATERIALS 86.00
TOTAL INVOICE 911.00
DUE UPON RECEIPT
Accounts not paid within 30 days after date of invoice will be charged a Service Charge of V/2% per month which is an Annual
Percentage Rate of 18
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HIN:SHAW WORK OR®ERANVOICE SOB .31a
R oofi ng CUSTOMER �rr tw.� 1 F, rt )3 N BLDG. NAME �+L.tiv� -L w
Hinshaw Roof ng MFG JOB PO.# ADDRESS O
Sheet Metal Co., 117C. ADDRESS Z cam, r,.�., 1 S� A
E CITYlSTATE
2452 S. State Road 39 CITY /STATE K
vin Tom- 41 CO3 Z
P.O. Box 636 CONTACT NAME ftv ��t r A
Frankfort, IN 46041 0636 T
(765 659 -3311 PHONE (3i'7) 5 '7 Z 6 -7 0 PHONE( ti �e t
ROOF DRAWING Authorization Needed =0 OK Re aired =X CODE DESCRIPTION
1 Location of Report Leak #1 �f k
2 Location of Report teak #2 (J I'
3 Location of Report Leak #3
4 Location of Report Leak #4
5 Location of Report Leak #5
I A Field Membrane
B Wall Flashin
qH C B ase Flashin
D Counter Flashin
I E Previous Patching
I I I I F HVAC Unit/Fan UniWent Unit
11 I G Flue Pipe/Soil StackIPltch Pan
IT I I I L. 1 .0 H Skylight
I Expansion Joint
J Gravel Stop /Roof Edg
K Termination Bar
I I L Copin
I I
M Drain /Scupper /Gutter
I I N Debris on Roof
0 A-A
NOTES TO CUSTOMER
ITEM 4 MATERIAL DESCRIPTION QTY. UNITS TOTAL
r e-, A MATERIAL
b 2A, 1 T
SERVICE TECHNICIAN, DATE START STOP START FINISH HRS. TOTAL
Y G LABOR
E Billable M ❑Hinshaw Wty. Total I n VOICe :9 Work in Progress
er's Wty. [V Complete Customer Signature
VOUCHER NO. WARRANT N
ALLOWED 20
Hinshaw Roofing
t IN SUM OF
P.O. Sox 636
Frankfort, IN 46041
$911.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT #FTITLE AMOUNT
Board Members
1120 209 -M 43- 501.00 $911.00 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
FEB 2 6 2010
a
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))
209 -M $911.00
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
20
Clerk- Treasurer