184782 04/27/2010 ^F CITY OF CARMEL, INDIANA VENDOR: 00351720 Page 1 of 1
ONE CIVIC SQUARE HINSHAW ROOFING SHEET METAL Cp I
CARMEL INDIANA 46032 PO Box 636
CHECK AMOUNT: $484.00
if.'rc FRANKFORT IN 46041
CHECK NUMBER: 184782
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 414 -M 484.00 BUILDING REPAIRS MA
Hinshaw Roofing Sheet Metal Co,, Inc, NO. OICE 414_M
PO Box 636 INVOICE 4/9/2010
Frankfort, IN 46041 DATE
Phone (765) 659 -3311
PURCHASE
—1
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
QUIET ROOM
DESCRIPTION I
LABOR SEE ATTACHED WORK ORDER 330.00
MATERIALS SEE ATTACHED WORK ORDER 154.00
7% IN SALES TAX EXEMPT
TOTAL MATERIALS 154.00
TOTAL INVOICE 484.00
DUE UPON RECEIPT
Accounts not paid within 30 days after date of invoice will be charged a Service Charge of 1 '/z% per month which is an Annual
Percentage Rate of 18
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HINSHAW WORK R DERANVOICE JOB 3 1J' 0'
Nkmmovll y CUSTOMER C r IN\L 1 �P f
DG. NAME SIk h� E W Hinshaw Roofing MFG JOB PO DRESS O
Sheet Metal Co., InC. ADDRESS N�k C: K
K
2452 S. State Road 39 CITY /STATE arr�`E: 1 T N (v 03 2 TYISTATE
P.O. Box 636 CONTACT NAME C�! -V4. Q-1i f
Frankfort, IN 46041 -0636 T
(765) 659 -3311 PHONE (3j 7 �7� �2w ONE CONTACT
ROOF DRAWING Authorization Needed =O OK Re aired =X CODE DESCRIPTION
1 Location of Report Leak #1
2 Location of Report Leak 92 I d ('j clt ba
3 Location of Report Leak #3
4 Location of Report Leak #4
5 Location of Report Leak #5
A Field Membrane
B Wall Flashin
C Base Flashin
D Counter Flashin
E Previous Patchin
F HVAC Unit/Fan Unit/Vent Unit
G Flue Pipe/Soil Stack/Pitch Pan
H Skylight SeG c
4�
I Expansion Joint
J Gravel Stop/Roof Edge
K Termination Bar
L Co in
M Drain/Scupper/Gutter
N Debris on Roof
0
NOTES TOCUSTOMER rnv J. ar' j Cwl 9cr --'6 o en
OT S ei O r+ Ce i IC ez-1 C> i's b
5 mmh a re u =°e ear`a Cr n t) Col Pj iL
cry c 4 o r,b d er L.,n5 Oj� C. cr LL"e roe--f- i n 5CA'?O5
ITEM MATERIAL DESCRIPTION QTY. UNITS TOTAL
1 Stj J jX ec n-% t) S W MATERIAL
rah n vv% e-
a
EA
L l
SERVICE TECHNICIAN DATE START STOP START FINISH HRS. TOTAL
;11 44-MY' 0f a P CcYc• b 9 X34 1)13b (0 LABOR
E lable M El Hinshaw Wty. El Wor k in Progress j Total Invoice er's Wty. Complete r 6ustomer Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hinshaw Roofing
IN SUM OF
P.O. P-�x 636
Frankfort, IN 46041
$484.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #ITITLE AMOUNT Board Members
1120 414 -M 43- 501.00 $484.00 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
APR 2 9 70110
A
7- V
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))
414 -M $484.00
1 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