186233 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 363723 Page 1 of 1
ONE CIVIC SQUARE CARDINAL INDIANA, INC
CARMEL, INDIANA 46032 2490 W INDUSTRIAL DRIVE PARK CHECK AMOUNT: $184.50
BLOOMINGTON IN 47404
CHECK NUMBER: 186233
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 1 184.50 OTHER MAINT SUPPLIES
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CARDINAL- INDIANA, INC. INVOICE
2490 W INDUSTRIAL PARK. DRIVE
BLOOMINGTON, IN 47404
INVOICE DATE: 6/1/2010
INVOICE NO: 1
BILL TO:
CARMEL STREET DEPT. PERIOD:
3400 W. 131ST CONTRACT DATE:
WESTFIELD, IN, 46074
STATE CONTRACT /JOB MATERIAL
G.C.'S JOB
CARDINAL'S JOB
ITEM NO. DESCRIPTION QTY UNIT BID PRICE QTY THIS EST QTY TO DATE PRIOR AMO... CURRENT A...
ANTI GRAFFITI COAT 10 184.50 100.00% 100.00% 184.50
GALLONS
TOTAL:THIS INVOICE $1$4.50
PAYMENTS /CREDITS $0.00
BALANCE DUE $184.50
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2490 W. !nduslriai Pk- Dr. Bko; miny;on i ^d 47404 812- 335.1084 Fax: 8 -1394. cord1n8I 2Cool.corn
JOB: �jf
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DAILY TIME AND MATERIAL SHEET t DATE: 5J0 /p'�V1p SHEET#
LABOR NAME ST HRS RATE OT HRS OT RATE AMOUNT
PAINTER 66.87/HR: 95.41 /HR
PAINTER 66.871HR 95.411HR
PAINTER 66.871HR 95.41/HR
PAINTER 66.87/HR 1 9,5.4 1/HR
PAI 66.87/HR 95.411HR
PAINTER 66.87 /HR 95.411HR
PAINTER 66.87/HR 95.41/HR
PAINTER 66- 87 /HR. 95.411HR
PAINTER 66.87/HR 95.411HR
PAINTER
PAINTER
EQUIPMENT DESCRIPTION UNITS RATE HRS AMOUNT
185 CFM COMPRESSOR 20.00 /HR
425 CFM COMPRESSOR 30.00 1HR
1 TON TRUCK 25.00 /HR
2 TON "TRUCK 35.00 /HR
SANDBLAST UNIT COMPLETE 12.50 /HR
SPRAY UNIT COMPLETE 12.50/HR
GRINDERS 4 -50 /HR
GENERATORS 6.50IHR
RENTAL E�UIPMENT
MATERIALS PRODUCT UNITS ICOST I JAMOUNT
SANDBLAST GRIT HB REED 2040/tiooLB 10.501tiooLB
TOTAL:
WORK COMPLETED:
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Specializing in'Bridge Painting, Mosonry Coatings, So asting and'Cdeaning for Concrete Surfaces,
Envionmentol Control, Clear and Epoxy Concrete Surface and penetrating Sealers
INDCti DBE Certified, SSPC Certified Contractor for Application of Coatings on Complex Structures
Equal CPportvnity Employer
VOUCH N O. WAR NO.
Cardinal Indiana, Inc. ALLOWED 20
IN SUM OF
2490 W. Industrial Park Drive
'Bloomington, IN 47404
$18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 1 42- 389.00 $184.50 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
Tt Ui day, J ne 03, 2010
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Street Commission r
;541 t3 w,'Y i ii i io -aiw] owl
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))
06/01/10 1 $184.50
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