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190285 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364758 Page 1 of 1 ONE CIVIC SQUARE HRC ROOFING SHEET METAL CO CHECK AMOUNT: $384.00 CARMEL, INDIANA 46032 PO BOX 214 COLUMBUS IN 47202 CHECK NUMBER: 190285 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 8/19 384.00 BUILDING REPAIRS MA HRC ROOFING SHEET METAL CO., Invoice: 9594 2845 Roadway Drive PO Box 214 Columbus, IN 47202 (812) 372 -8409 Sold Ship to to Carmel /Clay Board of 2010 Small Jobs Parks and Recreation 760 3rd Avenue, S.W. Suite 100 IN Carmel, IN 46032 Invoice Account P.O. Num Ship Via Ship Date Terms Date Page CAR700 Net 30 8/19/10 1 Labor and materials to investigate roof leaks. Carmel Clay /Monon Center 7/27/2010 Found 3 leaks and welded patches on all. Unit Extended Item Quantity Description Price Price 1 Labor 360.00 360.00* 1 Materials 24.00 24.00* Purchase Description 11p'41 RS P.O. a X39 5 o(F G,L. 1C9.� 4350/ Uns Descr �a P CLI S� Purchaser Date AWaVat._..__.. Date {J means item is non taxable Subtotal 384.00 Total $384.00 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. HRC Roofing Sheet Metal co. Terms P.O. box 214 Columbus, IN 47202 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8119110 8119 Roof repairs 23935 384.00 Total 384.00 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 Voucher No. Warrant No. HRC Roofing Sheet Metal co. Allowed 20 P.O. box 214 Columbus, IN 47202 In Sum of 384.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 8119 4350100 384.00 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 23 -Sep 2010 Signature 384.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund