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Home My WebLink About192035 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361367 Page 1 of 1 ONE CIVIC SQUARE CORNETT ROOFING SYSTEMS CHECK AMOUNT: $6,352.00 .r O CARMEL, INDIANA 46032 471 S RITTER AVE INDIANAPOLIS IN 46229 CHECK NUMBER: 192035 CHECK DATE: 1112312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 26999 8405 6,352.00 REPAIRS TO ROOF 11/0612010 09:51 3173574382 CORNETT ROOFING PAGE 02/02 C(3rn Roo Fir LS S %tarns Invoice 4 "nppar r-1, 1442 Amy Dane Franklin, IN 46 13 1, Phone: 317 -738 -0005 Fax: 317- 738 -0004 Date Invoice 11/3/2010 8405 Bill To; City of Carmel Police Department Attn Teresa Anderson 3 Civic Square Carmel, IN 46032 Terms Due Date Due Upon Receipt 11/3/2010 Description Qty Rate Serviced Amount Per signed contact Tuck point 2 chimneys 1 6 6,352.00 Total $6,35100 The prir_rs sel forth ohnve reflect a 3% discouni front Content Rogfb g'.r standard Q n !h ieing for the applicable products and services and apply only to p yrnenfs made. l�aymeTits /Credits $0.00 via check which is Cornett Roof ng's pre/erred form of pny,nent. Payments for products and services made using credit cards are based upon Cornett Roof tag's Balance Due $6,352.00 wandord prices /determined ley dividing the prices set forth above by .97) and arc nnn enridcd io the discount, or petymente made acing credit cards, City I RT I FI A RETAIL TAX EXEMPT PAGE 1 Of 1 CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 26999 3 QMCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL -1997 SHIPPING LABELS AND ANY CORRESPONDENCE. URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Au st 16 2010 r epal'tts to roof VENDOR Cornett Roofing Systems SHIP City of Carmel Police Depart»Qent 1492 Amy Lane TO 3 Civic Square Franklin, IN 46131 C armel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to roof 6,352.00 ell, t City of Carmel Polk D'Apar:t* n.' Send Invoice To: ATTN: Teresa Anderson P 3 Civic Square CAj, IN 469032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 501 building repairs an rint ee MENT VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. MBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND UCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS EREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN S APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief f rolice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL No.26999 A.P.V. COPY SIGN.AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Cornett Roofing Systems Purchase Order No. 26999F 1442 Amy Lane Terms Franklin, IN 46131 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/3/10 8405 payment for roof repairs 6,352.00 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 C ornett Roofing Systems IN SUM OF 1442 Amy Lane Franklin; IN 46131 6,352.00 ON ACCOUNT OF APPROPRIATION FOR po general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 26999F 8405 501 6,352 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 November 16 20 10 &�&a 0 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund