HomeMy WebLinkAbout192035 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