HomeMy WebLinkAbout194378 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 364090 Page 1 of 1
ONE CIVIC SQUARE THOMAS JEFFERSON ROOFING REMO❑EL
CARMEL, INDIANA 46032 547 INDUSTRIAL DRIVE CHECK AMOUNT: $4,011.00
CARMEL IN 46032
CHECK NUMBER: 194378
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 1,666.00 BUILDING REPAIRS MA
1115 84350100 27537 2,345.00 ROOF REPAIRS
Declare Independence in Excellence Get It!
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547 Industrial Drive Carmel, IN 46032
1- 317 TIMELY -TOM Fax: (317) 846 -8640
INVOICE
To: Carmel Communications Center Date: December 22, 2010
31 First Avenue NW
Carmel, IN 46032
RE: Repairs on Roof
Description Bill Amount
New Rail and Flat Roof maintenance
1 heat tae $2,345.00 PO 27537
Installed electrical cable from a/c to 3
scuppers; Install 2 more heat tapes; $961.00 PO 27544
Leak at Turbine vent Removed
Vent and secured area, and attached
downspout $705.00
Total: $4,011.00
City J� (l\ /TES INDIANA RETAIL TAX EXEMPT PAGE
o�l,lr, CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27537
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1115/2010
Thomas Jefferson Roofing Remodeling Carmel Clay Communications
VENDOR SHIP 31 First Avenue NW
547 Industrial Drive TO C arme l, IN 46032
Carmel, In 46032 (317) 571 -2586
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 501.00
1 Each Roof repairs $2,345.00 $2,345.00
Sub Total: $2,345.00
A
7
Send Invoice To:
Carmel Clay Communications
31 First Avenue NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $2,345.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P-O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO P Y 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK TREASURER
DOCUMENT CONTROL No.27537 A .P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUN/ 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
VOUCHER N WARRANT NO.
ALLOWED 20
Thomas Jefferson Roofing Remodeling
IN SUM OF
547 Industrial Drive
Ca mr el, In 46032
$4,011.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# f Dept. INVOICE NO. I ACCT /TITLE AMOUNT
Board Members
Prior Year I hereby certify that the attached invoice(s), or
1115 43- 501.00 $705.00
Prior Year E'neumbered bill(s) is (are) true and correct and that the
43- 501.00 $961.00
Prior Year Encumbered materials or services itemized thereon for
27537 43- 501.00 $2,345.00 which charge is made were ordered and
received except
Wednesday, January 26, 2011
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
12/22/10 $705.00
12/22110 $961.00
12/22/10 j $2,345.00
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