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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! M 7 efferso li, 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