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HomeMy WebLinkAbout194615 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00351720 Page 1 of 1 0 f ONE CIVIC SQUARE HINSHAW ROOFING SHEET METAL CHECK AMOUNT: $437.00 CARMEL, INDIANA 46032 PO Box 636 FRANKFORT IN 46041 CHECK NUMBER: 194615 CHECK DATE: 2/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 119 -M 437.00 BUILDING REPAIRS MA Hinshaw Roofing Sheet Metal Co., Inc, O. 119.M PO Box 636 INVOICE //2812011 Frankfort, IN 46041 DATE Phone (765) 659 -3311 PURCHASE ORDER NO. F CARREL FIRE DEPARTMENT SOLD TWO CARMEL CIVIC SQUARE PROJECT 211 -02-03 TO NO. CARMEL, IN 46032 ATTN: ACCOUNTS PAYABLE PROJECT OFFICE AREA D z E S C LABOR SEE ATTACHED WORK ORDER 399.00 MATERIALS SEE ATTACHED FORK ORDER 38.00 7% IN SALES TAX EXEMP TOTAL. MATERIALS NA TOTAL INVOICE 437.00 DUE UPON RECEIPT Accounts not paid within 30 days after date of invoice will be charged a Service Charge of 1 Me% Per month which is an Annual Percentage Rate of 18 0 �tp 31 V17 Y -9 -P 8 A Y.A.Q. 4 T A. i CO .0 '3' A F30540 NO'C"VO G HDATTA 0 0. 8 Z 2:10FO YMOV'Ll C23HOAI TA 313a PJAMU 'Al �PT jAiM30TANI HINSHAW WORK ORDER��NVOICE J OB �1 97- �3 N kumo r CUSTOMER <�aI w► JtN DG. NAME Hinshaw Roofing MFG JOB PO.tt DRESS O Sheet Metal Co., 1120. ADDRESS K 2452 S. State Roa 39 CITY /STATE (�«wn v. TY /STATE CONTACT NAME P.O. Box 636 Jew SA a.. 9o ..t Frankfort, IN 46041 -0636 A T (765 659 -3311 PHONE -i1 SS') :37- N 1 ONE CONTACT ROOF DRAWING Authorization Needed =O OK Re aired =X CODE DESCRIPTION 1 Location of Report Leak #1 C3 2 Location of Report Leak #2 3 Location of Report Leak #3 4 Location of Report Leak #4 5 Location of Report Leak #5 A Field Membrane L l- B Wall Flashin C Base Flashin D Counter Flashin E Previous Patchin F HVAC Unit/Fan Unit/Vent Unit G Flue Pipe/Soil Stack/Pitch Pan H Skylight I Expansion Joint J Gravel Stop/Roof Edge K Termination Bar L Copin MI Drain/Scupper/Gutter NJ Debris on Roof NOTES TO CUSTOMER r• r i.... ,nn 1 ITEM MATERIAL DESCRIPTION QTY. UNITS TOTAL b 4 P t 4 MATERIAL. S I CA SERVICE TECHNICIAN DATE START STOP START FINISH HRS. TOTAL C 1 1 10 t.+. re, r 1: LABOR Billable T M ❑Hinshaw Wty. Contract El Work in Progress Total Invoice Manufacturer's Wty. Complete St0 e Signature VOUCHER NO. WARRANT NO. ALLOWED 20 Hinshaw Roofing IN SUM OF P.O. Box 636 Frankfort, IN 46041 $437.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# I Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 I 119 -M j 43- 501.00 I $437.00 1 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 FEB 14 2011 t, Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 too. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 119 -M $437.00 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