196727 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 027060 Page 1 of 1
ONE CIVIC SQUARE BOLDEN'S CLEANING RESTORATION
CARMEL, INDIANA 46032 112 PARK 32 NEST DRIVE CHECK AMOUNT: $1,795.26
NOBLESVILLE IN 46062 CHECK NUMBER: 196727
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 1,795.26 BUILDING REPAIRS MA
Bolden's Cleaning &Restoration
1 12 Park 32 West Drive
Noblesville. IN 46062
Insured: Carmel FD #42 ATTN: Denise Snyder Business: (317) 733 -1480
Property: 3610 East 106th Street
Carmel, IN 46032
Claim Rep.: Customer
Estimator: Chris Moore Business: (317) 773-7683
Business: 112 Park 32 West Drive
Noblesville, IN 46062
Claim Number: N/A Policy Number: N/A Type of Loss: Water Damage
Date Contacted: 3/19/2011 9:10 AM
Date of Loss: 3/19/2011 Date Received: 3/19/2011 9:00 AM
Date inspected: 3/19/2011 10:00 AM Date Entered: 3/25/2011 10:08 AM
Price List: ININ7X_FEB I 1
Restoration /Service/Remodel &0
Estimate: CA'RMEL'FD- WD165 -11
NOTE: A copy of this invoice has not been included for your insurance company. If you will provide Bolden's with your
insurance information company name, adjuster, claim number, telephone and fax numbers, we will provide them with a copy of
this invoice. If a mortgage company is listed on the payment check, it is sour responsibility to get the mortgage company to sign
off within 15 days.
Bolden's Cleaning and Restoration Services has performed services and /or provided materials for the repair of your
residence and may assert lien rights for such work in the event that this invoice is not paid within 15 days.
Bolden's Cleaning Restoration
112 Park 32 West Drive
Noblesvi 1 le. IN 46062
CARMELFD- WD165 -11
i /lain Level
Main Level
DESCRIPTION QNTY REMOVE REPLACE TOTAL
1. Emergency service call after business 1.00 EA 0.00 200.60 200.60
hours Sat 03/19
2. Equipment setup, testing, mapping, 1.00 EA 0.00 250.00 250.00
psychrometric readings and monitor Sat
03/19
3. Air mover (per 24 hour period) 6 18.00 EA 0.00 26.08 469.44
airmovers for 3 days
4. Dehumidifier (per 24 hour period) 3.00 EA 0.00 115,00 345.00
KLarge I dehutniclifier for 3 clays
5. Equipment reset, testing, inspection. 3.00 HR 0.00 47.76 143.28
psychrometric readings and monitor claily
03/2 0: 03/21: 03/22: 03/2.3
Total: Main Level 1,408.32
T Room Height: 8'
894.67 SF Walls 669.52 SF Ccilin2
1,564.19 SF Walls Ceilin, 669.52 SF Floor
1 r 74.39 SY Floonnv l 1 1.83 LF Floor Perimeter
"T 111.83 LFCei1.Perimeter
i
DESCRIPTION QNTY REMOVE REPLACE TOTAL
6. Apply anti microbial agent 40.00 SF 0.00 0.20 8.00
T Clean and deodorize carpet 669.52 SF 0.00 0.33 220.94
8. Baseboard Detach 50.00 LF 0.00 0.86 43.00
9. Water Extraction Remediation I.00 EA 0.00 72.00 72.00
Technician repair wallpaper
10. Baseboard-reset 50.00 LF 0.00 0.86 43.00
Totals: TV Room 386.94
Total: Main Level 1,795.26
Line Item Totals: CARMELFD- WD165 -11 1,795.26
CARMELFD -WD 165 -1 1 4/l/2011 Page: 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bolden's Cleaning and Restoration
IN SUM OF
112 Park 32 West Drive
Noblesville, IN 46062
$1,795.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 I 43- 501.00 I $1,795.26 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
APR 2 2 2011
a
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 No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Clean up water damage Sta. 42 $1,795.26
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