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161731 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361543 Page 1 of 1 0 ONE CIVIC SQUARE BONE DRY ROOFING CARMEL, INDIANA 46032 4825w79TH ST CHECK AMOUNT: $13,804.00 INDPLS IN 46268 CHECK NUMBER: 161731 CHECK DATE: 7/23/2008 DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION X1120 4350100 6612 12,089.00 BUILDING REPAIRS MA 1120 4350100 6695 1,715.00 BUILDING REPAIRS MA r ti Bone Dry Roofing, Inc. Invoice 4825 W. 79th St Indianapolis, IN Date invoice 46268 -1 664 6/20/2008 6612 Phone (317) 873 -6005 Fax (317) 471 -8308 Bill To: Work Performed At: TONY COLLINS TONY COLLINS CARMEL FIREHOUSE CARMEL FIREHOUSE 3242 E. 106TH STREET 3242 E. 106TH STREET CARMEL, IN 46032 CARMEL, IN 46032 Terms Rep SHINGLE TYPE/ CO... P.O. NUMBER: WORK COMPLETED BY: Due on receipt CB GAF /ELK CHARCOAL 66 C- 0408 -0078 KEVIN /GIRO Service Description Amount TEAR OFF INSTALL 66 SQUARES GAF /ELK CHARCOAL 12,089.00 Thank you for your business Total $12,089.00 Payments /Credits $0.00 Balance Due $12,089.00 Bone Dry Roofing, Inc. Invoice 4825 W. 79th St Indianapolis, IN Date Invoice 46268-1664 6/28/2008 6695 Phone (317) 873 -6005 Fax (317) 471 -8308 Bill To: Work Performed At: TONY COLLINS TONY COLLINS CARMEL FIREHOUSE CARMEL FIREHOUSE 3242 E. 106TH STREET 3242 E. 106TH STREET CARMEL, W 46032 CARMEL, IN 46032 Terms Rep SHINGLE TYPE/ CO... P.O. NUMBER: WORK COMPLETED BY: Due on receipt CB GAF /ELK CHARCOAL C- 0408 -0078A KEVIN /GIRO Service Description Amount INSTALL RIDGE VENT. 127.00 UPGRADE 1,308.00 WOOD ADDITIONAL COST: 8 SHEETS OF WOOD $35 /SHEET 280.00 Thank you for your business Total $1,715.00 Payments /Credits $0.00 Balance Due $1,715.00 VCr;CHEH NO. WARRANT NO. ALLOWED 20 Bone Dry Roofing IN SUM OF 4825 West 79th Street Indianapolis,. IN 46268 $13,804.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 6695 43- 501.00 $1,715.00 1 hereby certify that the attached invoice(s), or 125 6612 43- 501.00 $12,089.00 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 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)) 6695 Add't repairs Sta. 43 Roof $1,715.00 6612 Roof Sta. 43 $12,089.00 1 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