163930 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00351163 Page 1 of 1
ONE CIVIC SQUARE ROBY'S INC CHECK AMOUNT: $6,688.00
CARMEL, INDIANA 46032 9249 CASTLEGATE DRIVE
INDIANAPOLIS IN 46256 -1004 CHECK NUMBER: 163930
CHECK DATE: 9/17/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1120 4350100 887.00 BUILDING REPAIRS MA
1120 4350100 58956 5,712.00 BUILDING REPAIRS MA
1120 4350100 63945 89.00 BUILDING REPAIRS MA
CONTROL 8 ,5 0 1 2 DISPATCH INVOICE
NAME DATE NAME DATE
(CHARGE TO) `�_G t. wn.41/ ..n AJ v' nC. (WORK AT)
ADDRESS ADDRESS INC.
COMPLETE PLUMBING SERVICE
C ITY STATE ZIP CITY STATE ZIP Phone: 849 9884
d .A_ V I Main Office: Since
HOME PHONE WORK PHONE HOME PHONE WORK PHONE 9249 Castlegate Drive 1955
Indianapolis, IN 46256 1004 PC 8600759
NATURE OF CALL
A nA'-- .~w a ESTIMATE GIVEN YES NO
r y B ACCEPTANCE OF ESTIMATE
SIGNED) 1` H
c' n A n, L 3 '7 r. Ac
WARRANTY
I M DESCRIPTION
4- AV 11/ ki r
Q t n
t
I hereby acknowledge the labor charge and material used as listed herein and agree to pay this
invoice upon receipt. Deferred payment shall bear an interest rate of 1.75% per month. If collection
is made through an attorney, then the purchaser shall pay a reasonable attorney's fee and all costs
Incident to such collection. All Sales Final.
Acceptance of comp leted•wo'rN J//
SIGNED) Z"
Service Tech f
4 (p 1C TOTAL
PAYMENT DUE UPON RECEIPT
CONTROL DISPATCH INVOICE
NAME DATE NAME DATE
(CHARGE TO �r u°/ •"(WORK AT) INC.
1
ADDRESS Y' ADDRESS COMPLETE PLUMBING SERVICE
.�Lv� 1:/ a J tt'.�61d �t�
CITY a" 'STATE ZIP t CITY. STATE ZIP Phone: 849 -9884
7 Al 411 Main Office: Since
HOME PHONE WORK PHONE 'O HOME PHONE WORK PHONE 9249 Castlegate Drive 1955
Indianapolis, IN 46256 -1004 PC 8600759
NATURE OF CALL r
ESTIMATE. GIVEN YES NO
i y r i r 0 v ACCEPTANCE OF ESTIMATE
VVr .f SIGNED)
a.. f• ..r y„�y Apr. y d ..v f�...... d w r
WARRANTY
DESCRIPTION =L181=11IIIIIIII 9 1 DESCRIPTION
f X7 �2 hl O9 s e
e
I hereby admowledge the labor charge and material used as listed herein and agree to pay this
in[Accepta oice upon receipt. Deferred payment shall bear an interest rate of 1.75% per month. If collection %'lam
r through an attorney, then the purchaser shall pay a reasonable attorney's fee and all costs
to such collection. All Sales Final.
nce of completed work
Tech
.f• •v y. TOTAL
PAYMENT DUE UPON RECEIPT
Q A n r
CONTROL DISPATCH J INVOICE �J w
NAME DATE NAME DATE Pan
(CHARGE TO) V e I (5 (WORK AT) INC.
ADDRESS ADDRESS k C: to COMPLETE PLUMBING SERVICE
tU
CITY STATE CITY STATE ZIP Phone: 849 -9884
t 1,.. Main Office: since
HOME PHONE K PHONE /p HOME PHONE WORK PHONE 9249 Castlegate Drive 1955
Indiana lis, IN 4 6256-1004 PC 8600759
NATURE OF CALL
qc 1 G C
4 c� ESTIMATE GIVEN E� NO
ACCEPTANCE OF MATE
V
t\ ESTIMATE Irr
O P -c r ftit KPc 1) I S SIGNED) J 1 7 a
t' 1. C-. C C' r r' -A F 1 0 C 4 I
�K r -t1 Co" �w4— c t -`r .r. p WARRANTY
a MOM
p
f C- 1c, U F� eec
C.
G16 200 I I I IIII IIII I hereby ad nowledge the labor charge and material used as listed herein and agree to pay this
I_- upon receipt. Deterred payment shall bear an interest rate of 1.75% per month. It collodion
is made through an attorney, then the purchaser shall pay a reasonable attorney's tee and all costs
incident to such collection. All Sales Final.
1 4 J gcbeptance of com work
1107GO1070 S IGNED) A /F
Service Tech
5.�_ Flo Cc- L) LTOTAL �11
I,J �t L`
SALES TAX CHARGED ON MATERIAL WHEN APPLICABLE.
PAYMENT DUE UPON RECEIPT
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roby's Complete Plumbing Service
IN SUM OF
'9249 Castlegate Drive
Indianapolis, IN 46256
$6,688.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 43- 501.00 $887.00 1 hereby certify that the attached invoice(s), or
1120 63945 43- 501.00 $89.00 bill(s) is (are) true and correct and that the
1120 58956 43- 501.00 $5,712.00
materials or services itemized thereon for
which charge is made were ordered and
received except
SEP
t R
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 20 r (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))
Addt'I work for Sta. 42 Water Heater $887.00
63945 Troubleshoot Leak $89.00
58956 Emergency install Water Heater $5,712.00
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