156266 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 359977 Page 1 of 1
ONE CIVIC SQUARE MR ROOTER
CARMEL, INDIANA 46032 P 0 Box 191 CHECK AMOUNT: $49.00
MUNCIE IN 47308 CHECK NUMBER: 156266
CHECK DATE: 21612008
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4350100 05898 49.00 BUILDING REPAIRS MA
1
I
I
Mr. Rooter of Central Indiana Invoice 05898
PO Box 191 Invoice Date 1/21/2008
T Muncie, IN 47308 Completed Date 1/15/2008
J� 3rd Party PO#
3rd Party Auth#
Job Address
BILLING ADDRESS Name Brookshire Golf Club
Name City of Carmel, IN Address 12120 Brookshire Pkwy
Address One Civic Square City/State/Zip Carmel, IN 46033
City/State/Zip Carmel, IN 46032 Phone (317) 846 -7431
TROUBLE REPORTED
install urinals, also needs to know where shut off valve is that we shut off last they can not find it. Svc fee if applicable, 11 -1; Ken also wanted to know if we
might know where to purchase urinal petitions. He thinks there is a place there in tndy but not sure where.
DESCRIPTION ANALYSIS AND RECOMMENDED REPAIRS
Someone else has been working in this restroom and messed up the plumbing. Jon gave them a price and they declined to have the work done.
lntemal AMOUNT
Task DESCRIPTION OF TASKS CHARGED
Z200 Service Fee 1 49.00
THANK YOU FOR YOUR BUSINESS Totals $49.00
Sub -Total $49.00
Sales -Tax $0.00
Credit Card Payment Authorization Total Due $49.00
Print Name below as it appears on Credit Card Payment $0.00
Credits $0.00
Payment Type CREDIT CARD EXP Net Due Upon Completion
X Date Balance Due $49.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
359977 Purchase Order No.
Mr. Rooter of Central Indiana
P O Box 191 Terms
Muncie IN 47308 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/_08
Total
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
VOUCHER NO. WARRANT NO.
--7 -7
359977 ALLOWED 20
Mr. Rooter of Central Indiana
P IN SUM OF
O Box 191
j Muncie IN 47308
1 -19 s
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
Q- QS�I 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
i
�aZl 2042
i $igna e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund