161324 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 361367 Page 1 of 1
ONE CIVIC SQUARE CORNETT ROOFING SYSTEMS CHECK AMOUNT: $13,300.00
CARMEL, INDIANA 46032 471 S RITTER AVE
INDIANAPOLIS IN 46229 CHECK NUMBER: 161324
CHECK DATE: 7/1112008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1205 4350100 7430 750.00 BUILDING REPAIRS MA
1110 4350100 16703 7435 11,700.00 ROOF REPAIRS
1110 4350100 16703 7436 850.00 ROOF REPAIRS
Corr
Rc�oPijg Systen -ka Ir1V'O'!C
Matal $tatr, Copper Txh
471 S. Ritter Ave.
Indianapolis, IN 46214
Phone: 317 356 -1237 Fax: 317 357 -4382
Date Invoice
6/23/2008 7435
Bill To:
Carmel Police Department
3 Civic Sq..
Carmel, IN 46032
Terms Due Date
Due Upon Receipt 6/23/2008
Description Qty Rate Serviced Amount
Replaced damaged and broken slate tiles over entire roof up to 100 1 11,70 0.00 11,700.00
pieces. Replaced 7 missing snow guards over front main entrance.
Removed current step flashing, counter flashing, saddle pan and
slate around chimney perimeter. Installed new ice and -water shield
around chimney perimeter. Installed matching slate and copper step
flashing. New saddle pan and counter flashing installed with
lead coated copper. All counter flashing installed in step style and
cut into mortar lines. Removed and replaced chimney flashing for 2
chimneys.
Your business is greatly appreciated
Total $11,700.00
Payments /Credits $0.00
Balance Due $11,700.00
Cornett
Roc>fio S y stems Invoice
A6aral Slate Capper Tils
471 S. Ritter Ave.
Indianapolis, IN 46219
Phone: 317-356-1237 Fax: 317-357-4382
Date Invoice
6/23/2008 7436
Bill To:
Carmel Police Department
3 Civic Sq.
Carmel, IN 46032
Terms Due Date
Due Upon Receipt 6/23/2008
Description Qty Rate Serviced Amount
Additional work performed as follows: Repair damaged /cracked 850.00 850.00
mortar joints on both chimneys. Fill in missing mortar on both
chimneys. Repair mortar joints on chimney caps.
Your business is greatly. appreciated
Total $850.00
Payments /Credits $0.00
Balance Due $850.00
Qity INDIANA RETAIL TAX EXEMPT PAGE
o f Carmel CERTEFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7
3 3 0NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
KAY 2-1 200$ a i
VENDOR Cornett Restoration SHIP City of Carmel Police Department
471 South Ritter Avenue TO 3 Civic Square
Indianapolis, IN 46229 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
replace damaged and broken slate tiles over entire 12,20 0000
roof; replace missing, snow guards; remove current
step flashing, counter flashing, sandle pan and
slate around chimney permietere Install matching
slate and copper step fl ng and saaldlle panoper
proposal dated 5/1
m
AM
All
a
S City o£ Carmel Po
Send Invoice To: c,fi3e �r V
ATTN: Teresa
3 Civic Sq uare
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 501 building repairs and maintenar MENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SKIPPING INSTRUCTIONS I HEREBY CERTIFY THAT T HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT.I N- SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C -O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITL h f Of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No -163 7 a 3 A.P.V- COPY SIGN AND RETURN TO CLERK'S OFFICE
\TOUCHER NO_ WARRANT NO.—
ALLOWED 20
IN THE SUM OF
I
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bil!(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PreS*ribed 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
Cornett Roofing Systems Purchase Order No. 16703F
471 S. Ritter Avenue Terms
Indianapolis, IN 46219 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/23/08 7436 payment for repairs to roof 850.00
6/23/08 7435 payment for repairs to roof 11,700.00
Total 12,550.00
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
VOJ,JCHER NO. WARRANT NO.
ALLOWED 20
C ornett Roofin Systems
IN SUM OF
471 S. Ritter Avenue
Indianapolis, IN 46219
Keg 12.550.00
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. !hereby certify that the attached invoice or
16703F 7436 501 850.00 bill(s) is (are) true and correct and that the
16703F 7435 501 11,700.00 materials or services itemized thereon for
which charge is made were ordered and
received except
June 27 20 08
&c�Aa-)-.> �wzt
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
d Cornett
ROC>£iTV&y Invoice
Metal r Vat.- Coppol- Tilt.
471 S. Ritter Ave.
Indianapolis, IN 46214
Phone: 317 -356 -1237 Fax: 317 -357 -4382
Date Invoice
6/23/2008 7430
Bill To:
City of Carmel
City Hall
1 Civic Square
Carmel, IN 46032
Terms Due Date
Due Upon Receipt 6/23/2008
Description Qty Rate Serviced Amount
Repair made to City Hall as follows: Replace damaged broken 1 750.00 750.00
slate on the two front one -story entry way roofs.
Your business is greatly appreciated
Total $750.00
Payments /Credits $0.00
Balance Due $750.00
Prescribed by State Board of Accounts Cary 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
Cornett Rooting Systems Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/23/08U 7430 Repah inade to Ciltv Haii as follows. Replace darnaged $750.00
brokpn slate on the t%Ala front orte-story entry way roofs
Total
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
VOUCHER NO. WARRANT NO.
0710TO0'
ALLOWED 20
Cornett Roofing Systems
IN SUM OF
471 S. Ritter Avenue
Indianapolis, IN 46219
$750.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
PO# or D PT. INVOICE NO. ACCT #(TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 00 materials or services itemized thereon for
which charge is made were ordered and
received except
20
S at re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund