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Home My WebLink About200051 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 365527 Page 1 of 1 ONE CIVIC SQUARE PARTNERS -N- CONCRETE s` to CARMEL, INDIANA 46032 PO BOX 2118 CHECK AMOUNT: $475.50 ANDERSON IN 46018 CHECK NUMBER: 200051 CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 2748 475.50 BUILDING REPAIRS MA Partners-N- Concrete, Inc. Invoice P.O. Box 2118 Anderson, IN 46018 Date Invoice office: (765) 641 -1812 fax: (765) 641 -1811 7/12/2011 2748 Name Address Troy Smith 25344 Ray Parker RD, E143 Arcadia, IN 46030 P.O. No. Terms Job Location Due upon receipt Item Description Quantity Rate Amount Concrete yard (6 -bag cr 4 2 95.00 190.00T Expansion feet 10 0.35 3.50T Wire Mesh roll 0.25 90.00 22.50T Sealer gallon 1 14.50 14.50T Plastic roll 0.25 80.00 20 -OOT Truck Supplies 1 25.00 25.00T Slab dog kennel: demo replace 10 x 10 200.00 200.00 Note: The dog kennel needed replaced for the following reasons: 1) The existing concrete has melted shingles on it due to the fire. 2) The existing concrete was cracked due to the fire. 3) The concrete elevation was 7" higher than the garage floor, needed lowered for proper water drainage. Sales Tax 7.00% L 9 16 9' Balance Due $4 We proposed to furnish all material and labor, complete in accordance with the above specifications. Payment is due upon completion of work. You may pay by cash, check or credit. If paying with credit, discounts do not apply. Any alterations or deviations from the above specifications will involve extra costs.All agreements contingent upon accidents, or delays beyond our control. Concrete cracks due to volume change upon drying (shrinkage). All efforts have been made to accommodate this cracking with joint construction. Some random cracking may be expected, and in the absence of atypical settlement or width, is normal.Some aggregate pop -outs at the surface may be expected. Indiana Dept. of Highways allows up to 5% deleterious (soft, absorptive) in the stockpile, it is impossible to remove all. it is also not recommended to salt your concrete, as additional popping can occur. Feel free to contact with any questions on how to care for your concrete. Thank you for your business! C ®f k..sanel CE INDIANA TAX RTIFICA E 003 20155 02 0 PAGE t y PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT zw 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7rA1 1 P&jtnQM="onCMtQ, Inc. Car of Pellcv Dapdm®nt VENDOR SHIP 3 CIVIC squm P.O. Box 2M TO Carmol, IN 46M Andarson, IN 46018 (347) fin CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 434SO.00 1 Each concrete slab $475.50 $475.50 Saab T otal: $475.50 }k m 4 Ito Bon I O fficor SF11Wz K2 r Send Invoice To:"� Comol Pollco Dapmdmaid �,ftn: orosm Andorvon 3 Chic squm C;ol, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Caul Police Dept... PAYMEN 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. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERff S AN UNOBLIGATED BALANCE IN SHIP REPAID, THIS APPROPRIATION. S .FF 0IMNT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. ov ®Iic� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK -TREASURER DOCUMENT CONTROL NO. 2 7 8 8 8 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._ ALLOWED 20 IN THE SLIM OF ON ACCOUNT OF APPROPRIATION FOR r Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Partners -N- Concrete, Inc. IN SUM OF P.O. Box 2118 Anderson, IN 46018 $47 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2748 43- 501.00 $475.50 1 hereby certify that the attached invoice(s), or 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 Thursday, July 28, 2011 Chief of Police 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)) 07/12/11 2748 payment for concrete slab for K9 $475.50 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