HomeMy WebLinkAbout203139 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 365081 Page 1 of 1
ONE CIVIC SQUARE QUALITY ROOFING SERVICES
CARMEL, INDIANA 46032 7920 GEORGETOWN ROAD SUITE 400 CHECK AMOUNT: $810.00
INDIANAPOLIS IN 46268 CHECK NUMBER: 203139
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 18693 810.00 BUILDING REPAIRS MA
Remit to:
r CZU ALITY Quality Roofing Services, Inc.
Services Group 7920 Georgetown Road I nvoice
Roofing -Building Maintenance- Consuuction Suite-400
Indianapolis, IN 46268 Date Invoice
9/30/2011 18693
Job Site:
Bill To
Carmel Clay Parks Recreation Monon Community Center
Administrative Office 1195 Central Park Dr W
1411 E. 116th Street Carmel, IN
Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
2% 10, NET 30 Days GB 9/30/2011 M -1 1 -19453
Quantity Item Code Description Price Each Amount
4001 See attached work order 810.00 810.00
OC 0 4 2011
Purchase
Description )Q RE PA11Z-
P.O. r 9 C?- Q P oOF
G.L. /)93 350 r r, I
Budget
Line Descr
Purchaser Date
Approva Date16
Total $810.00:
uality Work Order /Sales Invoice Job# �c•�_��_��ys�
7920 Georoebown Road a Incomplete Customer (2 114Y )°Jeers /I fCA-- r /O,d
oofing suite 400
In'd'ianapolis, IN 46268 Address
ervices Office: 317- 334 -0601 Complete
Fax: 317 334 -0605
Worksite /Building Name
P0# Address 25 C.F_i12 A4L XII JQ-e l.✓
Date
Service Tech r71v ts-,uw Worksite Contact Name 1*4 YA7 &A5JE4
Contact Phone#
Roof Drawin Authorization Needed- A
9 Ok J Repaired X Code Description
1 Location of Reported Leak #1
2 Location of Reported Leak #2
3 Location of Reported Leak #3
J.. r 4 J..... 4 Location of Reported Leak #4
5
A Wall Flashin Base Flashin
J B Field Membrane
C
CounterFlashin
Previous Patchin
HVAC Unit Fan Unit Vent Unit
F Flue Pie Soil Stack Pitch Pan
G Skylight High Hat
1 H Expansion Joint Area Divider
I Gravel Stop Copin
J Terrmination Bar Roof Edge
4/r f Hatch
K Roo
.y.:._ L Drain Scu er Gutter
M Debris on Roof
N Dormer Raised Roof Area
f J- D escription of Work
.UN C _4 N L N
O U6, Ve 4
Se rvice Technician I Lim I Start I Finish ours
Notes to Customer
Dwy
L
Mate rials Used
I tem Type Qty Item Type Qty 0 7L 4
-L
Invoice
Materials
Labor
6
Customer Signature
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Quality Roofing Services, Inc. Terms
7920 Georgetown Road, Suite 400
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9130111 18693 Roof repairs 29020 810.00
Total 810.00
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
Voucher No. Warrant No.
Quality Roofing Services, Inc. Allowed 20
7920 Georgetown Road, Suite 400
Indianapolis, IN 46268
In Sum of
810.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1093 18693 4350100 810.00 1 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 -Oct 2011
Signature
810.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund