HomeMy WebLinkAbout178090 10/14/2009 tea �=�yf CITY OF CARMEL, INDIANA VENDOR: 360677 Page 1 of 1
ONE CIVIC SQUARE CINCINNATI FLOOR COMPANY INC
CARMEL, INDIANA 46032 PO BOX 631231 CHECK AMOUNT: $4,350.00
CINCINNATI OH 45263 -1231 CHECK NUMBER: 178090
CHECK DATE: 10114/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350100 36854 4,350.00 BUILDING REPAIRS MA
CINCINNATI FLOOR COMPANY, Inc.
8320 BROOKVILLE RD SUITE M
INDIANAPOLIS IN 46239
0 (,'1
1 2009
1 -7 357= 3562 _(317_)_35.75338 -ta
Please Remit To: CINCINNATI FLOOR CO., INC
hey
5162 Broerman Ave, Cincinnati OH 45217
CARMEL CLAY PARKS DEPT.
ONE CIVIC SQUARE
Phone (317) 571 -2695
CARMEL IN 46032 Fax
CUSTOMER ID INVOICE INVOICE DATE OUR JOB NO. NET AMOUNT SALESMAN
CARMELCP 36854 9/2812009 IM469 --4;350:00 KAP
JOB: Carmel Monon Rec. /Aerobics Screen &Recoat(2Coat)
RE:
1. ORIGINAL CONTRACT PRICE: $4,350.00
2. NET CHANGE BY CHANGE ORDERS:
3. CONTRACT SUM TO DATE: $4,350.00
4. TOTAL COMPLETED TO DATE: $4,350.00
5. LESS PREVIOUS CERTIFICATES FOR PAYMENT:
6. CURRENT PAYMENT DUE: $4,350.00
FINAL
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Budget
Urea Desk
Purchaser Date
Approval. Date
Terms Net 7 Days
1.5% Int. Per Mo. Charged On All Accounts
30 Days Past Due (Annual Int. Rate 18
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.
360677 Cincinnati Floor Company, Inc. Terms
5162 Broerman Avenue
Cincinnati, OH 45217
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/28/09 36854 Re -coat fitness floors 22261 F 4,350.00
Total 4,350.00
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
Voucher No. Warrant No.
360677 Cincinnati Floor Company, Inc. Allowed 20
5162 Broerman Avenue
Cincinnati, OH 45217
In Sum of
4,350.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 36854 4350100 4,350.00 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
7 -Oct 2009
Signature
4,350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund