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Home My WebLink About174283 07/08/2009 a CITY OF CARMEL, INDIANA VENDOR: 361367 Page 1 of 1 ONE CIVIC SQUARE CORNETT ROOFING SYSTEMS CHECK AMOUNT: $2,275.00 CARMEL, INDIANA 46032 471 S RITTER AVE 4 oe La INDIANAPOLIS IN 46229 CHECK NUMBER: 174283 CHECK DATE: 7/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION X110 4350100 20996 7802 2,275.00 RANGE REPAIRS r� tornett k2oofi +z.g Systerxls Invoke Metal State Copper 'Pita 471 S. Ritter Ave. Indianapolis, IN 46219 Phone: 317- 356 -1237 Fax: 317- 357 -4382 Date Invoice 6/22/2009 7802 Bill To: Carmel Police Department 3 Civic Sq. Carmel, IN 46032 T Terms Due Date Due Upon Receipt 6/22/2009 Description Qty Rate Serviced Amount Total Amount Due For Repairs Made Purchase Order #20996: 1 2,275.00 2,275.00 Your business is greatly appreciated Total $2,275.00 The prices set forth above reflect a 3% discount from Cornett Roofing's standard pricing for the applicable products and services and apply only to payments made Payments /Credits $0.00 via check which is Cornett Roofings preferred form of payment. Payments for products and services made using credit cards are based upon Cornett Roofing's standard prices (determined by dividing the prices set forth above by .97) and are Balance Due $2,275.00 not entitled to the discount. No surcharge is imposed by Cornett Roofing for payments made using credit cards. INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1 C i t y of Carmel f CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 3 FEDERAL EXCISE TAX EXEMPT 20996 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 05/22/2009 Building repairs to Range Cornett Roofing Systems SHIP City of Carmel Police Department VENDOR 471 S. Ritter Ave. 3 Civic Square Indianapolis, IN 46219 T Carmel, IN 46032 ATTN: Assistant Chief Tim Green CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 Remove nails andseams of building, lap properly and re -screw seam sealing w /silicone 1,800.00 1 Install counter9flashing on porch 475.00 CONFIRMING Purchase Order z -4 xz'a Send Invoice To:� PLEASE INVOICE IN DUPLICATE $2,275.00 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 501 Building Repairs Maint�nance A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND t VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS i I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. V THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 10 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO A -.P�• COPY SIGN AND RETURN TO CLERK'S OFFICE V011CHER NO:,. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR 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 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 Cornett Roofing Systems Purchase Order No. 20996F 471 S..Ritter Avenue Terms Indianapolis, IN 46219 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/22/09 7802% payment for repairs to range roof 2,275.00 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. ALLOWED 20 C ornett Roofing Systems IN SUM OF 471 S. Ritter Avenue Indianapolis, IN 46219 2,275.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 20996F 7802 501 2 275.00 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 June 29 20()q Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund