178083 10/14/2009 ,a CITY OF CARMEL, INDIANA VENDOR: 363414 Page 1 of 1
0 ONE CIVIC SQUARE CARPET ONE CHECK AMOUNT: $8,164.00
CARMEL, INDIANA 46032 894 N STATE ROAD 135
•''c.oh" r. GREENWOOD IN 46142 CHECK NUMBER: 178483
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
1125 R4462000 19677 17941 4,798.10 CARPET IN ADMIN OFFIC
1125 R4462000 19677 17942 2,137.45 CARPET IN ADMIN OFFIC
1125 4462000 17996 593.00 OTHER STRUCTURE IMPRO
1125 R4462000 19677 17996 635.45 CARPET IN ADMIN OFFIC
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7
qE CUSTOMER INVOICE
17941
P FLOOR
HOME DATE 0 ORDER AGENT
894 N. Stdte Rd.135',® .Green IN 4 6.142 SALESPER N SIGNED., PRINTED
g Pho>xe`,(31 T) 888= 0174 Fax; (31;7') 888. 0408 TV 1117-C-21it
..REFERRED BY
1300 E 86tih Sc tTnd> anapol�s :IN �4b240 S? 4 =20Q
V
Phone, >(317) -848 -5 2 F (317. 848=-ZS5 2: APPROXIMATE
INSTALLATION DATE �-Y e
JOB NAMENO.
L A, Q HOME PHONE1 -�j WORK PHONE
Purchase
zm�. a k y} a d x S .w. �c� tWnY• ri.:
P.O. 1 910
V e ,j_. 5 a •C�..a 1 i S �i
X
v
It X1 3 4, S 9 F zo
-d G X
X
R i f 1 E .t Y• I 1 I K
X
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X 1 '2—t I I
X
>?r a y.�t ;.....(7Y1 �i G' .e. 4. r �9 `�iyi 0 .i
TOTAL MATERIALS 71
I I 3 e �cD
I ;;1 r k F y I r n r I ti r F. ..r r
I I SHIPPING HANDLING -51 00
T
----I
I I TOTAL LABOR 1
TOTAL f p I+
ENT
T. n
CARPET'fAIR/ CARPET ONE IS NOT,.RESPONSIBLE FOR:
'Breakables not'remove, from` rooms= furrnture damage, removing pluinbing tixtures o�• cutting doors= BALANCE DUE
Reasonable shipping, production and/or ihstallation.delays. All Returng/Canoellations are'subject to a 25 Restocking Fee.
A 1.5% per month service charge is assessed on all past due balan s. urc er gsupon signing i Ma 44 ontract and
a will be responsible for reasonable attorney or collection fees incurr t 1 i 5`A� carpet One in se, At f r this invoice.-
SIGNATURE DATE s
SASIGUARD- FORM Nf)_ CS= 811- 41L060S001142 5/08
CUSTOMER INVOICE 17942
LOOR
T. rrrr, CARPET ONE� &HOME
DATE OF ORDER AGENT
(0
894.N. State Rd: 135 w. Greenwood, IN 46142 SALES PE s SIGNED PRINTED
I',hone 888:0174 Fax (317 0408..
REFERR D BY
1;300 E 86th St Indianaolts, °IN 46240:'
Ar
4 -1QQ
Rhone (317 }:848 'S 2 ®Fax.: (317 848 255 2 APPROX�MA7�
N
I STALLATION DATE`
JOB NAMEINO i
3 Pn -7
J m O HOME PHONE WORK PHONE
Purchaso
il r ,dw�,
a S
z
Buidnat
ne
X
12 X-1
Y
4
X
X va
1 ��Jy(1 vy
X
X J I I x
X
X
rf 1 I TOTAL MATERIALS ��'il
J
7
3 SHIPPING HAND
TOTAL LABOR
2S I f
T
I OTAL
PAYMENT Y'
4 _6kRAT;FAIF CARPE NE'` NOT RESPONSIBLE FOR; y ry f
Breakables not removed from' rooms;7fu rnllure damage; rerriov,ng plurribing;tlxtures or ciitting doors: t 8A AN�E E
F Reasdnable shipping; prgduction and /oCinstallation; delays.. -All ReturrislCancelI it areaubject to a M/ .Restocking
A 1.5 per month service charge is assessed on all past due. balances.,Purchaser:agf'oes upon slgning'is entering a binding contract and
o will be responsible for reasonable attorney or collection fees incurred by_Ca,:pet`Faiir USA/ Carpet One in securing paymentfor this invoice.
SIGNATURE DATE
A511rtG11BpE_ FORM -NO CS- R1- 1- 411Ofif.S0I111A2 5I08
F' ....T s .RM- ..x+ gar. �4` SV•. n'" v 1i+6' :'�...yei�.wc i_ ..SS.
it
r
CUSTOMER INVOICE 17996
D m
C AR E 1 ONES FLOOR
HOE D ATE ER
OF RD AGENT
894 N. State Rd. 135 o Greenwood, IN 46142 SALESPERSON SIGNED PRINTED
A-
hone (317) 888 -0174 Fax (317) 888 -0408
REFERRED BY
1000 E. 86th St. Indianapolis, IN 46240
Phone' (317) 848 -5822 (317) 848 -25.52 APPROXIMATE j4 �r
INSTALLATION DATE
S EP 2 Z
JOBNAME/NO. r� a
0 -7 k! �JJT........
a
-^7 HOME PHONE WORK PHONE
f q
a
X i
X I 1
x 32.- I 6
X
X
X
x-
X r
X
X
1 TOTAL MATERIALS
1
SHIPPING HANDLING�0
1 G
I I
1 TAX
I I b
I i TOTAL LABOR I2d)
r �Ioer.GodE �inr3s 1 I
L
r bqa oo r pQ d�5 i9i�"i I 'fs F PAYMENT
K
I r
CARPET .FAIR /CARPETONE;IS,NOTRESPON$IB
a "Breakables not removed from rooms, urniture dama i t ��L{ }1Cyu!� B_ AL'A. NCE DUE
Reasonable shipping, productionand/ofinstallation de Restocking Fee.
A 1.5% per month service charge is assessed on all past, ue a an contract and
will be responsible for reasonable attorney or Collection fpy a ai ar d t �&r i e t r this invoice. p p
SIGNATURE DATE
�(.�CIICiC.11AGH iznQnn win r•c_aKi _nn narcnni 1n')1ma1
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.
Carpet One Terms
894 N. State Rd. 135
Greenwood, IN 46142
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8114/09 17941 Carpet AO 19677 4,798.10
8114109 17942 Linoleum AO 19677 2,137.45
9115109 17996 Carpet Meeting House 19677 F 635.45
9115109 17996 Carpet Meeting House 22580 593.00
Total 8,164.00
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.
Carpet One Allowed 20
894 N. State Rd. 135
Greenwood, IN 46142
In Sum of
8,164.00
ON ACCOUNT OF APPROPRIATION FOR
101 Genera{ Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
19677 17941 4462000 4,798.10 1 hereby certify that the attached invoice(s), or
19677 17942 4462000 2,137.45 bill(s) is (are) true and correct and that the
19677 F 17996 4462000 635.45 materials or services itemized thereon for
1125 17996 4462000 593.00 which charge is made were ordered and
received except
7 -Oct 2009
Signature
8,164.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund