169689 03/05/2009 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: $7,875.00
CINCINNATI OH 45263 -1231
CHECK NUMBER: 169689
CHECK DATE: 3/512009
DEPA ACC OUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1047 4350100 36756 7,875.00 BUILDING REPAIRS MA
i
CINCINNATI FLOOR COMPANY, Inc.
8320 BROOKVILLE RD SUITE M
INDIANAPOLIS IN 46239
(317) 357 -3562 (317) 357 -5338 fax
Please Remit To: CINCINNATI FLOOR CO. "4* r
PO Box 631231, Cincinnati OH 45263 -1231
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
CARI,,ELC^ 3675,3
1 1/812009 IM-T 7,875.0{x- A
JOB: Carmel Monon Rec /Screen 2008 -And Recoat Main Gym
RE:
1. ORIGINAL CONTRACT PRICE: $7,875.00
2. NET CHANGE BY CHANGE ORDERS:
3. CONTRACT SUM TO DATE: $7,875.00
4. TOTAL COMPLETED TO DATE: $7,875.00
5. LESS PREVIOUS CERTIFICATES FOR PAYMENT:
6. CURRENT PAYMENT DUE: $7,875.00
FINAL Iv ll-�
FEB 1 2009
PurchasA f
Description S
P.O. P
G.L.
Budget
Line Desor
Purch Date Z
Approval
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. 19996 F
360677 Cincinnati Floor Company, Inc. Terms
PO Box 631231
Cincinnati, OH 45263 -1231
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
118109 36756 Gym floors yearly refinishing 7,875.00
Total 7,875.00
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.
,j
360677 Cincinnati Floor Company, Inc. Allowed 20
PO Box 631231
Cincinnati, OH 45263 -1231
In Sum of
7,875.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 36756 4350100 7,875.0 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
26 -Feb 2009
Signature
7,875.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund