HomeMy WebLinkAbout180003 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 027060 Page 1 of 1
ONE CIVIC SQUARE BOLDEN'S CARPET UPHOLSTR CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 CLEANING, INC
20799 RIVERWOOD AVE CHECK NUMBER: 180003
NOBLESVILLE IN 46060
CHECK DATE: 12!812009
DEPARTMENT ACCOUNT PONUMBER INVOICE N AMOUNT DESCRIPTION
651 5023990 150.00 CONT SVS -OTHER
Bolden's Cleaning Restoration
112 Park 32 West Drive
Noblesville, IN 46062
Insured: Susan Ferracciolo Home: (317) 571 -0095
Property: 5064 Pelican Place
Carmel, IN 46033
Estimator: Tony Jackson Business: (317) 773 -7683
Business: 20799 Riverwood Avenue
Noblesville, IN 46062
Claim Number Policy Number Type of Loss Deductible
N/A N/A Water Damage $0.00
Date Contacted: 07/07/2009
Date of Loss: 07/06/2009 Date Received: 07/07/2009
Date Inspected: 07/07/2009 Date Entered: 07/23/2009 7:19 AM
Price List: INDYUPDATE2
New Construction
Estimate: FERRACCIOLO- WD256 -09
INVOICE
TERMS: Net 15 days from the date of the invoice. A 2% interest charge will be added per month on all amounts
over 30 days
Bolden's Cleaning Restoration
112 Park 32 West Drive
Noblesville, IN 46062
FE RRACC IO LO- WD256 -09
Room: Residence
1 Roon LxMn
Rms W.M
v
DESCRIPTION QNTY REMOVE REPLACE TOTAL
Steam /clean sewage damage portion of 1.00 EA 0.00 150.00 150.00
basement/ treat area with Benefact
antimicrobial
Room Totals: Residence 150.00
Line Item Totals: FERRACCIOLO- WD256 -09 150.00
Grand Total Areas:
0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls and Ceiling
0.00 SF Floor 0.00 SY Flooring 0.00 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 0.00 LF Ceil. Perimeter
0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area
0.00 Exterior Wall Area 0.00 Exterior Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
FERRACCIOLO- WD256 -09 11/03/2009 Page:2
4
Bolden's Cleaning Restoration
112 Park 32 West Drive
Noblesville, IN 46062
Summary for Water Damage
Line Item Total 150.00
Replacement Cost Value 150.00
Net Claim 150.00
Tony Jackson
FERRACCIOLO- WD256 -09 11/03/2009 Page: 3
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 of service rendered, by whom, rates per day, number of units,.
price per unit, etc.
Payee
027060
BOLDENS CLEANING RESTORATION Purchase Order No.
112 PARK 32 WEST DRIVE Terms Q
NOBLESVILLE, IN 46062 Due Date 12/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/2/2009 FERRACCIO $150.00
cc
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
Date Officer
,VOUCHER 0968,53. WARRANT ALLOWED
"027060 IN SUM OF
W BOLDENS CLEANING REST.ORATIOI
112 PARK 32 WEST DRIVE
NOBLESVILLE, IN 46062
Carrel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
FERRACCIOI 01- 7360 -02 $150.00
ti
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund