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Home My WebLink About179588 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 027060 Page 1 of 1 ONE CIVIC SQUARE BOLDEN'S CARPET UPHOLSTR CHECK AMOUNT: $5,049.92 CARMEL, INDIANA 46032 CLEANING, INC off `a 20799 RIVERWOOD AVE CHECK NUMBER: 179588 NOBLESVILLE IN 46060 CHECK DATE: 11/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 651 5023990 1420 5,049.92 OTHER ACCT RECEIVABLE Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, IN 46062 Insured: Brad Becky Gillum Home: (317) 691 -2887 Property: 3528 Brumley Way Cellular: (317) 691 -2047 Carmel, IN 46033 Billing: 760 3rd Ave SW Suite 100 Carmel, IN 46032 Claim Rep.: P Arlone Estimator: Chris Moore Business: (317) 773 -7683 C!air: Number Policy Number Type of Loss W00CE Deductible N/A N/A Sewage $0.00 Date Contacted: 09/01/2009 10:12 PM Date of Loss: 09/01/2009 5:00 PM Date Received: 09/01/2009 10:12 PM Date Inspected: 09/01/2009 11:00 PM Date Entered: 09/08/2009 11:45 AM Price List: ININ 1 S41) New Construction Estimate: GILLUM- WD305 -09 INVOICE TERMS: Net 15 days from this invoice date. NOTE: A copy of this invoice has not been included for your insurance company. If _you will provide Bolden's with your insurance information company name, adjustor, claim number, phone and fax numbers we will send them a copy of this invoice. If a mortgage company is listed on payment, it is the responsibility of the customer to get the mortgage company to sign off within 15 days. Bolden's Cleaning and Restoration Services has performed services and /or provided materials for the repair of your residence and may assert lien rights for such work in the event that this invoice is not paid in a timely manner. 2% INTEREST CHARGE WILL BE ADDED PER MONTH ON ALL AW)UNTS OVER 30 DAYS Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, TN 46062 GILLUM- WD305 -09 Room: Residence Fovn WiQA DESCRIPTION QNTY REMOVE REPLACE TOTAL Emergency service call after business 1.00 EA 0.00 250.00 250.00 hours 09/01/09 technicians arrived at residence, inspected and tested stricture for moisture Equip. setup, take down monitoring 1.00 EA 0.00 250.00 250.00 after hrs 09/01/09 technicians set 10 ainnovers, 1 dehumidifier and 2 hepa air scrubbers Clean and deodorize carpet main level 966.00 SF 0.00 0.40 386.40 Air mover (per 24 hour period) 10 50.00 DA 0.00 26.08 1,304.00 airmovers for 5 days Dehumidifier (per 24 hour period) XLarge 5.00 DA 0.00 123.97 619.85 1 dehumidifer for 5 days Negative air fan /Air scrubber (24 hr period) 6.00 DA 0.00 76.26 457.56 2 hepas for 3 days Room Totals: Residence 3,267.81 Basement a Room: Family Room Ceiling Height: 8' 600.00 SF Walls 351.50 SF Ceiling 951.50 SF Walls Ceiling 351.50 SF Floor 39.06 SY Flooring 75.00 LF Floor Perimeter 75.00 LF Ceil. Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL GILLUM- WD305 -09 09/18/2009 Page: 2 Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, IN 46062 CONTINUED Family Room DESCRIPTION QNTY REMOVE REPLACE TOTAL Water extract from floor Black wtr. after 351.50 SF 0.00 1.35 474.53 business hrs 09/01/09 technicians extracted wet carpet and pad for removal Remove Tear out wet non -salv. cpt, cut/bag- 351.50 SF 0.50 0.00 175.75 Black wtr -aft bus. hrs Remove Tear out wet carpet pad, cut /bag 351.50 SF 0.52 0.00 182.78 Black wtr aft.bus.hrs Apply anti microbial agent 351.50 SF 0.00 0.17 59.76 Clean and deodorize concrete floor 351.50 SF 0.00 0.40 140.60 Room Totals: Family Room 1,033.42 T T" Room: Closet Ceiling Height: 8' 1 360.00 SF Walls 66.50 SF Ceiling 426.50 SF Walls Ceilin- 66.50 SF Floor 7.39 SY Flooring y 45.00 LF Floor Perimeter 45.00 LF Ceil. Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Water extract from floor Black wtr. after 66.50 SF 0.00 1.35 89.78 business hrs 09/01/09 technicians extracted wet carpet and pad for removal Remove Tear out wet non -salv. cpt, cut /bag- 66.50 SF 0.50 0.00 33.25 Black wtr -aft bus. hrs Apply anti microbial agent 66.50 SF 0.00 0.17 11.31 Clean and deodorize concrete floor 66.50 SF 0.00 0.40 26.60 Room Totals: Closet 160.94 GILLUM- WD305 -09 09/18/2009 Page: 3 Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, IN 46062 Room: Storage Ceiling Height: 8' IJ Y 444.00 SF Walls 174.58 SF Ceiling 1 W 618.58 SF Walls Ceiling 174.58 SF Floor 19.40 SY Flooring 55.50 LF Floor Perimeter 55.50 LF Ceil. Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Water extract from floor Black wtr. after 174.58 SF 0.00 1.35 235.68 business hrs 09/01/09 technicians extracted wet glue down carpet Apply anti microbial agent 174.58 SF 0.00 0.17 29.68 Clean and deodorize glue down carpet 174.58 SF 0.00 0.40 69.83 Room Totals: Storage 335.19 Room: Stairs Ceiling Height: 17' 3 7" -d 176.09 SF Walls 15.71 SF Ceiling 191.79 SF Walls Ceiling 46.56 SF Floor 5.17 SY Flooring 20.78 LF Floor Perimeter t ill 7 12.92 LF Ceil. Perimeter Missing Wall: I 3'3" X 8 Opens into Landing Goes to Floor /Ceiling DESCRIPTION QNTY REMOVE REPLACE TOTAL Apply anti microbial agent 46.56 SF 0.00 0.17 7.92 Clean carpet cleaning charge per step 14.00 EA 0.00 2.68 37.52 Room Totals: Stairs 45.44 GILLUM- WD305 -09 09/18/2009 Page:4 Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, IN 46062 Room: Landing Ceiling Height: 8' T F2, 9„ 199.34 SF Walls 48.54 SF Ceiling Co Landing 247.88 SF Walls Ceiling 48.54 SF Floor Fur 5.39 SY Flooring 24.92 LF Floor Perimeter 24.92 LF Ceil. Perimeter Missing Wall: 1 3 1 8T'l Opens into Stairs Goes to Floor /Ceiling DESCRIPTION QNTY REMOVE REPLACE TOTAL Water extract from floor Black wtr. after 48.54 SF 0.00 135 65.53 business hrs 09/01/09 technicians extracted wet the Apply anti microbial agent 48.54 SF 0.00 0.17 8.25 Clean and deodorize tile floor 48.54 SF 0.00 0.40 19.42 Room Totals: Landing 93.20 7'7" Room: Furnace Rm Ceiling Height: 8' T-15" 246.67 SF Walls 59.33 SF Ceiling g FurnaceRm WI 306.00 SF Walls Ceiling 59.33 SF Floor 6.59 SY Flooring 30.83 LF Floor Perimeter 30.83 LF Ceil. Perimeter -7'77" -I DESCRIPTION QNTY REMOVE REPLACE TOTAL Water extract from floor Black wtr. after 59.33 SF 0.00 1.35 80.10 business hrs 09/01/09 technicians extracted wet floor Apply anti microbial agent 59.33 SF 0.00 0.17 10.09 Clean and deodorize concrete floor 59.33 SF 0.00 0.40 23.73 Room Totals: Furnace Rm 113.92 Area Items Total: Basement 1,782.11 GILLUM- WD305 -09 09/18/2009 Page: 5 Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, TN 46062 Line Item Totals: GILLUM- WD305 -09 5,049.92 Grand Total Areas: 2,026.09 SF Walls 716.17 SF Ceiling 2,742.25 SF Walls and Ceiling 747.02 SF Floor 83.00 SY Flooring 252.03 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 244.17 LF Ceil. Perimeter 747.02 Floor Area 776.25 Total Area 2,101.67 Interior Wall Area 908.00 Exterior Wall Area 113.50 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 GILLUM- WD305 -09 09/18/2009 Page: 6 Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, IN 46062 Basement 33 19' 3•g. 5lurau TT" Fancily Room TT U O'2" 2' 9" —TS" Furna[e Rm p� Landmy Clozet 6' G:l V Basement GILLUM- WD305 -09 09/18 /2009 Page: 8 Bolden's Cleaning Restoration 112 Park 32 West Drive Noblesville, IN 46062 Summary for Sewage Line Tteni Total 5,049.92 Replacement Cost Value 5,049.92 Net Claim 5,049.92 Chris Moore GILLUM- WD305 -09 09/18/2009 Page: 7 To: Date: WRITTEN NOTICE OF THE DELIVERY OF MATERIALS AND /OR FURNISHING OF LABOR AND THE EXISTENCE OF LIEN RIGHTS This is notice that Bolden's Cleaning and Restoration Services, Inc. "Bolden's) has performed services and /or provided materials for the repair of your residence and may assert lien rights for such work in the event that its invoice is not paid in a timely manner. Indiana law (I.C. 32- 8 -3 -1) requires that we give notice that we made the first delivery of materials and /or commenced our work, pursuant to our agreement with your Agent, with respect to your property located at Legal Description: on 2009. (MECHANICS LEIN) In the event that we are not paid for the performance of our labor or the furnishing of our materials within thirty (30) days after we finish such work, we will have the right to file a lien against your property. It is not our intention to file such a lien unless we are not paid for our materials or services. This notice is furnished within (30/60) days from the above date that labor /materials were last completed, in compliance with I.C. 32- 8 -3 -1, which permits the filing of a mechanic's lien against real estate in the event of nonpayment. Bolden's would like to take this opportunity to assure you that we appreciate your business and look forward to working with you. If you have any questions, please contact us. Sincerely, Bolden's Cleaning and Restoration Services, Inc. By: Water Damage Specialists (317) 773 -7683 112 Park 32 West Drive Printed: James Jackson Noblesville, IN 46062 Subscribed and sworn to before me, a Notary Public in and for said County and State, this day of 1 2009 Notary Public: Commission Expires: County of Residence: This instrument prepared by James Jackson, Bolden's Cleaning and Restoration Services. Inc., 112 Park 32 West Drive. Noblesville, IN 46062. Return to James Jackson, Bolden's Cleaning and Restoration Services, Inc., 112 Park 32 West Drive, Noblesville, IN 46062. Lein(w) 2/09 Prescribed by State Board Accounts ACCOUNTS PAY E VOUCH 1 Form No. 301 -S (Rev. 1995) TO pl DtY ADDRESS /�GK. 3� ZJ �ti �In/�C.S U14's v l.a Invoice Date Invoice Number Item Amount 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 Signature Title I hereby certify that the attached invoice(s), or bill(s), is (are) true nd correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 19 Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ACCT. CARMEL, INDI A 0L6CN C�Q V ef. fSTv¢a7�w+ 5 u 1 4 `l ca v Ca a Total Amount of Voucher Deductions Amount of Warra t ;b "A '7Q( Month of 0 Acct. VOUCHER RECORD No. Collection System Operation Plant Commercial General Undistributed Construction Depreciation Reserve Stock Accounts Merchandise Total Allowed Board Members Filed BOYCE FORMS SYSTEMS 1- 800 382 -8702 325