168501 02/04/2009 a CITY OF CARMEL, INDIANA VENDOR: 362485 Page 1 of 1
ONE CIVIC SQUARE HAMM SONS INC PLUMBING
®o CARMEL, INDIANA 46032 6350 SOMMER AWNING BLVD CHECK AMOUNT: $5,787.84
INDIANAPOLIS IN 46220 CHECK NUMBER: 168501
CHECK DATE: 2/4/2009
DEPA ACCOUNT PO NUMBER INVOICE NUM AMO DESCRIPTION
1120 4350100 52982 5,787.84 BUILDING REPAIRS MA
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Plumbing
6350 Sommer Awning Blvd., Indianapolis, IN 46220
CP 10000101
Invoice Number: 52982
Invoice'Date: 01/15/09 Page: 1
Bill To: Carmel Fire Department Work Carmel Fire Dept
540 W 136th St Location: 540 W 136th St
Carmel, IN 46032 Carmel, IN 46032
Our Order No. WO -36557 Customer ID CARFIR46
Due Date 01/15/09 P.O. Number
Terms Due Upon Receipt P.O. Date 01/06/09
Item Description Unit Quantity Total Price
MFLETCH Labor 01/13/09 Hour 7
KBROW Labor 01/13/09 Hour 5.5
DOPEL Labor 01/13/09 Hour 2.75
MATERIAL w /h, 1.5 "dielectrics, 1" cp fittings, 6 "flue, blk n 01/13/09 Each 1
QUOTED Quoted Price 01/13/09 Each 1 5,787.84
Replaced 100 gal gas water heater per quote. Model: D100T1993N..Serial: EG10864444.
Amount Subject to Amount Exempt from Subtotal: 5,787.84
Sales Tax Sales Tax Invoice Discount: 0.00
0.00 5,787.84 Sales Tax: 0.00
Total: 5,787.84
Phone 317.202.9850 Fax 317.202.9860
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
52982 Replace Sta. 46 Water Heater $5,787.84
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 1!.O. WARRANT NO.
ALLOWED 20
Hamm 'Sons, Inc.
IN SUM OF
6350 Sommer Awning Blvd.
Indianapolis, IN 46220
$5,787.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 52982 43- 501.00 $5,787.84 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
FEB 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund