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Home My WebLink About176779 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 00351720 Page 1 of 1 ONE CIVIC SQUARE HINSHAW ROOFING SHEET METAL Cp I CARMEL, INDIANA 46032 PO BOX 636 CHECK AMOUNT: $236.00 FRANKFORT IN 46041 CHECK NUMBER: 176779 CHECK DATE: 9/2/2009 ZEPAR ACCOUNT PO NU MBER I NVOICE NUMBER AM OUNT DESCRIPTION 1120 4350100 825 -M 236.00 BUILDING REPAIRS MA -WWI Hinshaw Roofing Sheet Metal Co., In c, NO. 825 -M PO Box 636 INVOICE 0 ►21120Q9 Frankfort, IN 46041 DATE Phone (765) 659-3311 PURCHASE ORDER NO. F CARREL FIRE. DEPARTMENT SOOLD TWO CARMEL CIVIC SQUARE PROJECT N o. 309 -02 -03 CARMEL, INL 46032 L ATTN:. ACCOUNTS PAYABLE PROJECT j DESCRIPTION LABOR SEE ATTACHED WORK ORDER 216.00 MATERIALS SEE ATTACHED WORK ORDER 20.00 IN SALES TAX EXEMPT TOTAL MATERIALS 20.00 TOTAL INVOICE 236.00 PLEASE FORWARD TAX EXEMPTION CERTIFICATE:. THANKS! DUE UPON RECEIPT Accounts not paid within 30 days after date of invoice will be charged a Service Charge of 1' /2% per month which is an Annual Percentage Rate of 18 J s 7 M -U8 ea0S \1~sts Tt43MTgA930 3 ,q13 J3MRA3 EO- S0 -e0E 3FIAUtJP 311!!0 J36l RAO OAT SE084 Ml ,J3MgAO 3JSAVAq 2TMU003A :MTTA j 00.8M A30RO 3 ROW C13HOATTA 338 R03AJ 00.05 R30RO XROW a3HOATTA 33P, 8JAI,93TAM T9M3X3 XAT MAP, Al o \°sl 00.05 2JA1 ,93TAM JATOT 00.8ES 3310VMI JATOT TAWAHT 3TAORITSi33 VIOiT91N3X3 XAT aSAWFIOI 3PA3j9 s WORK ORDER /INVOICE joi3 HINSHAW R oofing C 61fM B. I�;re `r N BLDG. NAME "r�S�C�CYI p� w Hinshaw Roofing MFG JOB PO.# V ADDRESS 3 110 110 106 H- s CRW 0 Sh eet Metal Co., InC. ADDRESS Csv� C �Gl+iet° Oj R ca K 2452 S. State Road 39 CITY /STATE Oct P MP- Ti� 012 E CITY /STATE O CL( M C- f 1- N P.O. Box 636 CONTACT NAME 5* zCVP l chi+ 5 A Frankfort, IN 46041 T 0 PHONE T (765) 659 3311 PHONE ('3'`7) CONTACT ROOF DRAWING Authorization Needed =O OK Re aired =X CODE DESCRIPTION 1 Location of Report Leak 41 2 Location of Report Leak #2 3 Location of Report Leak #3 4 Location of Report Leak #4 5 Location of Report Leak #5 A Field Membrane B Wall Flashin C Base Flashin D Counter Flashin E Previous Patchin F HVAC Unit/Fan Unit/Vent Unit G Flue Pipe/Soil Stack/Pitch Pan H Skylight I Ex ansion Joint J Gravel Stop/Roof Edge K Termination Bar L Copin M Drain/Scupper/Gutter N Debris on Roof I o NOTES TO CUSTOMER t :r h,: st: n 514: e s o-n Al re- sfa ��n n c�, >✓I. f ITEM MATERIAL DESCRIPTION QTY. UNITS TOTAL L atv r0QP Aa, IS 1 116g MATERIAL r od c- F 1 Ho 00 I. 4 SERVICE TECHNICIAN DATE START STOP START FINISH HRS. TOTAL ;71 row a.s mr g/ 1'0 W00 1'00 q LABOR F M Hinshaw Wty. Total I nvoiee Work in Progress er's Wty. Complete CUSto r ature Prescribed by State Board of Accounts City Form No_ 201 (Rev,, ?.995) 4 ACCOUNTS PAYABLE VOUCHER V 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)) 825 -M $236.00 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 VO- UICHER, NO. WARRANT NO. --Hinshaw Roofing ALLOWED 20 IN SUM OF P.O. Box 636 Frankfort, IN 46041 $236.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# I Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 825 -M 43- 501.00 $236.00 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 AUG 3 12009 r Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund