173364 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00351720 Page 1 of 1
ONE CIVIC SQUARE HINSHAW ROOFING SHEET METAL CHECK AMOUNT: $887.00
?o, CARMEL, INDIANA 46032 PO BOX 636
ti, aX .�o FRANKFORT IN 46041 CHECK NUMBER: 173364
CHECK DATE: 611012009
DEPA RTMEN T ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 549 -1 887.00 BUILDING REPAIRS MA
w
Hinshaw Roofing Sheet Metal Co., Inc. NO. 549 -1
PO Sox 636 INVOICE 3/22/2009
Frankfort, IN 46041 DATE
Phone (765 659 -3311
PURCHASE
F ORDER NO.
CARMEL. FIRE DEPARTMENT
SOLD PROJECT
TO TWO CARMEL CIVIC SQUARE NO 209 -02-03
CARMEL, IN 46032
ATTN: ACCOUNTS PAYABLE PROJECT
DESCRIPTION.
LABOR SEE ATTACHED WORK ORDER 567.00
MATERIALS SEE ATTACHED WORK ORDER. 320.00
6% IN SALES TAX EXEMPT
TOTAL MATERIALS 320.00
TOTAL INVOICE 687.00
PLEASE FORWARD TAX EXEMPTION CERTIFICATE. THANKSI
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
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IN OTESTOCUSTOMEI 17 G2—
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��T TOTAL r
MATERIAL
TOTAL
SERVICE TECH NICIAN
F, EPA MIMI LABOR
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))
549 -1 $887.00
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
VOUCHE NO. WARR NO.
Hinshaw Roofing ALLOWED 20
IN SUM OF
P.O. Box 636
Frankfort, IN 46041
$887.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 549 -1 43- 501.00 $887.00 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
JUN 8 2009
1,
j�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund