170891 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351720 Page 1 of 1
e ONE CIVIC SQUARE HINSHAW ROOFING SHEET METAL Co
CARMEL, INDIANA 46032 PO BOX 636
CHECK AMOUNT: $709.00
's,� �.y•. FRANKFORT IN 46041 CHECK NUMBER: 170891
CHECK DATE: 4116/2009
DEPARTMENT A CCOUNT PO NUMBER I NVOICE N UMBER AMOUNT DESCRIPTION
1120 4350100 384- -M 709.00.BUILDING REPAIRS MA
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Hinshaw Roofing Sheet Metal Co,, Inc, NO. 384 -M
PO BOX 636 INVOICE 3/27/2009
Frankfort, IN 46041 DATE
Phone (765) 659 -3311
PURCHASE
F ORDER NO.
STATION 42
SOLD 3610 WEST 106TH STREET PROJECT 309 -02-03
CARMEL, IN 46032 -9607
L ATTN: ACCOUNTS PAYABLE -J PROJECT MISSING
SHINGL
DESCRIPTION
LABOR SEE ATTACHED WORK ORDER 540.00
MATERIALS SEE ATTACHED WORK ORDER 169.00
7% IN SALES TAX EXEMPT
TOTAL MATERIALS 169.00
TOTAL INVOICE 709.00
DUE UPON RECEIPT
1� not paid within 30 days after date of invoice will be charged a Service Charge of 1 per month which is an Annual
Percentage Rate of 18
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`RINSHAW WORK ORDER/INVOICE JOB J
CUSTOMER SIa't�11. Y N BLDG- NAME S� `L w Hinshaw Roofing MFG JOB PO.# O ADDRESS O
Sheet Metal Co., InC. ADDRESS i��Le3 �t ob�r 5+ I
2452 S. State Road 39 CITY /STATE ��ar••••_ 1 E CITYISTATE
P.O. Box 636 CONTACT NAME Se n. �a�tk A
Frankfort, IN 46041 0636 T 1 T
(765) 659 3311 PHONE O PHONE �pKu C i�cl r
ROOF DRAWING Authorization Needed =O OK Re aired =X CODEI DESCRIPTION
1 1 Location of Report Leak #1
2 Location of Report Leak #2
3 Location of Report Leak #3
4 Location of Report Leak #4
5 Location of Report Leak 45
A Field Membrane
B Wall Flashin
C Base Flashin
D Counter Flashin
E Previous Patching_
F HVAC Unit/Fan UnitNent Unit
G Flue Pipe/Soil Stack/Pitch Pan
H Sk li ht
I Ex
Expansion Joint
J Gravel Stop/Roof Edge
K Termination Bar
L Copin
M Drain/Scupper/Gutter
N Debris on Roof
0
NOTES TO CUSTOMER
�7 17 EM MATERIAL DESCRIPTION QTY. gA TOTAL
MATERI AL
1
r l 1 CA-
S op, ERVICE TECHNICIAN DATE START STOP START FINISH HRS. TOTAL
riq r CI� Cr&- -e. LABOR
F Billable M El Hinshaw Wty. TO al I rIVOICe
❑Work in Progress er's Wty. AComplete Customer Signature
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))
384 -M Repair Sta. 42 Roof $709.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hinshaw Rwr5fing
IN SUM OF
P.O. Box 636
Frankfort, IN 46041
$709.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 384 -M 43- 501.00 $709.00 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
APR 13 200
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund