208028 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366011 Page 1 of 1
0 ONE CIVIC SQUARE ROBERTS GLASS SERVICE CHECK AMOUNT: $6,385.00
CARMEL, INDIANA 46032 PO BOX 26069
INDIANAPOLIS IN 46226 CHECK NUMBER: 208028
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 24315 19599 6,385.00
Roberts Glass Service, Inc. Invoice
P.O. Box 26069 Invoice Number:
7707 Records Street, Suite A Carmel /19599
Indianapolis, IN 46226 Invoice Date:
Apr 3, 2012
Voice: 317 542 -0693
Page:
Fax: 317- 542 -0828 1
Total Payment Total Amount Due
6385.00
Sold To: Ship to:
C- COD /Sales Carmel Fire Dept
Attn Bob VanVoorst
2 Civic Square
Carmel West, IN 46032
Please Tear Off Top Portion and Remit with Payment USA
Customer ID Customer PO Pavment Terms
C -COD /Sales Carmel Fire Net 10th of Next Month
Sales Rep ID Shipping Method Ship Date Due Date
P Hoff Install 5/10/12
Quanfity Item Description
nit Prlce Extension
1.00 Labor and materials to install (2)
storefront doors, painted, with
hardware and clear glass
Invoice Date
Subtotal 6,385.00
4/3/12
Invoice Sales Tax
Total Invoice Amount 6,385.00
Carmel /19599
Payment Received 0.00
Check No: TOTAL 6,385.00
Roberts Glass Service, Inc.
We N owAcoept All Major Credit Cards
1.5% per Month Service Charge on all Past Due Balances
All material furnished by Roberts Glass Service Inc. will remain our property until paid in full. We look forward to working with you on this and future projects.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts Glass Service
IN SUM OF
PO Box 26069
Indianapolis, IN 46226
$6,385.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
24315 I 19599 I 43- 501.00 I $6,385.00 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
AFR
Z/7 17
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund