208321 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00351720 Page 1 of 1
ONE CIVIC SQUARE HINSHAW ROOFING SHEET METAL CO I
INDIANA 46032 PO BOX 636
CHECK AMOUNT: $325.00
4
CARMEL
FRANKFORT IN 46041
CHECK NUMBER: 208321
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 12400 325.00 BUILDING REPAIRS MA
Hinshaw Roofing Sheet Metal Co,, Inc, NO. 1
PO Box 636 INVOICE 41612012
Frankfort, IN 46041 DATE
Phone (765) 659 -3311
PURCHASE
F CARMEL_FIRE.DEPAR ORDER NO. ENT 42
SOLD 3610 WEST 106TH STREET PROJECT 212 -02-03
TO N o.
CARMEL, IN 46032
L ATTWACCOUNTS PAYABLE. PROJECT
3HING.E3
D E I
FOR SEE.ATTACHED WORK ORDER 300.00
TER MINIMUM CHARGE. 25.00
rlo IN. SALES TAX EXEMPT
TOTAL MA TER IALS 23.00
TOTAL. INVOICE 325.00
DUE UPON RECEIPT
Accounts not paid within 30 days after date of invoice will be charged a Service Charge of 1' /s °/a per month which is an Annual
Percentage Rate of 18
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HINSHAW WORK ORDERANV®ICE JOB ��a
pp FADDRE J� N BLDG. NAME W
Hinshaw Roofi PO.# V ADDRESS O
Sheet Metal Co., InC. b
I R
K
2452 S. State Road 39 E CITY /STATE
P.O. Box 636 E A
Frankfort, IN 46041 0636 3 Z�— 3� 5< a O PHONE CONTACT
(765) 659 -3311 T
ROOF DRAWING Authorization Needed =O OK =J Re aired =X CODE DESCRIPTION
11 Location of Report Leak #1
2 Location of Report Leak #2
3 Location of Report Leak #3
4 Location of Re on Leak #4
5 Location of Report Leak #5
A Field Membrane
B Wall Flashin
C Base Flashin
D Counter Flashi
f� E Previous Patching
F HVAC Unit/Fan Unit/Vent Unit
G Flue Pipe/Soil Stack/Pitch Pan
H Skylight
I Expansion Joint
J Gravel Stop/Roof Edge
K Termination Bar
L Copin
M Drain/Scupper /Gutter
N Debris on Roof
0
NOTES TO CUSTOMER t S l
ITEM MATERIAL DESCRIPTION QTY. UNITS TOTAL
MATERIAL
la3l) 4416
l l
SERVICE TECHNICIAN DATE START STOP START FINISH HRS. TOTAL
Zajz 9 M411-10
LABOR
Billable T M El Hinshaw Wty.
Contract Work in Progress Total Invoice
Manufacturer Wty. Complete 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))
12400 $325.00
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
VOUCHER NO. WARRANT N
ALLOWED 20
Hinshaw Roofing
IN SUM OF
P.O. Box 636
Frankfort, IN 46041
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #!TITLE I AMOUNT Board Members
1120 I 12400 I 43- 501.00 I $325.00 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 R R h
d C _E
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund