HomeMy WebLinkAbout209333 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 276561 Page 1 of 1
ONE CIVIC SQUARE S M PAINTING DRY WALL CO CHECK AMOUNT: $2,060.00
CARMEL, INDIANA 46032 520 INDUSTRIAL DR
CARMEL IN 46032 CHECK NUMBER: 209333
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4350100 25955 512001 -IN 2,060.00 DRYWALL /CEILING REPAI
PAINTING c, DRYWALL CO. Invoice Page: 1
Invoice Number: 0512001 -IN
S M Painting Drywall Company Invoice Date: 5/4/2012
520 Industrial Drive
Carmel, Indiana 46032 Customer P.O.:
3178485090
Customer Number: 00- CARMELP
Location:
Carmel Police Department
Three Civic Square
Carmel, IN 46032
Terms: Net 10th FM
204 Drywall Rep 1 395.00 395.00
3rd Floor Hall off Elevator
106 Interior Painting (per est.) 1 330.00 330.00
106 Interior Painting (per est.) 1 1,335.00 1,335.00
Garage 1 st Floor
Upon nonpayment of invoice, customer agrees to pay all costs of collection, including court costs,
expenses, and reasonable attorney fees. Net Invoice: 2,060.00
Freight: 0.00
Sales Tax: 0.00
ftEw veg 2,060.00
INDIANA RETAIL TAX EXEMPT PAGE
City CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9W=Iii
6 i, Iii Painting and Drywall Co. Carmol Police DGp@rtmen4
VENDOR SHIP 3 Ci S qum
SW Indul tdd Ddva TO Comol, IN
CarmQI IN 4M (31 7) 671
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43MCCO
9 Each rop iacelcepaid point wat damaged $725.00 $725.00
drwall
9 Each paint garage walls service doors ceiling $1,335.00 $1,335.00
Bub Total: $2,000.00
amo b, w All
9 �a
4 V F s aw
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Send Invoice To: U
Pa ;r
Carmel Polico Deparkment
Attn: Torosa Anderson
3 Civic Squam
Camel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C �j PAYMENT $2'0W.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THEREP AN UNOBLIGATED BALANCE IN
THIS APPROPRIAJ,1pN S FFI ENT TO PAY FOR THE ABOVE ORDER.
7
SHIP REPAID. .r
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. of C of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE !a E
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO-25955 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO..__.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I 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.-
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
S M Painting and Drywall Co.
IN SUM OF
520 Industrial Drive
Carmel„ IN 46032
$2,060.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
25955 512001 -IN 43- 501.00 I $2,060.00
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
Thursday, May 17, 2012
i4:—ft Police
e
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/04/12 512001 -IN painting $2,060.00
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