HomeMy WebLinkAbout210120 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 276561 Page 1 of 1
ONE CIVIC SQUARE S M PAINTING DRY WALL CO
CARMEL, INDIANA 46032 520 INDUSTRIAL DR CHECK AMOUNT: $1,390.00
CARMEL IN 46032
CHECK NUMBER: 210120
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 26161 512038 -IN 1,390.00 PAINT WALLS, DOORS. C
PAINTING DRYWALL CO. Invoice
Invoice Number: 0512038 -IN Page: 1
S M Painting Drywall Company Invoice Date: 5/31/2012
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
106 Interior Painting (per est.) 1 1,390.00 1,390.00
Painted holding cells, process room,
hall from garage.
Upon nonpayment of invoice, customer agrees to pay all costs of collection, including court costs,
expenses, and reasonable attorney fees. Net Invoice: 1,390.00
Freight: 0.00
Sales Tax: 0.00
1,390.00
,I', ��J/ 1i 1i 1i1< INDIANA RETAIL TAX EXEMPT PAGE
City ar}�"� e i CERTIFICATE NO. 003120155 002 0 .li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26961
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
519012492
6 Q M Painting and Drywall Co. C&rmGl Pollee DopartmGnt
VENDOR
SHIP 3 CIVIC equ
520 Industrial Drive TO Camel, IN d
Carmia1„ IN 46M 5712
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43+-501.04
1 Each paint walls, doors, casings, ceilings $1,390.00 $1,300.00
Sub `dotal: $1,390.00
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1
M ii 1
q d. tta ffi
Send Invoice To:
Camel Pollco Deptir4ment
Attn: Tams- Anderson
3 CIVI squaw
Camel, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. e, e PAYMENT $1,390.00
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 THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP. IAT.IQN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
/lJ
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL Achlof o g SHIPPING LABELS. Pollco
THIS ORDER ISSUED iN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No- 26161 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO.- WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO or C
INVOICE NO. ACT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
receivedexcept
20
Signature
:Title
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))
05/31/12 512038 -IN painting $1,390.00
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 NO.
ALLOWED 20
S M Painting and Drywall Co.
IN SUM OF
520 Industrial Drive
Carmel„ IN 46032
$1,390.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
26161 I 512038 -IN I 43- 501.00 I $1,390.00 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
Friday, June 15, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund