HomeMy WebLinkAbout212762 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 276561 Page 1 of 1
ONE CIVIC SQUARE S&M PAINTING&DRY WALL CO CHECK AMOUNT: $875.00
CARMEL, INDIANA 46032 520 INDUSTRIAL DR
CARMEL IN 46032 CHECK NUMBER: 212762
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 26233 812026-IN 875 . 00 REMOVE WALL COVERING
PAINTING &,DRYWALL CO. Invoice Invoice Number: 0812026-IN Page: 1
S& M Painting& Drywall Company Invoice Date: 8/31/2012
520 Industrial Drive
Carmel, Indiana 46032 Customer P.O.:
3178485090
Customer Number: 00-CARMELP
Location: Offices
Carmel Police Department
Three Civic Square
Carmel, IN 46032
Terms: Net 10th-FM
OWNS=
106 Interior Painting(per est.) 1 875.00 875.00
Upon nonpayment of invoice,customer agrees to pay all costs of collection, including court costs,
expenses,and reasonable attorney fees. Net Invoice: 875.00
Freight: 0.00
Sales Tax: 0.00
° . ° �:f`_`: 875.00
c0 INDIANA RETAIL TAX EXEMPT PAGE
ity "0 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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. f=VENDOR NO. DESCRIPTION
8 2,M Painting and Drywall Co. Cumei Police Department
VENDOR TOIP 9 Civic 8qu
520 Induattial Ddve Carmel, IN Q
I
Carmel, IN 46M (W)579
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY
sy g�gUNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.601.00
9 Each remove wall covering!paint walls $575.00 $575.00
9 Each painting $300.00 $300.00
Sub Total: $875.00
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$'S �l: ems•`.:. ~d F l -_ -
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Send Invoice To: = `
Carmel Police®epald mGnt
Attn:Teresa Andorson
3+Civic Square
Cannel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Caramel Police Dept. PAYMENT W5.00
• 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 APPROPRIATIONS FICI ENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. @a
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief®OF
Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 26233 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
- ------- .._-.__. IN THE SUM OF$
$
C f
ON ACCOUNT OF APPROPRIATION FOR
PO#
Board Members
or INVOICE NO. ACCT#/TITLE AMOUNT
DEP T� 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
....... ................. ...................._..............................-....-.....__...................................-......................_..._.....,.._.... T 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
$875.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26233 ( 812026-IN I 43-501.00 I $875.00 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
Wednesday, September 05, 2012
Chief of Police
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))
08/31/12 812026-IN painting $875.00
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