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Home My WebLink About213884 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 366454 Page 1 of 1 ONE CIVIC SQUARE CLEARY BUILDING CORP CARMEL, INDIANA 46032 PO sox 930220 CHECK AMOUNT: $12,061.00 VERONAWI53593-0220 CHECK NUMBER: 213884 CHECK DATE: 10/2312012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 26224 2012104945 12, 061 . 00 REPAIRS P.O. BOX 930220 CL A R VERONA, WI 53593-0220 ; Y. (608) 845-9700 / FAX (608) 845-7070 C/ 0 BUILDING CORP. ClearyBuilding.com ° Serving our Clients since 1978 Sold To: Ship To: CARMEL POLICE DEPT. CARMEL POLICE DEPT. 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 CARMEL, INDIANA 46032 Job No: Sales Specialist Contract Date Printed 2012104945 JOHN GRAY Erected 10/16/2012 8:57:50 AM IF NOT PAID UPON COMPLETION, INTEREST WILL BE CHARGED AT 3/4% EVERY 15 DAYS Date Explanation Amount Balance Original Contract Amount $12,061.00 Payment due foreman on completion $12,061.00 REMAINING BALANCE $12,061.00 Invoice is as current as possible-may not include change orders built with pride before the is applied `Rj , o Page 1 of 1 INDIANA RETAIL TAX EXEMPT PAGE City of-Q,.-ar el 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, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION WM2 Clots Building Corp Carmel Police Depwtm®n4 VENDOR SHIP 3 CIVIC squam P.O. Box as= TO Carmal, IN 48 2 vorona, W 835I (397)579 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 431.00 ;9 Each replace steel roof on range house $9,438.00 $9,438.00 i 9'Each replace grafters oh-kange,house ; '�, $800.00 $800.00 2 Each replace doors on range house f°� $90Q.04 � .?j5 $9,800.00 ti �. Sub Total: $12,038.00 =t i h :. ` ...... Send Invoice To: Cumel Police Department: Attn:Teresa Anderson 3 CIVIC Squam Carmel, IN 46 PLEASE INVOICE IN DUPLICATE . DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police De (--. �¢� W,O36.00 PAYMENT ;`ti • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY 7 TTHERE IS AN UNOBL•tG-1TED BALANCE IN THIS) Id SUFFICIENT TO'PAY F 'T,'E A V&ORDER. •SHIP REPAID. , •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. 11X� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /r SHIPPING LABELS. / hlo9 oQ Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1V,,1zi� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 6 2 2 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER VVARRANTNO�____. ALLOWED 20___ |N THE SUM OF$ � {)N ACCOUNT OFAPPROPRIATION FOR ' ' � » Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT | hereby certify that the attached invoice(o)' 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 ` . � . /me Cost distribution ledger classification if claim paid motor vehicle highway fund � � VOUCHER NO. WARRANT NO. ALLOWED 20 Cleary Building Corp IN SUM OF $ P.O. Box 930220 Verona, WI 53593-0220 $12,061.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26224 I 2012104945 I 43-501.00 I $12,061.00 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 Thursday, October 18, 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)) 10/16/12 2012104945 roof/range building $12,061.00 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