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214962 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 365827 Page 1 of 1 ONE CIVIC SQUARE RONALD BERRY Q � CARMEL, INDIANA 46032 6520 PARKER LANE CHECK AMOUNT: $115.00 INDIANAPOLIS IN 46220-2259 CHECK NUMBER: 214962 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350900 11/12 115 . 00 OTHER CONT SERVICES Ronald L. Berry, RPT member of Registered Piano Technician Phone: (317) 255-8213 "I PM, 6520 Parker Lane,Indianapolis,IN 46220-2259 ���d GUILD ICIANS Email: ron@berrypiano.com http://www.berrypiano.com/ REGISTERED PIANO TECHNICIAN Temp -f j Humid Date: Name Phone Address Piano ��,(,� Serial No. TUNING:(Does not include work on Action,Keys,etc.)$ /p — PITCH: Raise ❑ Lower ❑ Amount to CLEANING: Action ❑ Soundboard ❑ Ke bed ❑ Other ❑ ACTION: Remove and Replace ❑ - Regulation ❑ Tighten Screws ❑ Adjust Capstans ❑ Adjust Pedal ❑ Re in: Hammers_❑ Whi ens ❑ Other ❑ Parts Replaced: ❑ REFELT: Ke bed ❑ Fallboard ❑ Dampers_❑ KEYS: Ease_❑ Rebush_❑ Level ❑ Di ❑ Replace Ke to s Whites Sharps ❑ Repairs: ❑ HAMMERS: Replace_❑ Reshape❑ Voice❑ Space❑ Replace Broken Shanks_❑ Re glue Loose Heads_❑ LUBRICATE: Center Pins_❑ Damper Rod❑ Other ❑ TUNING PINS: Reset_❑ Re lace_❑ Re air_❑ STRINGS: Re lace_❑ Re air_❑ Twist_❑ Mileage Surcharge ESTIMATE&APPRAISAL FEE ❑ The above work has been satisfactorily completed TOTAL l S -- TERMS: Net Cash upon completion of work ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be property 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. 365827 Berry, Ronald L. Terms 6520 Parker Lane Indianapolis, IN 46220-2259 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 11/12112 11/12 Piano tuning $ 115.00 Total $ 115.00 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. 365827 Berry, Ronald L. Allowed 20 6520 Parker Lane Indianapolis, IN 46220-2259 In Sum of$ $ 115.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-99 11/12 4350900 $ 115.00 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 29-Nov 2012 -P4ftMMAJ Signature $ 115.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund