215048 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 363782 Page 1 of 1
ONE CIVIC SQUARE HORNING ROOFING
CARMEL, INDIANA 46032 2340 ENTERPRISE PARK PLACE CHECK AMOUNT: $14,483.00
•c,roN�; INDIANAPOLIS IN 46218 CHECK NUMBER: 215048
CHECK DATE: 12/412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4350100 24339 7578 14, 483 . 00 STA. 41 ADMIN ROOF
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4
HORNING l®®®l'1'L'Y'ld
`UJ s
&SHEETMETAL COMPANY,LLC
2340 Enterprise Park Place
" Suite A 0 7 5 7 8
rl # � Indianapolis,IN 46218
Ph. 317-636-9128 Fax.317-636-9134 PAG'-
B
I CITY OF CARMEL S CARMEL FIRE DEPARTMENT
L ONE CIVIC SQUARE I 2 CIVIC SQUARE
L CARMEL IN 46032 T CARMEL IN 46032
E
T
0
10/26/12 7578 CITYOF DUE UPON RECEIPT
UNIT UNIT EXTENDED
TICKET # QTY MEAS DESCRIPTION PRICE PRICE
W/O # - B20418002 P.O. # - 24339
PO 24339 RECOVER SOUTH END HIGH ROOF ON FIRE STATION. REMOVE
RIDGE CAP, INSTALL 1/2" DENSDECK AND 60 MIL FULLY ADHERED
EPDM.
B20418002 Quoted Price 14 , 483 . 00
GROSS TAX NET AMOUNT
14 , 483 . 00 . 00 14 , 483 . 00
FORM#MAX87460L MAXWELL SYSTEMS FORMS DIVISION (866)203-7300 T36191
VOUCHER NO. WARRANT NO.
ALLOWED 20
Horning Roofing & Sheet Metal Co.
IN SUM OF $
2340 Enterprise Park Place
Indianapolis, IN 46218
$14,483.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24339 I 7578 1 431501.00 I $14,483.00 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
n�f 2 9012
0
�. 3 .9 r FbF11hLd
Fire Chief
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))
7578 $14,483.00
I 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