215418 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 00350761 Page 1 of 1
ONE CIVIC SQUARE SPECIALITY GUTTERING SYSTEMS, INCCHECK AMOUNT: $1,027.00
CARMEL, INDIANA 46032 PO BOX 3007
CARMEL IN 46082 CHECK NUMBER: 215418
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 25952 1, 027 . 00 BUILDING REPAIRS & MA
— 5d Invoice
SPECIALITY
SYS ERR S RING
20Jf
Please mail to: (317)254-4565
P.O. Box 3007 Fax(3 17)254-2572
Carmel, IN 46082
Bill To Invoice# 25952
Carmel City Hall Ship To Carmel City Hall
C/O Jeff Barnes 1 Civic Square
1 Civic Square
Carmel, IN 46032
Installer Date 11/29/2012 P.O. No. Jeff 416-4154
_Qty - Description Rate Amount _
4.5 At both South entrances,resealed seams in 7"lead coated copper guttering. Replaced 200.00 900.00
four pieces 1/4-3/8" 12"x 20"Vermont black rooting slate. Four men 2 hours labor at
$50.00 per hour;per man.
1 Materials 127.00 127.00
D
DEC 10 2012
By
Terms: Due on receipt
Thank you for your business.
Total $1,027.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Speciality Guttering Systems Inc.
IN SUM OF $
PO Box 3007
Carmel, IN 46082
$1,027.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 25952 43-501.00 $1,027.00 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
Monda , December 10, 2012
Director, Administration
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))
11/29/12 25952 $1,027.00
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