HomeMy WebLinkAboutHome Depot/Carpet InstallationCD
0
QUOTE
Store 2018 CASTLETON
9320 CORPORATION DR
INDIANAPOLIS, IN 46266
Phone: (317) 915 -8534
Salesperson: GLO8AC
Reviewer:
Name
o, IELKE
SHERRY
Homo Phcne
(3t7) 345.4440
1-
Ad"" 1 CARMEL CIVIC SO
Work Phone
(317) 671 -2787
Cc -p P4orne CARMEL CITY MAYOR
� ' CARMEL
Job Description CARPET INSTALL
swra IN
zp
46032
Coun
Page 1 of 4 No. 2018 - 67751
r
QUOTE
2006-05-0412:40
Prices Valid Thrll: 05/0512006
MERCHANDISE AND SERVICE SUMMARY mercnanaise seorafthotcus'tom rseq u t+ties of
REF #105
SID MDSE TO BE DELIVERED:
S0401
409 -813
72.08
SIO QUEEN CARPET REF SO4 # ESTIMATED ARRIVAL DATE:
471HD/472HD /471 HD /472HD /471 HD /472HD /
COLOR NATURES TRAIL #71710 / SIZE:15' X 43'3
S 1 9.98
XTE�SI�I`F
$ 1,440.16
DELIVERY DATE: INSTALLER WILL SCHEDULE
MERCHANDISETOTA(:
$1,440.18
INSTALLER WILL DELIVER MDSE TO: SITE OF INSTALLATION #105 AT TIME OF INSTA.... 1/4;711 1111°'
NOTE: UPON RECEIPT OF All SIO MERCHANDISE • INSTALLER WILL CALL CUSTOMER TO S
STALLAT'iCN'
NOTE: THESE E
REF 1105
DATE.
MIS SERVICE IS PART OFTHE.rouaWI JG'INSTALI
MERCHANDISE TO BE INSTALLED:
50401
409 -813
72.08
4t 0/472HD
BASIC INSTALLATION LABOR.
278 -545
al *6- NATIONAL)BERBERBONO ULTRA 8LB 3 /8"MICRO
72.08
S4,41
T.ENS[QFE
$317.87
QUOTE - Continued
Last Name: MIELKE
Page 2 of 4 No. 2018 -67751
,
INSTALLATION #1
ICantlnoad)
REF/1105
INSTALLATION 511E NAME
MILKKEr SHERRY
INSTALL LABOR CHARGE
$317,87
ADDRESS: 111 W MAIN STREET, SUITE 11140
TRIP CHARGE:
80.00
CITY: CARMEL STATE: IN ZIP: 46032
CREDIT FOR DEPOSITIMEASURE:
90,00
COUNTY: HAMILTON SALES TAX RATE: 6,000 TAX: Merchandise • N LABOR • N
i 1NSTALI TOTAL DUE:';
S3 (7,87
PHONE: (317) 345 -4440 ALTERNATE PHONE: (317) 571 -2787
BASIC INSTALLATION LABOR INCLUDES:
• •• THIS IS SOLD WITH THE CARPET INSTALLATION PROGRM ONLYI" • •
SPECIAL NOTES:
• • •THIS PROGRAM IS ONLY SOLD WITH CARPET INSTALLATION( • ""
END OF :INSTAll/t1 :.:.... ... .. .
:. ..
INSTALLATION #2:
REF 11102
BASIC INSTALLATION LABOR:
r:
155 -540
CARPET (NATIONAL)
72.08
SY
N
$5.84
S428.16
ru YA1ATiOII ;ST E II
MILKKE, SHERRY
INSTALL LABOR CHARGf:
$428.16
ADDRESS: 111 W MAIN STREET, SUITE 11140
TRIP CHARGE:
$0.00
CITY: CARMEL STATE IN ZIP: 46032
CREDIT FOR DEPOSITIMEASURE:
$0.00
COUNTY: HAMILTON SALES TAX RATE: 6,000 TAX: Merchandise- Y LABOR- N
4 INSTALLTOTALDUEcz
5428.16
PHONE (317) 345 -4440 ALTERNATE PHONE: (317) 571 -2787
BASIC INSTALLATION LABOR INCLUDES:
..,MEASURE ...INSTALL BERBER, PLUSH, OR GLUE -DOWN CARPET (INSTALLER
.,DELIVERY BY INSTALLER OF ALL JOB- RELATED MATERIALS WITHIN PROVIDES GLUE'
30 MILES OF STORE ..,POWERSTRETCHING
.,,LIGHT FLOOR PREPARATION FOR GLUE -DOWN CARPET (INSTALLER .,.INSTALL METAL TRANSITIONS (INSTALLER PROVIDES(
PROVIDES UP TO ONE 25 L6. BAG OF LEVELER' ...JOBSITE CLEAN -UP INCLUDING VACUUMING AND WALK THROUGH
.,.INSPECT AND REPLACE TACKSTRIP AS NEEDED (INSTALLER WITH CUSTOMER
PROVIDES) ..,BASIC MINIMUM INSTALLATION 20 SQ.YDS.
• • • CI]NTIITUIE.Ori NEXT PAGE;'.":';.'::::'
T
ge2of 4 No.2018 -67751
u DOTE - Continued
INSTALLATION #2
[Canliansd)
Last Name: MIELKE
Page 3 of 4 No. 2018-67751
REF kf02
,.,CARPET BORDERS
.,,MOVE EXCESSIVE FURNITURE
,REMOVE TILE ON MUD BED
UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE:
...REMOVE NAIL-DOWN WOOD FLOORING
,.,RE- INSTALL EXISTING QUARTERROUND
...TRIMMING INTERIOR OR EXTERIOR DOORS
SPECIAL NOTES:
" "HOW THE PROCESS OF PURCHASING AN INSTALLATION WORKS : ""
I. SELECT NEEDED MERCHANDISE WITH A HOME DEPOT ASSOCIATE.
2. BASED ON YOUR ESTIMATE OF THE ROOM'S DIMENSIONS, WE WILL
ESTIMATE THE TOTAL COST OF YOUR INSTALLATION,
3. WE WILL SCHEDULE A MEASUREMENT APPOINTMENT TO VERIFY THE
WORK AND MATERIAL REQUIRED. AFTER THE MEASURE, WE WILL
UPDATE YOUR QUOTE. NOTE: THIS AMOUNT CAN CHANGE DUE TO
UNFORESEEN CONDITIONS WITH YOUR INSTALLATION.
4. WE WILL ORDER YOUR MATERIAL AFTER YOU PAY THE BALANCE OF
THE PRICE FOR MATERIAL AND INSTALLATION. WE WILL GIVE YOU
AN ESTIMATED LEAD -TIME THAT MAY CHANGE BASED ON THE
AVAILABILITY OF THE PRODUCT.
5. ONCE THE MERCHANDISE IS RECEIVED, THE INSTALLER WILL
CONTACT YOU WITHIN TWO WORK DAYS AND SETA DATE FOR THE
INSTALLATION.
BEFORE YOUR INSTALLATION: "" " " " " " "" " " " ""
...EMPTY ALL CABINETS, ENTERTAINMENT CENTERS, BOOKCASES,
CLOSETS, ETC,
.,MOVE ALL BREAKABLES, SUCH AS LAMPS, VASES, MIRRORS, WALL
HANGINGS, ANTIQUES, OR OTHER VALUABLES.
.,.DISCONNECT AND REMOVE ALL ELECTRONIC EQUIPMENT SUCH AS
TELEVISIONS, STEREOS, AND COMPUTERS,
PREPARATION CAN CREATE DUST THAT CAN INFILTRATE OTHER
PARTS OF YOUR HOUSE. WE WILL ATTEMPT TO KEEP OUST TO A
MINIMUM.
AFTER YOUR INSTALLATION:
...YOU MAY HAVE TO DO TOUCH -UP PAINTING AFTER YOUR
INSTALLATION.
...CHANGE YOUR AIR FILTERS.
.,.REFER TO THE MANUFACTURER'S RECOMMENDATIONS FOR
MAINTENANCE.
OTHER INSTALLATION EXPECTATIONS:
.,.IF THE NEW FLOOR IS SUBSTANTIALLY THICKER THAN THE OLD
FLOOR, DOORS MAY NOT SWING CLEAR. IF SO, YOU WILL HAVE TO
REPLACE YOUR DOORS OR HIRE A CARPENTER TO TRIM THEM DOWN.
...CANCELLING APPOINTMENTS WITH INSTALLERS OR MISSING
SCHEDULED APPOINTMENTS WILL LEAD TO ADDITIONAL CHARGES,
...IF UNFORESEEN LABOR IS NEEDED IE,G.,REPAIR DAMAGE FROM
WATER OR TERMITES, ELECTRICAL OR PLUMBING PROBLEMS),
THERE WILL BE EXTRA CHARGES, IN SOME CASES, THIS LABOR
MAY NOT BE AVAILABLE FROM HOME DEPOT /EXPO DESIGN CENTER,
S0 THE CUSTOMER MUST HIRE THEIR OWN CONTRACTOR.
"SERVICES NOT AVAILABLE WITH THIS INSTALLATION PROGRAM:•
fe 3 of 4 No. 2018- 67751
*** CONTCHE1ED ON NEKTPAcE .
CO
1
0
CC
LL
UUGTE = Continued
Last Name: MIELKE
Page 4 of 4 No. 2018-67751-
:INSTALLATION #2
(£ont ood)
HEF#102
...THE BUILDING MUST BE COMPLETELY CLOSED IN, WITH OUTSIDE
WINDOWS, DOORS, AND THRESHOLDS IN PLACE. WE WILL NOT:
...ALL WET TRADES IE.G„DRYWALL,PLASTER1 SHOULD BE FINISHEO ..,INSTALL NEW CARPETING OVER OLD PAD
BEFORE INSTALLATION.
..,AIR CONDITIONING, HEATING, AND VENTILATION SYSTEMS MUST ...REMOVE OR HAUL AWAY ANIMAL SOILED OR FLEA INFESTED CARPET
BE OPERABLE. .,.MOVE SOME ITEMS, SUCH AS PIANOS, GRANDFATHER CLOCKS,
..,ELECTRICITY AND WATER MUST BE PROVIDED IN THE WORK AREA, AQUARIUMS, OR ANTIQUES
I ,..DISCONNECT OR CONNECT GAS APPLIANCES OR WATER LINES.
DURING YOUR INSTALLATION; "" ,.,RELOCATE APPLIANCES
I .,.DO ELECTRICAL OR PLUMBING WORK
,..AN ADULT OVER 18 YEARS OF AGE, WITH THE AUTHORITY TO MAKE ...PAINT, STAIN, OR FINISH TRIM OR MOLDINGS
DECISIONS ABOUT YOUR INSTALLATION, MUST BE PRESENT ...CUT INTERIOR OR EXTERIOR DOORS.
DURING THE JOBS1TE INSPECTION AND INSTALLATION. ..,REPLACE EXTERIOR THRESHOLDS
...INSTALLATION TIMES VARY DEPENDING ON THE SIZE AND SCOPE ..,INSTALL ANY FLOORING OVER PARTICLE BOARD
OF THE PROJECT, ...WORK ON SUNDAYS OR HOLIDAYS
,..MANY INSTALLATIONS WILL CAUSE INCONVENIENCE IF YOU ARE
LIVING IN THE HOUSE. INSTALLATION PROPOSAL ADDENDUM •
,..TEMPERATURE MUST BE WITHIN 60-80 DEGREES F. i
..,CHILDREN AND PETS MUST BE KEPT AWAY FROM THE WORK AREA. HOME DEPOT HAS PROVIDED A PAYMENT AND PERFORMANCE BOND FOR
...IT MAY BE NOISY DUE TO HAMMERING, KICKING, ETC, THE FULL AMOUNT OF THIS CONTRACT WHICH IS ON FILE WITH THE
.,.THE ADHESIVES USED FOR INSTALLATION CAN PRODUCE STRONG REGISTRAR OF CONTRACTORS. THE SURETY IS AMERICAN HOME
ODORS. ASSURANCE COMPANY, 70 PINE STRETT, NEW YORK, NY 10270
,.,CUTTING MATERIAL, REMOVING EXISTING FLOORING AND SUBFLOOR
i iFND0FINST,902 .;
TOTAL CHARGES OF 'ALL.' MERCHANDISE :& S €RVICES .
wQBDER Tp TALC.
SALES TAX
$2,186.19
�`
��..�.i� 1..� y �c-4 -u r nC= �( (C)t_ 2 CI L_
$0.00
TOTAL
$2,186,19
Ef116: FORCER II[a: 211$= 67:754 ' .. '. °.;;.;:'BALAHCEDUE ?,',....:. ".:::
0
0
0 0
De 4 of 4 No. 2018 -67751
0'
MAY -04 -2006 12:49PM FROM-
T -325 P.001 F -580
�7/_ L s 7�
MEASURE #3405542 IMEAS DATE: 05/01/06
STORE - ORDER: ST2018 -67754 [SALESPERSON: GLO8AG PAGE: 1/5
CALC DATE: 05/04/06 12:11 [CUSTOMER:
MILKS, SHERRY LINE ITEM #1 (MATERIAL: CPT 15'0 NO PM
ADDRESS: 111 IN, MAIN ICITY: CARMEL rMEAS BY 1007 317- 3454440 (BUS 317 - 8487465
SITE TYPE: COMMERCIAL
MATERIAL ACCESS: I NEW PAINT: YIHEAT:
_NOME
YIELEC�: YIPETS:
NIRESTRICTED PARKING: II ELEVATOR: N
LEAVE ON JOB
EMPTY GARAGE: N
PAVED: N
FURNITURE MOVE: NIAPPLIANCE MOVE: N[REMOVAL: NIUISPOSAL:
APPLIANCES: 0
FURNITURE: LIGHT[COVING: 0 JCAPPING: 0 (SPINDLES:
0 (STAIRS: 0
ROOM INFORMATION
LW HALL (GROUND FLOOR)
OFFICE (GROUND FLOOR)
CONE (GROUND FLOOR)
EXIST: CLEAR
SUB: CONCRETE
NEW CONC,EXPANSION JOINTS
WALL MOLDING: BASE, NO SHOE
CAB MOLDING: NONE
HEAT: BASEBOARD VENT
FURNITURE: NONE
37 SQ FT
WALLS: 15 LEA CABS: 0 LF
EXIST: CLEAR
SUB: CONCRETE
NEW CONC,EXPANSION JOINTS
WALL MOLDING: BASE, NO SHOE
CAB MOLDING: NONE
HEAT; BASEBOARD VENT
FURNITURE: NONE
133 SQ FT
WALLS: 47 LF,CABS: 0 LF
EXIST: CLEAR
SUB: CONCRETE
NEW CONC,EXPANSION JOINTS
WALL MOLDING: BASE, NO SHOE
CAB MOLDING: NONE
HEAT: BASEBOARD VENT
FURNITURE: LIGHT
FURN AMT: NORMAL (1 -5 PCS)
203 SQ FT
WALLS: 51 LF,CABS: 0 LF
UTIL (GROUND FLOOR)
EXIST: CLEAR
SUB: CONCRETE
NEW CONC,EXPANSION JOINTS
WALL MOLDING: NONE,CAB MOLDING: NONE
HEAT: BASEBOARD VENT
FURNITURE: LIGHT
FURN AMT: NORMAL (1 -5 PCS)
96 SQ FT
WALLS: 31 LF,CABS: 0 LF
MATERIAL LIST
•
LEN: 15'0 x 43'3 FT
YDG: 72.08 SQ,YD
FTG: 648,75 SQ FT
AREA 468.00 SQ FT
WALL: 144 LF
1: 15'0x4'7 (LW HA)
2: 15'0x15'11 (CONE)
3: 15'0x11'10 (OFFIC)
4: 15'0x1011 (UTIL)
ASK CUSTOMER ABOUT THEIR
INTEREST IN PAD UPGRADE
SUGGESTED METAL:
(PLEASE VERIFY)
METAL COLOR: GOLD
12 LF METAL
FURNITURE: LIGHT
FURN AMT: NORMAL (1 -5 PCS)
STAIRS: 0, SPINDLES: 0
Tom` =`WARN `1 W GS 'e
THIS LINE ITEM HAS EXTRA
ROOMS.
PLEASE VERIFY W/ CUSTOMER
THIS LINE ITEM 15 MISSING:
conf.office.
PLEASE VERIFY 1/ CUSTOMER
A A
I P RO BL EF M
S54
THERE ARE 2 METAL DOORS
PLEASE VERIFY CLEARANCES
POSSIBLE FLOOR PROBLEMS
CHECK ROOM INFO LIST
O :`'•ADDITIONAL"INFO
MAY -04 -2006 12:49PM FROM-
T -325 P.002/009 F -560
MEASURE #3405542 MEAS DATE: 05/01/06 STORE- ORDER: ST2018 -67754 SALESPERSON: GLOBAG � PAGE: 2/5
CALC DATE: 05/04/06 12:11 (CUSTOMER: MILKS, SHERRY TUNE ITEM #1 'MATERIAL: CPT 15'0 NO PM
ADDRESS: 111 W. MAIN (CITY: CARMEL IjEAS BY 1007 IHOME 317 - 3454440 'BUS 317- 8487465
SITE TYPE: COMMERCIAL (MATERIAL ACCESS: (NEW PAINT: YIHEAT: YIELEC: YIPETS: NIRESTRICTED PARKING: YIELEVATOR: N
EMPTY GARAGE: N PAVED: N FURNITURE MOVE: NlAPPLIANCE MOVE: NIREMOVAL: N[DISPOSAL: LEAVE ON JOB
APPLIANCES: 0 FURNITURE: LIGHTICOVING: 0 (CAPPING: 0 !SPINDLES: 0 _'STAIRS: 0
UNCALCULATED
(UTIL)
05
Imo,
v I
D6
(LW HA)
CONF
(GROUND FLOOR)
15'8
LW HALL
(GROUND FLOOR)
(conf)
D1
J 'A II
GO
03 -M
(FAM /G)
D2
(offic)
04
(LW HA)
OFFICE
(GROUND FLOOR)
117
9'2
cal
N
1'4
DOOR WI ► OTHER -SIDE HEIGHT -DIFF DOOR TYPE TRANS CLEARANCE DOOR WIDTH OTHER -SIDE HEIGHT -DIFF DOOR TYPE TRANS CLEARANCE
1 3'0 conf CMNT EVEN REG WD 1" 4 3'0 LW HA EVEN REG ID 1,,
2 3'0 offic CMNT EVEN REG ID 1" 5 3'0 UTIL EVEN REG ID 1"
3 4'0 FAM /G CMNT EVEN " 6 3'0 LW HA EVEN REG 'D
MAY -04 -2006 12:49PM FROM-
T -325 P.003/009 F -580
MEASURE X13405542 IMEAS DATE: 05/01/06 (STORE- ORDER: ST2018 -67754 (SALESPERSON: GLOBAG PAGE: 3/5
CALC DATE: 05/04/06 12:11 CUSTOMER: MILKS SHERRY LINE ITEM X11 MATERIAL: CPT 15'0 NO PM
ADDRESS: 111 W, MAIN CITY: CARMEL MEAS BY 1007 HOME 317 - 3454440 BUS 317- 8487465
SITE TYPE: COMMERCIAL
MATERIAL ACCESS: I NEW PAINT: Y}HEAT: YTELEC: YTPETS: NIRESTRICTED PARKING: Y ELEVATOR: N
EMPTY GARAGE: N
PAVED: N
FURNITURE MOVE: NIAPPLIANCE MOVE: NIREMOVAL: N DISPOSAL: LEAVE ON JOB
APPLIANCES: 0
FURNITURE: LIGHTTCOVING: 0 'CAPPING: 0
(SPINDLES: 0 (STAIRS: 0
UNCALCULATED
un
:ZI.
e
CU
(PORCH)
D1 -M
J— I
EXTRA
PER CUST
D2 -M
(BATH1)
5'9
UTIL
` (GROUND FLOOR)
m
—
10'8
I-
1 ., J
D3
(cons')
DOOR WIDTH OTHER -SIDE HEIGHT -DIFF DOOR TYPE TRANS CLEARANCE
DOOR WIDTH OTHER -SIDE HEIGHT -DIFF DOOR TYPE TRANS CLEARANCE
1 3'0 PORCH + <1/4 REG MTL METAL <1/4"
2 3'0 BATH1 VCT EVEN REG MTL COLOR 3/4"
3 3'0 conf EVEN REG WD 1"
-n,—. ,
MAY -04 -2006 12:50PM FROM-
T -325 P.004/009 F -560
MEASURE #3405542 MEAS DATE: 05/01/06 STORE- ORDER: ST2018 -67754
CALC DATE: 05/04/06 12:11 CUSTOMER: MILKE, SHERRY
ADDRESS: 111 W. MAIN CITY: CARMEL
SITE TYPE: COMMERCIAL NEW PAINT: Y HEAT: Y ELEC: Y PETS: N RESTRICTED PARKING: Y ELEVATOR: N
SALESPERSON: GLOBAG
LINE ITEM #1 MATERIAL: CPT
MEAS BY 1007 IHOME 317 - 3454440
(PAGE: 4/5
15'0 NO PM
BUS 317 - 8487465
EMPTY GARAGE: N
APPLIANCES: 0
PAVED: N
MATERIAL ACCESS:
FURNITURE MOVE: N
FURNITURE: LIGHT COVING: 0
DISPOSAL: LEAVE ON JOB
CAPPING: 0 SPINDLES: 0 STAIRS: 0
RECALCULATION
05
CONE
(GROUND FLOOR)
D6
L
LW HALL
(GROUND FLOOR)
01
D2
4
OFFICE
(GROUND FLOOR)
J
DOOR WIDTH OTHER -SIDE HEIGHT -DIFF DOOR TYPE TRANS CLEARANCE
1 3'0 conf CANT EVEN
2 3'0 offic CANT EVEN
3 4'0 FAM /G CMNT EVEN
REG WD
REG WD
DOOR WIDTH OTHER -SIDE HEIGHT -DIFF DOOR TYPE TRANS CLEARANCE
4 3'0 LW HA EVEN REG WD 1
5 3'0 UTIL EVEN REG WD
6 3'0 LW HA EVEN REG WD
MAY -04 -2006 12:50PM FROM-
T -325 P.005/009 F -580
MEASURE #3405542 MEAS DATE: 05/01/06 STORE- ORDER:
ST2018 -67754 (SALESPERSON: GLORAG PAGE: 5/5
(LINE ITEM #1 'MATERIAL: CPT 15'0 NO PM
CALC DATE: 05/04/06 12:11 1 CUSTOMER: MILKS SHERRY
ADDRESS: 111 W. MAIN (CITY: CARMEL (MEAS BY 1007 1HOYE 317- 3454440 IBUS 317- 8487465
SITE TYPE: COMMERCIAL
MATERIAL ACCESS: T NEW PAINT: Y[HEAT: YIELEC: YIPETS: N1RESTRICTEO PARKING: YIELEVATOR: N
EMPTY GARAGE: N
PAVED: N
FURNITURE MOVE: NIAPPLIANCE MOVE: NIREMOVAL: N[DISPOSAL: LEAVE ON JOB
APPLIANCES: 0
FURNITURE: LIGHT[COVING; 0 [CAPPING: 0 [SPINDLES: 0 STAIRS: 0
RECALCULATION
,
C,/] r
1
F
i
7
7
r
I
i
I
i
i
D1 -M
J
I
F
I
i
1
1
F
I
i
1
I
1
F
EXTRA
PER CUST
D2 -M
r
UTIL
(GROUND FLOOR)
�_ l
03
DOOR WIDTH OTHER -SIDE HEIGHT -DIFF DOOR TYPE•TRANS CLEARANCE
DOOR WIDTH OTHER -SIDE HEIGHT -DIFF DOOR TYPE TRANS CLEARANC
1 3'0 PORCH + <1/4 REG MTL METAL <1/4"
2 3'0 BATH1 VCT EVEN REG MTL COLOR 3/4"
3 3'0 conf EVEN REG WD 1"
05/04/2006 THU 13:22 FAX
Zooi
.
• 1 f 1
s*s ACTIVITY REPORT 1
. 4 1
ST.
TIME
CONNECTION TEL
CONNECTION
ID
NO,
MODE
PGS.
RESULT
*05/03
15:56
96876556
CHL 59
2716
B'CAST
G3
1
OK 0039
*05/03
15:57
96326720
.CHL 13
2716
B'CAST
ECM
1
OK 0033
1:05/03
15:58
96842017
WIBC
2716
B'CAST
ECM
1
OK 0032
*05/03
15:59
. 96384611
AP
2716
B'CAST
ECM
1
OK 0032
*05/03
16:00
92635060
IBJ
2716
B'CAST
ECM
1
OK 0031
*05/03
16:02
92752012
INSIDE IN BUS
2716
B'CAST
G3
1
OK 0056
*05/03
16:03
98425567
METRO NETWORKS
2716
B'CAST
ECM
1
OK 0034
*05/03
16:22
3178443791
8634
AUTO FAX RX
ECM
1
OK 0024
*05/03
23:41
2
8635
AUTO FAX RX
ECM
1
OK 0104
*05/04
07:54
•
8636
AUTO FAX RX
ECM
1
OK 0049
*05/04
08:02
98175151
2717
TRANSMIT
ECM
2
OK 0044
*05/04
09:02
8637
AUTO FAX RX
ECM
7
OK 0230
*05/04
09:23
946224930
2718
TRANSMIT
0
NG 0000
0 #018
*05/04
09:32
8638
AUTO FAX RX
ECM
1
OK 0030
*05/04
09:35
95624930
•
2719
TRANSMIT
ECM
3
OK 0126
*05/04
11:57
99133677
2720
TRANSMIT
G3
9
OK 0535
*05/04
12:38
8639
AUTO FAX RX
ECM
9
OK 0255
*05/04
12:45
703 894 0482
8640
AUTO FAX RX
ECM
1
OK 00'39
*05/04
13:11
99133677
2721
TRANSMIT
G3
6
OK 04'15
05/04
13:19
99133677
2722
TRANSMIT
G3
5
OK 0237
Form ST -105
Indiana Department of Revenue
State Form 49065 R4/ 8 -05 General Sales Tax Exemption Certificate
Indiana registered retail merchants and businesses located outside Indiana may use this certificate. The claimed exemption must be allowed by Indiana
code. Exemption statutes of other states are not valid for purchases from Indiana vendors. This exemption certificate can not be issued for the
purchase of Utilities, Vehicles, Watercraft, or Aircraft. Purchaser must be registered with the Department of Revenue or the appropriate taxing
authority of the purchaser's state of residence.
Sales tax must be charged unless all information in each section is fully completed by the purchaser. Purchasers not able to provide all required
information must pay the tax and may file a claim for refund (Form GA -110L) directly with the Department of Revenue.
Name of Purchaser CITY OF CARMEL
Business Address ONE CIVIC SQUARE City CARMEL State IN Zip 46032
Purchaser must provide minimum of one ID number below.*
Provide your Indiana Registered Retail Merchant's Certificate
TID and LOC Number as shown on your Certificate
0031201550
tU'`?
TID# (10 digits)
g If not registered with the Indiana DOR, provide your State Tax
ID Number from another State
*See instructions on the reverse side if you do not have either number.
020
LOC# (3 digits)
State ID# State of Issue
Is this a Q( blanket purchase exemption request or a ❑ single purchase exemption request? (check one)
Description of items to be purchased
Purchaser must indicate the type of exemption being claimed for this purchase. (check one or explain)
❑ Sales to a retailer, wholesaler, or manufacturer for resale only.
❑ Sale of manufacturing machinery, tools, and equipment to be used directly in direct production.
❑ Sales to nonprofit organizations claiming exemption pursuant to Sales Tax Information Bulletin #10.
(May not be used for personal hotel rooms and meals.)
❑ Sales of tangible personal property predominately used (greater then 50 percent) in providing public transportation - provide USDOT #.
A person or corporation who is hauling under someone else's motor carrier authority, or has a contract as a school bus operator, must
provide their SS# or FID# in lieu of a State ID# in Section #1. USDOT#
❑ Sales to persons, occupationally engaged as farmers, to be used directly in production of agricultural products for sale.
Note: A farmer not possessing a State Business License# may enter a FID# or a SS# in lieu of a State 1D# in Section #1.
❑ Sales to a contractor for exempt projects (such as public schools, government, or nonprofits).
® Sales to Indiana Governmental Units (agencies, cities, towns, municipalities, public schools, and state universities).
❑ Sales to the United States Federal Government - show agency name
Note: A U.S. Government agency should enter its Federal Identification Number (FID #) in Section #1 in lieu of a State ID #.
❑ Other - explain.
I hereby certify under the penalties of perjury that the property purchased by the use of this exemption certificate is to be used for an exempt
purpose pursuant to the State Gross Retail Sales Tax Act, Indiana Code 6 -2.5, and the item purchased is not a utility, vehicle, watercraft, or aircraft.
I confirm my understanding that mis
and /or the business entity I represe
, (either negli J
imposit'o f
tentiona.l), and/or fraudulent use of this certificate may subject both the personally
st,,,= ti civil and/or criminal penalties.
Signature of Purchaser Date DECEMBER 14,2005
Printed Name DIANA L CORDRAY
The Indiana Department of Revenue may request verification of registration in another state if you are an out -of -state purchaser.
Seller must keep this certificate on file to support exempt sales.
Title CLERK- TREASURER
05/04/2006 YUi 13:17 FAX
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ACTIVITY REPORT .....
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ST. TIME
CONNECTION. TEL
CONNECTION
ID
NO.
MODE
PGS.
RESULT
*05/03 15:53
e2691445
CHL 6
2716
B'CAST
ECM
1
OK 00'39
*05/03 15:56
98076556
CHL 59
2710
B'CAST
G3
1
OK. 00'39
*05/03 15:57
96328720
CHL 13
2710
B'CAST
ECM
1
OK 00'83
*05/03 15:38
96842017
WIBC
2716
B'CAST
ECM
1
OK 00'02
*05/03 15:59
. e6384611
AP '
2716
B'CAST
ECM
1
OK 00'02
*05/01 16:00
92635060
IBJ
2716
B'CAST
ECM
1
OK 00'31
*05/03 16:02
92752012
INSIDE IN BUS
2716
B'CAST
G3
1
OK 00'56
*05/03 16:03
e8425567
METRO NETWORKS
2716
B'CAST
ECM
1
OK O0'34
*05/03 10:22
3178443791
8834
AUTO FAX RX
ECM
1
OK 00'24
*05/03 23:41
2
8835
AUTO FAX RX
ECM
1
OK 01'04
*05/04 07:54
8636
AUTO FAX RX
ECM
1
OK 00'49
*05/04 08:02
98175151
2717
TRANSMIT
ECM
2
OK 00'44
*05/04 09:02
. ^ '
8637
AUTO FAX RX
ECM
7
OK 02'30
*05/04 09:23
W46224930
2718
TRANSMIT
0
NG oO'OO
'
0 #018
*05/04 09:02
8638
AUTO FAX RX
ECM
1
OK 00'00
*05/04 09:35
95824930
.
2719
TRANSMIT
ECM
3
OK 01'28
*05/04 11:57
99133877
•
2720
TRANSMIT
G3
9
OK 05'35
05/04 12:38
8039
AUTO FAX RX
ECM
9
OK 02'55
05/04 12:45
703 894 0482
8840
AUTO FAX RX
ECM
1
OK 00'39
05/04 13:11
99133877
2721
TRANSMIT
G3
6
OK 04'15