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221402 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 365926 Page 1 of 1 f, ONE CIVIC SQUARE ASSOCIATED INTERIORS,INC CARMEL, INDIANA 46032 2435 KENTLICY AVE CHECK AMOUNT: $3,400.00 s � INDIANAPOLIS IN 46221 CHECK NUMBER: 221402 ON CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 25698 6662 3 , 400 . 00 NEW OFFICE CONSTRUCTI ASSO AT D HTEMORS, MC. 2435 Kentucky Avenue Indianapolis, Indiana 46221 (317) 244-5399 (317) 244-55931fax DBIWO8@2 Sold To: Invoice No.: 6662 Name: Carmel Police Department P.O.#: 25698 Address: 3 Civic Square Date 27-Jun-13 Carmel, IN 46032 Salesman: Les Attention: Theresa Anderson Shipped Via: Associated Interiors Qty - Description Price Total Final Billing Labor and material to install wood door, hardware, and base. Contract Amount 9532.00 Previous Invoice Amount 6132.00 Amount Due This Invoice 3400.00 Total Lump Sum Contract TOTAL $3,400.00 Payment Details: Net 15 days I C0 INDIANA RETAIL TAX EXEMPT PAGE 1W, o II Carmel CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25698 Police Department 35-60000972 3 ONE-CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/4/13 New office construction SHIP VENDOR Associated Interiors; Inc. TO Carmel Police Department 2435 Kentucky Ave 3 Civic .Square Indianapolis, IN 46221 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Labor and material to perform the following: 6,727.00 Install drywall partition, insulation. 'a Relocate air diffuser. 1 ' Install wood jamb, har re and wood base. Stain door, pa a a b and walls. Install th w e © `-: 1 ,429.00 Relocate lr f UT .eg •.. . Provide 4i �a11 1 new lig`f1 , , Instal dice opening • oitli• �k ing (3) Inst a eeral purpos 20 ,6,):t s receptacles (3) Inst 1 ddlfcate120 v duple; fo pier. Inst 1 d cat 20 v upld*.for 'ta equipment. °4 n Work a mplevouts f ngiar . ness hours: 1 ,376.00 Fram ng and. ddrywalf inst 1 t on 486.00 Wood o,r ititSSe ,and rim 360.00 Paint g � 280.00 Rough 7 • kectricaj�, `• 250.00 �j,•••............ Send Invoice To: •��� ¢ Carmel Police Dept. 1 0� Attn: Teresa Anderson 3 Civic Square Carmel, IN 46032 V � 6 f �(� L C)D PLEASE INVOICE IN DUPL CATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT CarTej Police Dept. 501 PAYMENT $9,532.00 I A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS ,� THIS APPR �RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. ///AffJ`` •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY , rl•AI •PURCHASE ORDER NUMBER MUST APPEAR ON ALL - / - SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chi, of Police. Of PoliCe � �x.�.�AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V 2 5 I)9 LERK-TREASURER DOCUMENT CONTROL NO. A.P.V.. . COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 _ IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR r Board Members PO#or INVOICE NO, ACCT#/TITLE AMOUNT DEPT.# I 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,. _ 20 -------'—_-_ Signature ---_- -- 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)) 06/27/13 6662 office walls $3,400.00 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. ALLOWED 20 Associated Interiors, Inc. IN SUM OF $ 2435 Kentucky Avenue Indianapolis, IN 46221 $3,400.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25698 I 6662 I 43-501.00 I $3,400.00 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 Monday, July 01, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund