223947 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 366705 Page 1 of 1
ONE CIVIC SQUARE GRUNAU COMPANY INC OF INDIANA CHECK AMOUNT: $1,771.40
CARMEL, INDIANA 46032 4341 WEST 96TH ST
INDIANAPOLIS IN 46268 CHECK NUMBER: 223947
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 9747315 126 . 40 EQUIPMENT REPAIRS & M
1110 4350100 25704 9747338 1, 485 . 00 5 YEAR INTERNAL PIPE
1115 R4350900 27720 9747365 160 . 00 MAINT FOR SPRINKLER S
*WWM
Customer focused. Built on values.
❑ P.O.Box 479 ❑ 4341 W.96th St. ❑ 11300 Space Blvd. ❑ 8302 Southern Blvd. ❑ 545 Moon Clinton Rd. ❑ 17041 Alico Commerce Ct.
Milwaukee,WI 53201 Indianapolis,IN 46268 Suite 4&5 Unit 4 Moon Township,PA 15108 Unit 3
Phone(414)216-6900 Phone(317)872-7360 Orlando,FL 32837 Boardman,OH 44512 Phone(412)269-1950 Fort Myers,FL 33967
FAX(414)768-7950 FAX(317)872-2133 Phone(407)857-1800 Phone(330)758-3500 FAX(412)269-1951 Phone(239)936-7257
FAX(407)855-9064 FAX(330)758-0281 FAX(239)936-8523
9634 INVOICE NO.: 9747315
CARMEL CLAY PARKS S REC
1411 E 116TH ST 08/16/13
DATE:
CARMEL IN 46032 Dawn Koepper
L YOUR ORDER NO.:
TERMS: NET 30 DAYS
Labor and material to perform the necessary service wort:
per our attached work order.
Annual Extinguisher Inspection CEIVED
AUG 2 2 2013
BY:
Project: 40502
03139680
Invoice Amount $ 126.40
Tax .00
Total Invoice Due $ 126.40
---------------
---------------
Thank you for your continued business!
Purchase
I.0;SCripiiOn F, n •t,;
P.O.# Mme 0 78
PorF
i-i:'Ie`Descr
Purchaser
Date L7/3
Da'e
• ,�,- USGBC logo is a trademark owned by the
Qty): U.S.Green Building Council and used by permission
HVAC • PLUMBING FIRE PROTECTION SPECIALTY METAL FABRICATION - DESIGN INSTALLATION • SERVICE
FORM 402 MI I
Invoice
e}ypc .5:�w;>a�?•'>K, • ., < > .. .,.5<:, r.�i.���r..h; •a:��y�i-,:-''.r_;Y�,a
-._=t�•a..
Job Type Service--6
Work Order# 3139680
Date Created 7/12/2013 1:30:49PM
Date Completed 7/25/2013 9:50:24AM
Grunau Company Lead Technician
Job Status Complete
Customer P.O.# Dawn Koepper
Contract#/Type /
Dispatcher
Caller Dawn Koepper
Cross Reference# 140502
Business Unit DJH - Darren Hill
> 't=i2 >.,.:F._._` >__•. ._. ,sex"':i:'y'"': s, .��" �x.S._':�• _.K s.•s�r •i°a x-. 'Fr_�k- d3<. _ a;� ;:yn'..�:x;
•,.y s. >'. .x�z '<{:S`;w� r S - _;.' :.s«��e,'_ tk'..37r=;'�:i>
_:;z-. '3:.�, '���'�',. ,• -.�'. -Ti
CARMEL CLAY PARKS&REC CARMEL CLAY PARKS& REC
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 CARMEL, IN 46032
USA USA
Site#: 59634 Contact: Dawn Koepper Customer#: 59634
Suite: Phone: 317-573-4026 AR#: 59634
;4 y�..w: Y:.g. •;t re..>_ ;°s,: ':ti4':5: ,'�.s'ta_ _.:k;s•,,• r _ <r>;:x• .=" •.ins.: -:`s.�. �;„::R
Problem Code:Fire Prot Extinguisher Inspection
Carmel Clay Parks& Rec Annual Portable Fire Extinguisher Inspections for All Remaining Parks and Out Buildings.
?.;`�.° —;w = "�;,•dy»j�.-"_ +�;.-;y%r ,.zr„fi°�'`.€T� ° `''"'
t ..� td.
.,` '7xC.,f§ ;�Sa'S.n• r".'s;.j. .�:. X•�;i: �s, =:{g,;,•g'x:''i�a,,'�;"`� ,,�+�s. '..- �":.+�'.• Y.x- <c„.,.�.e„�'i-, .��� 'W.=. x...F&�.;•.• °C�
Equip# Tag# Make Model Type Serial#
` s_ :.=, _> :`z> ._.�;�a, a.:�_.•''r.'n '°, _.'. s.,_=�-:•s -�.w°�",re :-y,-'->ri.3;=°'' - .�-zs'�^=�, „�d„_.:2sa
¢ri:}xi='v; -: _ a.z: r•a :...she• ` ':,`�.� '.)'...Lbd_'t`ia'��.'�”&':•:C'.$•°.�.'%°.3°-�•' .•wr,'z=">:-.V.
Annual portable fire extinguisher inspection of remaining extinguishers.
r*'r>. ... .:i•::r >.�;':._ ..>r;i.: -..`;"�,r'yr?-+%�i'«.p.�.-se's::x 1."s3„' '�_ g- `r�'a°:Y-_ <�i. .• :.
-_.,;,.
-""y'a' xx;.T_fix?.,^ :'ir°,, y <._ i•1Y Ii �eAi%if: .:t.,• x` e ^�^•�'�iF W.�R`n. Y
�" .",$.:,,; Y�>;`,.ir: •Yx -:.� g ',z .;.a'irre;,:>�� 'r fr_. k 0 ''sn=><,Y.; ��. \.�S.� s:'•$�
_:�"M� ._;.-<c�...- '"� a°p, y�,- $ ;<;'"1 = i '•;er t�•x �:' p"„x,;._. .y '�'au'3."'�•z'-
Start End Work'Type Hours Rate xj Charge
Tech
Level
Offsite
Desc
Cost Code
Billable
Total Charge:
Total Tax:
Total Price:
yy«x -Y;xre' ,y :,c" a�`31�._:i;"• S�•:: '._}s: :-=i.�`,.'7�>:.e =•b,,,,°.<i`.'7,s- ,'Y"'`-� "�'a5< ��'" :�;,' °��"';'x-.';�4°'
x
f'• mar,-�" »: ,},r �`S.
Qty Used Unit of Measure Tax Amount Part Price
Part#
Desc
P.O.#
Source
Billable
I
|
�
|
|
|
Total Parts:
Sales Tax:
Total Price:
Date Make Type Qty U0M RIVIA#
Date Material Number Description Qty u0m RIVIAV
Description Qty Charge] Extended Charge
Annual Portable Fire Extinguisher Inspections 32.001 $3.95 $126.40
Extended Charge: $126.40
Total Price: $126.40
Quote# Date Originator Type Description Pri
Total Price:
Customer Representative: Total Labor $0.00
Date/Time: Total Materials $0.00
Work-Order 3139680 Total Additional Charges $126.40
Total Repairs $0.00
Total $126.40
Total Tax $0.00
Billing Total $126.40
Total Payments $0.00
Balance Due $126.40
�
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
366705 Grunau
4341 W. 96th St
Indianapolis, IN 46268
Invoice Invoice Description PO # Amount
Date Number (or note attached invoice(s)or bill(s))
,, 126.40
8116113 9747315 Fire inspection services
Total $ 126.40
bill(s)is(are)true and correct and I have audited same in accordance
I hereby certify that the attached invoice(s), or
with IC 5-11-10-1.6
120—
Clerk-Treasurer
Voucher No. Warrant No.
366705 Grunau Allowed 20
4341 W. 96th St
Indianapolis, IN 46268
In Sum of$
$ 126.40
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 9747315 4350000 $ 126.40 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
5-Sep 2013
Signature
$ 126.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
C ITV 111AV
Customer focused. Built on values.
❑ P.O.Box 479 ❑ 4341 W.96th St. ❑ 11300 Space Blvd. ❑ 8302 Southern Blvd. ❑ 545 Moon Clinton Rd. ❑ 17041 Alico Commerce Ct.
Milwaukee,WI 53201 Indianapolis,IN 46268 Suite 4&5 Unit 4 Moon Township,PA 15108 Unit 3
Phone(414)216-6900 Phone(317)872-7360 Orlando,FL 32837 Boardman,OH 44512 Phone(412)269-1950 Fort Myers,FL 33967
FAX(414)768-7950 FAX(317)872-2133 Phone(407)857-1800 Phone(330)758-3500 FAX(412)269-1951 Phone(239)936-7257
FAX(407)855-9064 FAX(330)758-0281 FAX(239)936-8523
F
59900 INVOICE NO.: 9747338
CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 08/22/13
DATE:
CA.RMEL IN 46032 25704
YOUR ORDER NO.:
TERMS: NET 30 DAYS
Labor and material to perform the necessary service work
per our attached work order.
5-Year Internal Pipe
Obstruction Inspection
Project: 40502
03135604
Invoice Amount $ 1,485.00
Tax .00
Total Invoice Due $ 1,485.00
---------------
+I
Thank you for your continued business!
USGBC!ogo is a tradernarl,owned by the
f4JL U.S.Green Building Council and used by permission
HVAC • PLUMBING • FIRE PROTECTION SPECIALTY METAL FABRICATION - DESIGN INSTALLATION SERVICE
FORM 402 MI
INDIANA RETAIL TAX EXEMPT PAGE
City of,. 5: armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 25904
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
4144013
Orirnau Company, Inc. of Indiana, LLC Carmel Pollcv Department
VENDOR TOIP 3 Civic Square
4341 West 96th Straot CwmQI, IN 46032
Indianapolis, IN 46268-1178 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.601.00
4 Each 5 year internal pipe obstruction $1,485.00 $1,485.00
investigation
Sub Total: $1,485.00
°Af
a� � n
e e
Send Invoice To: o I
Carmel Police Dopaftmont
Attn:Toresa Anderson
3 Civic Square
Cam@l, IN 46M. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Camel Police Dept. � � PAYMENT $1,4 ,Q0
• 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.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL i
SHIPPING LABELS. _/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -t"W�n�-11 Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. w ••v vv Police
25704 CLERK-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
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
i
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))
08/22/13 9747338 5 yr internal pipe obstruction $1,485.00
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.
Grunau Company, Inc. of Indiana, LLC ALLOWED 20
IN SUM OF $
4341 West 96th Street
Indianapolis, IN 46268-1178
$1,485.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25704 I 9747338 I 43-501.00 I $1,485.00 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
Thursday, September 05, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Customer focused. Built on values.
❑ P.O.Box 479 ❑ 4341 W.96th St. ❑ 11300 Space Blvd. ❑ 8302 Southern Blvd. ❑ 545 Moon Clinton Rd. ❑ 17041 Alico Commerce Ct.
Milwaukee,WI 53201 Indianapolis,IN 46268 Suite 4&5 Unit 4 Moon Township,PA 15108 Unit 3
Phone(414)216-6900 Phone(317)872-7360 Orlando,FL 32837 Boardman,OH 44512 Phone(412)269-1950 Fort Myers,FL 33967
FAX(414)768-7950 FAX(317)872-2133 Phone(407)857-1800 Phone(330)758-3500 FAX(412)269-1951 Phone(239)936-7257
FAX(407)855-9064 FAX(330)758-0281 FAX(239)936-8523
F79727 INVOICE NO.: 914'36
CARMEL COMMUNICATIONS
31 FIRST AVENUE NP, 08/22/13
DATE:
CAMEL IN 46032 Janet Arnone
L YOUR ORDER NO.:
TERMS: NET 30 DAYS
Labor and material to perform the necessary service work
per our attached work order.
Quarterly Sprinkler Inspection
Project: 40502
03140534
Invoice Amount $ 160.00
Tay .00
Total Invoice Due S 160.00
---------------
---------------
Thank you for your continued business!
USGBC logo is a trademark owned by the
' U.S.Green Building Council and used by permission
HVAC • PLUMBING • FIRE PROTECTION SPECIALTY METAL FABRICATION - DESIGN • INSTALLATION • SERVICE
FORM 402 MI
�I 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))
08/22/13 I 9747365 I I $160.00
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
Grunau Company, Inc. of Indiana
IN SUM OF $
4341 West 96th Street
Indianapolis, IN 46268
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumhered I hereby certify that the attached invoice(s), or
27720 I 9747365 I 43-509.00 $160.00
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
Wednesday, September 04,,_2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund