225030 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 366289 Page 1 of 1
*` 0 ONE CIVIC SQUARE P K S CONSTRUCTIONS INC CHECK AMOUNT: $14,240.00
CARMEL, INDIANA 46032 450 S RITTER AVE SUITE A
•,,,o� INDIANAPOLIS IN 46219 CHECK NUMBER: 225030
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 31562 1366-1 8, 300 . 00 DOCS WALLS
1115 4350100 26802 P1364-1 5, 940 . 00 REMODEL COMM STORAGE
PKS Construction, inc. Invoice
5 LP 450 S. Ritter Avenue, Suite 1A Invoice Number
3 0� Indianapolis, IN 46219 1366-1
7i Voice: (317) 354-1070
Fax: (317) 354-1237 Invoice Date
9/25/2013
Bill To: Carmel City Hall Re: Carmel City Hall Room 330 Wall
One Civic Square
` Carmel IN 46032
Job'No Customer Job.No Customer PO Payment Teems.::;: tDueDate>,
P1366 P1366 31562 Due upon Receipt 9/25/2013
pescription Price
Invoice for installing a new wall system in Room 330 of Carmel City Hall 8,300.00
Q
D
OCT 0 7 2013
By
Subtotal: 8,300.00
Sales Tax: 0.00
Total Amount Due: 8,300.00
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))
09/25/13 1366-1 $8,300.00
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
PKS Construction, Inc
IN SUM OF $
450 South Ritter Ave., Suite A
Indianapolis, IN 46219
$8,300.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31562 I 1366-1 I 43-501.00 I $8,300.00 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, October 07, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PKS Construction, Inc. Invoice
450 S. Ritter Avenue, Suite 1A
Invoice Number
Indianapolis, IN 46219
P1364-1
Voice: (317) 354-1070
Fax: (317) 354-1237 Invoice Date
9/12/2013
Bill To: Carmel City Hall Re: Communication Bldg Storage Rm
One Civic Square }
Carmel IN 46032
Job No Customer Job No Customer PO Payment Terms Due Date
P1364 P1364 26802 Due Upon Receipt 9/12/2013
Description Price
Remodel of Communication Center Storage Room 5,940.00
Original Contract less painting rail
Subtotal: 5,940.00
Sales Tax: 0.00
Total Amount Due: 5,940.00
Cloty , of C CEINDIANA TAX EXEMPT
RTTIFICA EENO.003 20155 002 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 a6�oa
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
612762013
PKS Contruction Carmel Communication Center
VENDOR SHIP 31 1st Ave Nw
TO
400 South Ritter Avenue, Ste A Carmel, IN 46032
317 571-2566
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
David KJ n
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
-i
Account 43-001.00
9 Each Remodel of Comm Ctr storage room $6,600.00 $6,600.00
Sub Total: $6,600.00
Aw
cn
og
R � ,•�?
a �
Send Invoice To:
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 4603a-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT X6,600.00
• 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.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. ,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLEi9 .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Divector
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 8®2 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
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))
09/12/13 P1364-1 $5,940.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
PKS Co ruction
IN SUM OF $
450 South Ritter Avenue, Ste A
Indianapolis, IN 46219
$5,940.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26802 I P1364-1 I 43-501.00 I $5,940.00 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
i
Tuesday, Octobe 1, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund