HomeMy WebLinkAbout226140 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 362028 Page 1 of 1
ONE CIVIC SQUARE PREMIUM INSPECTION SERVICES
CARMEL, INDIANA 46032 7605 FOREST DRIVE CHECK AMOUNT: $300.00
FISHERS IN 46038 CHECK NUMBER: 226140
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 927201384548 300 . 00 BUILDING REPAIRS & MA
7 RO CEIVED INVOICE
# 927201384548
OCT 2 4 2013
INSPE.CTI,ON
SERVICES' 1`��
7605 Forest Dr 317-536-8369
Fishers, IN 46038
THE INSPECTION REPORT WILL NOT BE RELEASED UNTIL ALL SERVICES HAVE BEEN PAID IN FULL.
DATE OF INVOICE: October 3, 2013 �� aw
TO: INSPECTION ADDRESS:
Carmel Clay Parks - c/o Dawn
1411E 116th St
Carmel IN 46032
DATE: TYPE OF INSPECTION: AMOUNT:
10/3/2013 3 Mold Samples $300.00
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3234t r- ,,/
-q-l3- q-3E01000
TOTAL FEES: $300.00
PAYMENTS ,qt
CHECK:
v.o
CREDIT
CARD: #
EXPIRATION DATE:
SECURITY CODE:
CURRENT ZIP CODE:
PAYMENTS:
SIGNATURE:
BALANCE DUE: $300.00
Premium Inspection Services 927201384548
1 of 22
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.
362028 Premium Inspection Services Terms
7605 Forest Dr
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/3/13 927201384548 Mold inspection Maint. Office 36334 $ 300.00
Total $ 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
120
Clerk-Treasurer
Voucher No. Warrant No.
362028 Premium Inspection Services Allowed 20
7605 Forest Dr
Fishers, IN 46038
In Sum of$
$ 300.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 927201384548 4350100 $ 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
14-Nov 2013
Signature
$ 300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund