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Home My WebLink About226634 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 361367 Page 1 of 1 ONE CIVIC SQUARE CORNETT ROOFING SYSTEMS r 0 CHECK AMOUNT: $2,395.00 CARMEL, INDIANA 46032 471 S RITTER AVE INDIANAPOLIS IN 46229 CHECK NUMBER: 226634 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 31361 1580 2, 395 . 00 ROOF REPAIR Cornett Roofing SysteNi Invoice Metal - Slate - Coppe 1442 Amy Lane Franklin, IN 46131 Phone: 317-738-0005 Fax: 317-738-0004 Date Invoice# 11/20/2013 1580 Bill To: Carmel Police Department 3 Civic Sq. Carmel, IN 46032 Terms Due Date Due Upon Receipt 11/20/2013 Description Qty Rate Serviced Amount Completed repairs per signed contract 2,395.00 2,395.00 Total $2,395.00 The prices set forth above reflect a 3%discount from Cornett Roofing's standard pricingfor the applicable products and services and apply only to payments made Payments/Credits $0.00 via check which is Cornett Roofing's preferred form of payment. Payments for products and services made using credit cards are based upon Cornett Roofing's standard prices(determined by dividing the prices set forth above by.97)and are Balance Due $2,395.00 not entitled to the discount. No surcharge is imposed by Cornett Roofing for payments made using credit cards. City of Carmel INDIANA"RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER jl FEDERAL EXCISE TAX EXEMPT 35-60000972 11281 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 Camcft-' oofing BOOMS Comol Pollee Copitmont VENDOR SHIP 3 CIVIC squm TO 9442 Amy Lano Ca6mol, IN Franklin. IN MP19 399 579 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION, ,,.'""` UNIT PRICE EXTENSION Account 43-601.00 9 Each repairs 4o roof $2,305.00 $2,393.00 Sub Total: $2,395.00 _� k C° �9 41�flll �� , 9 } m n t a sa N Send Invoice To: � Cumal Pollee Dopartmont Attn:Twooa Andoraon 3 Civic Squam Camel, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT fACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cw mei Police Dept. �-, ` > PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CEFTI VTHAT THERF�,IS AN UNOBLIGATED BALANCE IN SHIP REPAID. ` THIS APPROJJAIRjI/A ON SUFF erENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I slit! •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. La THIS ORDER ISSUED IN COMPLIANCE WITH,CHAPTER 99,ACTS 1945 TITLE a AV Pollen AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 3 6 1 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO`____. ALLOWED 20___ � |N THE SUM 0F$ ` ^ ^ ' [>N ACCOUNT OF APPROPRIATION FOR � ^ Board Members PO#or DEPr i hereby certify that the attached invoico(o), or bU|/a> is (one) 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 om»n paid mnm,vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Cornett Roofing Systems IN SUM OF $ 1442 Amy Lane Franklin, IN 46219 $2,395.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31361 I 1580 ` 43-501.00 I $2,395.00 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 Tuesday, November 26, 2013 Chief of Police 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)) 11/20/13 1580 roofing repair $2,395.00 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