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239591 11/25/14 CITY OF CARMEL, INDIANA VENDOR: 235000 4. it ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $*******215.47* CARMEL, INDIANA 46032 PO BOX 50648 CHECK NUMBER: 239591 INDIANAPOLIS IN 46250 CHECK DATE: 11/25/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 1108531 215.47 BUILDING REPAIRS & MA INVOICE Print Date: 11/15/14 Printed by: DANAK The Overhead Door Co. of Indianapolis Sales Invoice Date: 11/15/14 8811 Bash Street Sales Invoice Number: 1108531 Indianapolis, IN 46256 Sales Order Number: 979211 (317) 842-7444 Page: 1 Ship To: s.w. door Sold To: Carmel Fire Department 5401 w.'136th St. 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 089797 Ship Date 11/11/14 Customer ID CAR93 Terms NET 30 P.O. Number Capt. Tony Head Installer 127 P.O. Date 11/11/14 ---- - - --- --- - n -nstaller -- Phone#: ---� 317-571-2600 Department: G SalesPerson 68 Chuck Riddell Item No. Ord Shp B/O Unit Description Unit Price Retainage Total Price won't shut off w/push btn.and Gary 508-5777 cell 106647-1 1 1 EA PUSHBUTTN SURFACE MOUNT 88.50 88.50 IM 1 1 EA INCIDENTAL MATERIAL 9,97 9.97 FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50 1 MC 1.5 1.5 1 MAN COMMERCIAL HOURLY RATE 49.00 73.50 TCC 1 1 TRIP CHARGE COMMERCIAL 30.00 30.00 SW Door-Replaced the 3-button station, adjusted the down limit and tested the operation. Completed Subtotal: 215.47 Remit To:The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 215.47 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF $ P.O. Box 50648 Indianapolis, IN 46250 $215.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 1108531 43-501.00 $215.47 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 No 2 4 2014 u i Fire Chief 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)) 1108531 46 $215.47 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