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241568 1 /27/2015 �s.S�q �% ''' CITY OF CARMEL, INDIANA VENDOR: 235000 .�� �,• ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $*******'45.00* ,_�; CARMEL, INDIANA 46032 PO BOX 50648 CHECK NUMBER: 241568 q,��loN�c�, INDIANAPOLIS IN 46250 CHECK DATE: 01/27/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 1112846 45.00 REPAIR PARTS INVOICE Print Date: 01/14/15 Printed by: NICOLEP1 The Overhead Door Co. of Indianapolis Sales Invoice Date: 01/05/15 8811 Bash Street Sales Invoice Number: 1112846 Indianapolis, IN 46256 Sales Order Number: 983702 (317) 842-7444 Page: 1 Ship To: Sold To: Carmel Fire Department 2 Civic Square Carmel, IN 46032 Model Ship Date 01/05/15 Customer ID CAR93 Terms NET 30 P.O. Number Station 43 _ Head Installer _ _DEL- _ __ _ .—P.-O.-Date 01/05/15 ---- - --- 2nd Installer Phone#: 317-571-2600 Department: K SalesPerson 86 John Rusin Qty Qty Qty Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price 109130-3901 1 1 EA TX MIL 390 1 CH 45.00 45.00 Subtotal: 45.00 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 45.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF$ P.O. Box 50648 Indianapolis, IN 46250 $45.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 1112846 42-370.00 $45.00 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 't Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund i I rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by hom, 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)) 1112846 Sta.43 Door Opener $45.00 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